DentaCard Discount Dental Plans

1 - 877 - 333 - 6822    Call today!                                       contact us online

  Save 20-50% on dental visits at over 50,000 dental offices! 

See the Savings

Take DentaCard to any participating dentists.  Instead of paying the usual fees, you'll pay a discounted fee as payment in full!  You'll receive your discounted fee at the time of your visit, no waiting for reimbursement!  Be sure to bookmark DentaCard!

Below is just a small sample of the affordable fees, use DentaCard on every visit and nearly every dental procedure.  Don't see something your looking for, use our online form, call, or email us and we'll help you find the price! 
Click here to contact us.		 Sign Up!

Sample Savings
Save on nearly every procedure this is just a small sample below! 
Fees shown for 44124 zip, click here to see fees for your region.
Procedure National Average
(what you pay at the dentist with no plan)		 DentaCard
Member Price
(discounted price you pay when you have DentaCard)		 Member
Savings
(average savings experienced by our plan members)
cleaning $83 $45 $38
x-rays $55 $30 $25
exam $43 $23 $20
filling $135 $68 $67
root canal front tooth $636 $360 $276
root canal molar $919 $560 $359
crown $912 $570 $342
denture $1,353 $680 $673
extraction $138 $68 $70
When using DentaCard you receive your affordable dental pricing at the time of your visit, no waiting for reimbursement.  Use your DentaCard Dental Plan on every visit, start saving today!
*Fees are for visits to a general dentist, prices may vary by region, provider, and specialty.  For complete listings please contact us with the ADA code. 

Click here to Use your zip code to look up a sample table in your area.



