| Comprehensive Oral Evaluation |
$32 |
$67 |
52% |
| Intraoral-Complete Series including Bitewings |
$56 |
$104 |
46% |
| Resin-Based Composite-One Surface, Anterior |
$58 |
$119 |
51% |
| Resin-Based Composite-Two Surfaces, Anterior |
$74 |
$147 |
50% |
| Crown-Porcelain Fused to High Noble Metal |
$473 |
$852 |
44% |
| Root Canal-Anterior (Excluding Final Restoration) |
$291 |
$546 |
47% |
| Root Canal-Molar (Excluding Final Restoration) |
$458 |
$784 |
42% |
| Extraction-Erupted Tooth or Exposed Root (Elevation and/or Forceps Removal) |
$61 |
$124 |
51% |