Office Fees
Dental Fees & Prices
At A Smile To Grow With, we prioritize putting you at the heart of our practice, emphasizing transparency in every aspect of our services, including our fee structures. Below, you’ll find comprehensive details of our services along with associated fees. It’s important to recognize that the cost of each procedure may vary based on individual needs. Every patient and case is unique, and we are dedicated to providing personalized care tailored to your specific requirements.
For those of you with insurance, please note that fees will vary based on your specific PPO plan. We recommend checking your coverage with your benefits administrator or providing us with your insurance information so that we may check on your specific plan. A Smile To Grow With does not represent your insurance carrier nor can we promise that they will cover all procedures.
Contact A Smile To Grow WithPreventative Care
Certain insurance plans may cover up to 100%
Cleaning, Exam, Full Series of X-Rays, Fluoride (D0150)
$0-$412
Certain PPO plans may cover 100%
Dental Exams
$49-$81
Periodic Exam (D0120) $49
Comprehensive Exam (D0150) $79
Limited Exam (D0140) $81
Emergency Exam
$0-147
Certain PPO plans may cover 100%
Dental Cleanings (Prophylaxis)
$77-$96
Child Teeth Cleaning (D1120) $77
Adult Teeth Cleaning (D1110) $96
Dental X-Rays
$32-$261
PA (D0220): $34
Addt'l PAs (D0230): $32
1 BWX (D0270): $34
2 BWX (D0272): $54
4 BWX (D0274): $77
Panoramic X-Ray (D0330): $130
CT (D0367): $261
Dental Sealants (D1351)
$51
Fluoride (D1206)
$35
Posterior Composite (White) Fillings
$199-$404
1 surface — $199
2 surface — $253
3 surface — $315
4 surface — $366
5 surface — $404
Certain PPO plans may cover up to 80%
Anterior Composite (White) Fillings
$179-$404
1 surface —$179
2 surface — $221
3 surface — $273
4 surface — $339
5 surface —$404
Certain PPO plans may cover up to 50-80%
Periodontal Maintenance (D4910)
$156
Certain PPO plans may cover up to 80%
Restorative Dental
Certain insurance plans may cover up to 80%
Porcelain Crown
$1,349-$1,650
$1,349 (crown only)
$1,650 (Including the build up)
Certain PPO plans cover up to 80%
Stainless Steel Crown
$204
Scaling & Root Planing
$183 - $283
1-3 Teeth (D4342): $183
Quad (D4341): $283
Root Canals
$941 - $1,453
Anterior (D3310): $941
Bicuspid (D3320): $1,071
Molar (D3330): $1,453
Tooth Extractions
$211 - $538
Surgical Extraction (D7210): $330
Bone Grafts
$429 - $829
With Extraction (D7953): $429
With Implant Placement: (D7950) $829
Dental Implants (D6010/D6056/D6059)
$4,417
D6010: $2,098
D6057: $7485
D6058: $1,534
Denture Services
$75 - $1,904
Denture Repair: $75-$300
Denture Reline (D5750 & 5751): $450
Flipper (D5820 & D5821): $500-$1,000
Complete Upper (D5110): $1,813
Complete Lower (D5120): $1,813
Immediate Upper (D5130): $1,883
Immediate Lower (D5140): $1,883
Upper Partial (D5213): $1,904
Lower Partial (D5214): $1,904
Implant-Supported Dentures
$5,500-9,500
2 implant overdenture — $5,500
4 implant overdenture — $9,500
Includes all costs except sedation and tooth extractions
Implant-Supported Bridge
$20,000 / arch
Includes 6 implants per arch and all costs except tooth extraction
Sinus Augmentation
$892 - $2,625
Sinus Bump (D7952): $892
Sinus Lift (D7951): $2,625
Cosmetic Dental
Take-Home Whitening (Custom Trays)
$299
Take-Home Whitening (GO Whitening Package)
$75
Porcelain Veneers
$1,380
Additional Services
Orthodontics (D8090)
$2,500-5,200
Certain PPO plans may cover up to 50%
Nitrous Sedation
$99
Oral Conscious Sedation
$365
IV Sedation
$0-750
Certain PPO plans may cover up to 100%
Full Arch Occlusal Guard (D9944)
$500
Sleep Apnea Appliance
$5,775