COMPLETE FEE SCHEDULE 44124

ADA
PROCEDURE
CODE		 PROCEDURE DESCRIPTION MEMBER PRICE
 (average savings
20-50% off the national average)
D0120 PERIODIC ORAL EVALUATION ESTABLISHED PAT 23
D0140 LIMITED ORAL EVALUATION - PROBLEM FOCUSE 33
D0145 ORAL EVAL PT UND 3 YR AGE CNSL W/PRIM CA 26
D0150 COMP ORAL EVALUATION - NEW/ESTABLISHED P 35
D0160 DTL&EXT ORAL EVALUATION - PROBLEM FOCUSE 109
D0170 RE-EVALUATION - LIMITED PROBLEM FOCUSED 27
D0180 COMP PERIODONTAL EVALUATION - NEW/EST PA 41
D0210 INTRAORAL-COMPLETE SERIES 67
D0220 INTRAORAL-PERIAPICAL-FIRST FILM 13
D0230 INTRAORAL-PERIAPICAL-EACH ADDITIONAL FIL 9
D0240 INTRAORAL - OCCLUSAL FILM 20
D0250 EXTRAORAL - FIRST FILM 26
D0260 EXTRAORAL - EACH ADDITIONAL FILM 26
D0270 BITEWING - SINGLE FILM 14
D0272 BITEWINGS - TWO FILMS 21
D0273 BITEWINGS - THREE FILMS 26
D0274 BITEWINGS - FOUR FILMS 30
D0277 VERTICAL BITEWINGS - 7 TO 8 FILMS 47
D0290 POST-ANT/LAT SKULL&FACIAL BONE SURVEY FI 92
D0330 PANORAMIC FILM 60
D0340 CEPHALOMETRIC FILM 74
D0350 ORAL/FACIAL PHOTOGRAPHIC IMAGES 32
D0460 PULP VITALITY TESTS 24
D0470 DIAGNOSTIC CASTS 50
D1110 PROPHYLAXIS - ADULT 45
D1120 PROPHYLAXIS - CHILD 32
D1203 TOPICAL APPLICATION OF FLUORIDE - CHILD 18
D1204 TOPICAL APPLICATION OF FLUORIDE - ADULT 18
D1206 TOP FLUORIDE VARNISH; TX APPL MOD-HI CAR 26
D1351 SEALANT - PER TOOTH 26
D1510 SPACE MAINTAINER - FIXED-UNILATERAL 168
D1515 SPACE MAINTAINER - FIXED-BILATERAL 228
D1520 SPACE MAINTAINER - REMOVABLE-UNILATERAL 210
D1525 SPACE MAINTAINER - REMOVABLE-BILATERAL 293
D1550 RECEMENTATION OF SPACE MAINTAINER 37
D1555 REMOVAL OF FIXED SPACE MAINTAINER 48
D2140 AMALGAM-ONE SURFACE PRIMARY OR PERMANENT 59
D2150 AMALGAM-TWO SURFACES PRIMARY OR PERMANEN 74
D2160 AMALGAM-THREE SURFACES PRIMARY OR PERMAN 91
D2161 AMALGAM-FOUR/MORE SURFACES PRIMARY/PERMA 113
D2330 RESIN-BASED COMPOSITE - ONE SURFACE ANTE 68
D2331 RESIN-BASED COMPOSITE - TWO SURFACES ANT 89
D2332 RESIN-BASED COMPOSITE - THREE SURFACES A 107
D2335 RESIN COMPOS - 4/MORE SURFACES/INVLV INC 125
D2390 RESIN-BASED COMPOSITE CROWN ANTERIOR 145
D2391 RESIN-BASED COMPOSITE - ONE SURFACE POST 80
D2392 RESIN-BASED COMPOSITE - TWO SURFACES POS 105
D2393 RESIN-BASED COMPOSITE - THREE SURFACES P 132
D2394 RESIN COMPOS - FOUR OR MORE SURFACES POS 163
D2510 INLAY - METALLIC - ONE SURFACE 390
D2520 INLAY - METALLIC - TWO SURFACES 440
D2530 INLAY - METALLIC - THREE OR MORE SURFACE 510
D2542 ONLAY - METALLIC - TWO SURFACES 500
D2543 ONLAY METALLIC THREE SURFACES 530
D2544 ONLAY METALLIC FOUR OR MORE SURFACES 550
D2610 INLAY - PORCELAIN/CERAMIC - ONE SURFACE 470
D2620 INLAY - PORCELAIN/CERAMIC - TWO SURFACES 490
D2630 INLAY - PORCELAIN/CERAMIC - THREE/MORE S 530
D2642 ONLAY - PORCELAIN/CERAMIC - TWO SURFACES 500
D2643 ONLAY - PORCELAIN/CERAMIC - THREE SURFAC 550
D2644 ONLAY - PORCELAIN/CERAMIC - 4 OR MORE SU 580
D2650 INLAY - RESIN COMPOS COMPOSITE/RESIN - 1 350
