DENTAL SERVICE

FEE

             I.      Examinations

 

Peri Apical X-Ray

Oral Examinations/Year

Consultations

Diagnosis

 

$ 75.00

FREE

          II.      Oral Prophylaxis (cleaning)

Light (soft deposits)
Moderate (calculus deposits)
Heavy (calculus and heavy stains)

$ 10.00

$ 15.00

$ 20.00

       III.      Extractions

Simple
Complex (posteriors)

 

$ 7.00

$ 10.00

        IV.      Filling / Restorations
Temporary Filling
Glass Ionomer
Incipient (1 surface)
Compound (2 surfaces)
Complex (3 surfaces)
Light Curing Material (Composite)
Anterior
Incipient (1 surface)
Compound (2 surfaces)
Complex (3 surfaces)

 

$ 10.00 – $ 12.00

$ 15.00

$ 20.00

$ 22.00

$ 10.00

$ 15.00

$ 22.00

           V.      Crowns / Jacket
Plastic Jacket Crown /unit
Porcelain Jacket Crown /unit

 

$ 33.00 - 35.00

$ 80.00 & up

        VI.      Dentures
Partial Dentures
with wire clasp / arch
with casted clasp / arch
with metal frame / arch

Full Dentures
Plastic
Porcelain
China
Germany
US

 

$ 50.00 & up

$ 80.00 & up

$ 150.00 & up

$ 200.00 & up

$ 250.00 & up

$ 300.00 & up

$ 400.00 & up

     VII.      Bioplast (Flexible Denture)
Partial Flexite
Full Flexite

$ 300.00 & up

$ 400.00 & up

  VIII.      Impaction
(removal of impacted molar)

 

$ 100.00 & up

        IX.      Orthodontics (Braces)
Class I
Class II
Class III

$ 900.00 & up

$ 1,200.00 & up

$ 1,500.00 & up

           X.      Root Canal Therapy
Case by case basis

$ 40.00 and up