Pricing Information
| Service | Pricing |
|---|---|
| D0120 Periodic Exam | $47 |
| D0140 Limited Exam | $60 |
| D0150 Comp Exam | $80 |
| D0210 FMX | $125 |
| D0274 BWX | $57 |
| D0330 Panorex | $104 |
| D1110 Adult Cleaning | $84 |
| D1120 Child Cleaning | $65 |
| D1208 Fluoride | $33 |
| D2381 1SurfCompFill | $168 |
| D2382 2SurfCompFill | $225 |
| D2383 3SurfCompFill | $270 |
| D2740 Porc Crn | $1,087 |
| D2950 2950 Crn Blu | $284 |
| D9940 Nightguard | $600 |