D2651 INLAY - RESIN COMPOS COMPOS/RESIN - 2 SU 410
D2652 INLAY - RSN COMPOS COMPOS/RSN - 3/MORE S 440
D2662 ONLAY - RESIN COMPOS COMPOS/RESIN - 2 SU 350
D2663 ONLAY - RESIN COMPOS COMPOS/RESIN - 3 SU 410
D2664 ONLAY - RSN COMPOS COMPOS/RSN - 4/MORE S 440
D2710 CROWN RESINBASED COMPOSITE INDIRECT 236
D2712 CROWN 3/4 RESINBASED COMPOSITE INDIRECT 226
D2740 CROWN - PORCELAIN/CERAMIC SUBSTRATE 600
D2750 CROWN - PORCELAIN FUSED TO HIGH NOBLE ME 590
D2751 CROWN - PORCELAIN FUSED PREDOMINANTLY BA 550
D2752 CROWN - PORCELAIN FUSED TO NOBLE METAL 570
D2780 CROWN - 3/4 CAST HIGH NOBLE METAL 560
D2781 CROWN - 3/4 CAST PREDOMINATELY BASE META 530
D2782 CROWN - 3/4 CAST NOBLE METAL 560
D2783 CROWN - 3/4 PORCELAIN/CERAMIC 590
D2790 CROWN - FULL CAST HIGH NOBLE METAL 570
D2791 CROWN - FULL CAST PREDOMINANTLY BASE MET 550
D2792 CROWN - FULL CAST NOBLE METAL 560
D2794 CROWN TITANIUM 580
D2910 RECEMENT INLAY ONLAY/PART COVERAGE RESTO 47
D2915 RECEMENT CAST OR PREFABRICATED POST AND 47
D2920 RECEMENT CROWN 49
D2930 PREFABR STAINLESS STEEL CROWN - PRIMARY 130
D2931 PREFABR STAINLESS STEEL CROWN - PERMANEN 150
D2934 PREFAB ESTHETIC COAT STNLESS STEEL CROWN 215
D2940 SEDATIVE FILLING 50
D2950 CORE BUILDUP INCLUDING ANY PINS 126
D2951 PIN RETENTION - PER TOOTH ADDITION RESTO 27
D2952 POST AND CORE ADDITION TO CROWN INDIRECT 210
D2954 PREFABRICATED POST AND CORE IN ADDITION 163
D2960 LABIAL VENEER - CHAIRSIDE 400
D2961 LABIAL VENEER - LABORATORY 430
D2962 LABIAL VENEER - LABORATORY 480
D2970 TEMPORARY CROWN 105
D2971 ADD PROC NEW CRWN UND XSTING PART DENTUR 63
D2980 CROWN REPAIR BY REPORT 100
D3110 PULP CAP - DIRECT 36
D3120 PULP CAP - INDIRECT 28
D3220 TX PULP-REMV PULP CORONAL DENTINOCEMENTL 84
D3221 PULPAL DEBRIDEMENT PRIMARY AND PERMANENT 93
D3230 PULPAL THERAPY - ANTERIOR PRIMARY TOOTH 87
D3240 PULPAL THERAPY - POSTERIOR PRIMARY TOOTH 94
D3310 ANTERIOR 360
D3320 BICUSPID 430
D3330 MOLAR 560
D3331 TREATMENT RC OBSTRUCTION; NON-SURGICAL A 121
D3332 INCOMPLETE ENDO TX; INOP UNRESTORABLE/FX 290
D3333 INTERNAL ROOT REPAIR OF PERFORATION DEFE 103
D3346 RETREATMENT PREVIOUS RC THERAPY - ANTERI 480
D3347 RETREATMENT PREVIOUS RC THERAPY - BICUSP 560
D3348 RETREATMENT PREVIOUS ROOT CANAL THERAPY 680
D3351 APEXIFICATION/RECALCIFICATION - INITIAL 200
D3352 APEXIFICAT/RECALCIFICAT - INTERIM MEDREP 87
D3353 APEXIFICATION/RECALCIFICATION - FINAL VI 295
D3410 APICOECTOMY/PERIRADICULAR SURGERY - ANTE 400
D3421 APICOECTOMY/PERIRADICULAR SURGERY - BICU 450
D3425 APICOECTOMY/PERIRADICULAR SURGERY - MOLA 510
D3426 APICOECTOMY/PERIRADICULAR SURGERY 165
D3430 RETROGRADE FILLING - PER ROOT 121
D3450 ROOT AMPUTATION - PER ROOT 245
D3920 HEMISECTION NOT INCLUDING ROOT CANAL THE 200
D4210 GINGIVECT/PLSTY 4/>CNTIG/BOUND TEETH SPA 330
D4211 GINGIVECT/PLSTY 1-3 CNTIG/BOUND TEETH SP 120
D4240 GINGL FLP PROC 4/> CONTIG/BOUND TEETH SP 380
D4241 GINGL FLP PROC 1-3 CONTIG/BOUND TEETH SP 225
