PROCEDURE Unit Price (USD) # of Visits
General Dentistry
General Examination / General Consultation / Treatment Plan Visit $10 1
Teeth Cleaning & Polishing (Light Dental Calclus) Visit $15 1
Teeth Cleaning & Polishing (Moderate Dental Calclus) Visit $20 1
Teeth Cleaning & Polishing (Heavy Dental Calclus) Visit $25 1
X-Ray
X-Ray Periapical / Bitewing X-Ray FREE 1
Full series Periapical/Bitewing X-ray X-ray $10 1
X-Ray Panoramic / Cephalomatric X-Ray $10 1
3D CBCT (Cone Beam Computerized Tomography) X-Ray $40 1
Filling & Aesthetic
Composite Filling Surface $15 – $25 1
Cosmetic Bonding Tooth $30 – $40 1
Fissure Sealant Surface $15 1
Diastema / Space Closing Tooth $40 1
Teeth Whitening
In-Office Laser Teeth Whitening (Zoom! System) Case $220 1
At-Home Whitening Case $100 1
Endodontic Dentistry / Root Canal Treatment (RCT)
Root Canal Treatment Anterior Tooth $50 1 – 3
Root Canal Treatment Premolar Tooth $75 1 – 3
Root Canal Treatment molar Tooth $100 1 – 3
Root Canal Re-treatment Anterior Tooth $100 1 – 3
Root Canal Re-treatment Premolar Tooth $150 1 – 3
Root Canal Re-treatment Molar Tooth $200 1 – 3
Porcelain Crowns
Post Core Buildup Each $75 1
Zirconium Post Each $120 2
Porcelain Fused to Metal (Titanium) Crown $150 2
Porcelain Fused to Metal (CrCo) Crown $175 2
All Ceramic E-Max CAD/CAM Crown $300 2
All Ceramic E-Max Veneer CAD/CAM Crown $350 2
Dentures
Partial Denture (No metal Frame) Plate $150 – $300 2 – 3
Partial Denture (Metal Frame) Plate $300 – $400 3 – 4
Complete Denture Plate $400 3 – 4
Oral Surgery
Extraction Permanent Tooth Tooth $50 1
Extraction Wisdom Tooth Tooth $75 – $125 1
Bone Graft Case $150 – $400 1
Sinus Lift Case $300 – $800 1
Implantology (Nobel BioCare Implant System)
Nobel BioCare Implant (Made in Switzerland) Implant $1,500 1
Porcelain Fused to Metal (Titanium) on Implant with Metal Abutment Crown $225 2
E-Max CAD/CAM Crown on Implant with Metal Abutment Crown $450 2