D4245 APICALLY POSITIONED FLAP 270
D4249 CLINICAL CROWN LENGTHENING - HARD TISSUE 390
D4260 OSSEOUS SURG 4/> CONTIG/BOUND TEETH SPAC 590
D4261 OSSEOUS SURG 1-3 CONTIG/BOUND TEETH SPAC 370
D4263 BONE REPLACEMENT GRAFT - FIRST SITE IN Q 180
D4264 BONE REPLACEMENT GRAFT - EA ADD SITE QUA 95
D4266 GUID TISSUE REGEN - RESORBABLE BARRIER P 220
D4267 GUID TISSUE REGEN - NONRESORB BARRIER PE 285
D4270 PEDICLE SOFT TISSUE GRAFT PROCEDURE 450
D4271 FREE SOFT TISSUE GRAFT PROCEDURE 450
D4273 SUBEPITHEL CONECTIVE TISSUE GRAFT PROC P 490
D4274 DISTAL OR PROXIMAL WEDGE PROCEDURE 140
D4275 SOFT TISSUE ALLOGRAFT 500
D4276 COMB CNCTIVE TISSUE&DBL PEDICLE GRAFT PE 600
D4320 PROVISIONAL SPLINTING - INTRACORONAL 230
D4321 PROVISIONAL SPLINTING - EXTRACORONAL 205
D4341 PRDONTAL SCALING&ROOT PLANING 4/MORE TEE 120
D4342 PRDONTAL SCALING&ROOT PLANING 1-3 TEETH- 68
D4355 FULL MOUTH DEBRID ENABLE COMP EVALUATION 71
D4381 LOC DEL ANTIMICROBL AGTS CREVICULR TISS 60
D4910 PERIODONTAL MAINTENANCE 71
D5110 COMPLETE DENTURE - MAXILLARY 680
D5120 COMPLETE DENTURE - MANDIBULAR 680
D5130 IMMEDIATE DENTURE - MAXILLARY 730
D5140 IMMEDIATE DENTURE - MANDIBULAR 730
D5211 MAXILLARY PARTIAL DENTURE - RESIN BASE 570
D5212 MANDIBULAR PARTIAL DENTURE - RESIN BASE 650
D5213 MAX PART DENTUR-CAST METL FRMEWRK W/RSN 740
D5214 MAND PART DENTUR- CAST METL FRMEWRK W/RS 740
D5225 MAXILLARY PARTIAL DENTRUE FLEXIBLE BASE 780
D5226 MANDIBULAR PARTIAL DENTURE FLEXIBLE BASE 780
D5281 REMV UNILAT PART DENTUR - 1 PIECE CAST M 450
D5410 ADJUST COMPLETE DENTURE - MAXILLARY 38
D5411 ADJUST COMPLETE DENTURE - MANDIBULAR 38
D5421 ADJUST PARTIAL DENTURE - MAXILLARY 38
D5422 ADJUST PARTIAL DENTURE - MANDIBULAR 38
D5510 REPAIR BROKEN COMPLETE DENTURE BASE 76
D5520 REPLACE MISSING/BROKEN TEETH - COMPLETE 64
D5610 REPAIR RESIN DENTURE BASE 83
D5620 REPAIR CAST FRAMEWORK 111
D5630 REPAIR OR REPLACE BROKEN CLASP 110
D5640 REPLACE BROKEN TEETH - PER TOOTH 66
D5650 ADD TOOTH TO EXISTING PARTIAL DENTURE 90
D5660 ADD CLASP TO EXISTING PARTIAL DENTURE 115
D5670 REPLACE ALL TEETH&ACRYLIC CAST METAL FRM 380
D5671 REPLACE ALL TEETH&ACRYLIC CAST METL FRME 380
D5710 REBASE COMPLETE MAXILLARY DENTURE 275
D5711 REBASE COMPLETE MANDIBULAR DENTURE 270
D5720 REBASE MAXILLARY PARTIAL DENTURE 270
D5721 REBASE MANDIBULAR PARTIAL DENTURE 270
D5730 RELINE COMPLETE MAXILLARY DENTURE CHAIRS 160
D5731 RELINE COMPLETE MANDIBULAR DENTURE CHAIR 160
D5740 RELINE MAXILLARY PARTIAL DENTURE CHAIRSI 145
D5741 RELINE MANDIBULAR PARTIAL DENTURE CHAIRS 145
D5750 RELINE COMPLETE MAXILLARY DENTURE LABORA 205
D5751 RELINE COMPLETE MANDIBULAR DENTRUE LABOR 205
D5760 RELINE MAXILLARY PARTIAL DENTURE LABORAT 205
D5761 RELINE MANDIBULAR PARTIAL DENTURE LABORA 205
D5810 INTERIM COMPLETE DENTURE MAXILLARY 330
D5811 INTERIM COMPLETE DENTURE MANDIBULAR 350
D5820 INTERIM PARTIAL DENTURE MAXILLARY 250
D5821 INTERIM PARTIAL DENTURE MANDIBULAR 265
D5850 TISSUE CONDITIONING MAXILLARY 65
D5851 TISSUE CONDITIONING MANDIBULAR 65
D5860 OVERDENTURE - COMPLETE BY REPORT 660
D5861 OVERDENTURE - PARTIAL BY REPORT 650
D6010 SURG PLACEMENT IMPLANT BODY: ENDOSTEAL I 1570
D6058 ABUTMENT SUPPORTED PORCELAIN/CERAMIC CRO 950
D6059 ABUT SUPP PORCELAIN TO METL CROWN HI NOB 940
D6060 ABUT SUPP PORCELAIN TO MTL CROWN PREDOM 880
D6061 ABUT SUPP PORCELAIN TO METAL CROWN NOBLE 900
D6062 ABUTMENT SUPP CAST METAL CROWN HIGH NOBL 900
D6063 ABUTMENT SUPP CAST METAL CROWN PREDOM BA 770
D6064 ABUTMENT SUPP CAST METAL CROWN NOBLE MET 820
D6065 IMPLANT SUPPORTED PORCELAIN/CERAMIC CROW 930
D6066 IMPLANT SUPPORTED PORCELAIN FUSED TO MET 910
D6067 IMPLANT SUPPORTED METAL CROWN 880
D6080 IMPL MAINT PROC REMV CLEANS PROSTH&ABUTS 80
D6091 REPL ATTACHMNT IMPL/ABUT SUPP PROS PER A 62
D6092 RECEMENT IMPLANT/ABUTMENT SUPPORTED CROW 59
D6093 RECEMENT IMPL/ABUTMNT SUPPORTED FIX PART 62
D6094 ABUTMENT SUPPORTED CROWN  TITANIUM 740
D6205 PONTIC INDIRECT RESIN BASED COMPOSITE 540
D6210 PONTIC - CAST HIGH NOBLE METAL 540
D6211 PONTIC - CAST PREDOMINANTLY BASE METAL 510
D6212 PONTIC - CAST NOBLE METAL 530
D6214 PONTIC TITANIUM 570
D6240 PONTIC - PORCELAIN FUSED TO HIGH NOBLE M 560
D6241 PONTIC - PORCELN FUSED PREDOMINANTLY BAS 500
D6242 PONTIC - PORCELAIN FUSED TO NOBLE METAL 520
D6253 PROVISIONAL PONTIC 211
D6545 RETAINER - CAST METAL RESIN BONDED FIX P 226
D6548 RETAINER - PORCELN/CERAMIC RSN BONDED FI 270
D6600 INLAY-PORCELAIN/CERAMIC TWO SURFACES 470
D6601 INLAY - PORCELAIN/CERAMIC THREE OR MORE 500
D6602 INLAY - CAST HIGH NOBLE METAL TWO SURFAC 440
D6603 INLAY - CAST HIGH NOBLE METAL 3/MORE SUR 510
D6604 INLAY - CAST PREDOMINANTLY BASE METAL 2 440
D6605 INLAY - CAST PREDOM BASE METAL 3/MORE SU 490
D6606 INLAY - CAST NOBLE METAL TWO SURFACES 440
D6607 INLAY - CAST NOBLE METAL THREE OR MORE S 510
D6608 ONLAY - PORCELAIN/CERAMIC 2 SURFACES 480
D6609 ONLAY - PORCELAIN/CERAMIC THREE OR MORE 520
D6610 ONLAY - CAST HIGH NOBLE METAL TWO SURFAC 500
D6611 ONLAY - CAST HIGH NOBLE METAL 3/MORE SUR 550
D6612 ONLAY - CAST PREDOMINANTLY BASE METAL 2 500
D6613 ONLAY - CAST PREDOM BASE METAL 3/MORE SU 520
D6614 ONLAY - CAST NOBLE METAL TWO SURFACES 500
D6615 ONLAY - CAST NOBLE METAL THREE OR MORE S 520
D6624 INLAY TITANIUM 480
D6634 ONLAY TITANIUM 510
D6710 CROWN INDIRECT RESIN BASED COMPOSITE 520
D6740 CROWN - PORCELAIN/CERAMIC 600
D6750 CROWN PORCELAIN FUSED TO HI NOBLE METAL- 590
D6751 CROWN - PORCELAIN FUSED PREDOMINANTLY BA 550
D6752 CROWN - PORCELAIN FUSED TO NOBLE METAL 570
D6780 CROWN - 3/4 CAST HIGH NOBLE METAL 560
D6781 CROWN - 3/4 CAST PREDOMINATELY BASED MET 530
D6782 CROWN 3/4 CAST NOBLE METAL-DENTURE 530
D6783 CROWN 3/4 PORCELAIN/CERAMIC-DENTURE 590
D6790 CROWN FULL CAST HIGH NOBLE METAL-DENTURE 570
D6791 CROWN FULL CAST PREDOMINANTLY BASE METAL 550
D6792 CROWN FULL CAST NOBLE METAL-DENTURE 560
D6793 PROVISIONAL RETAINER CROWN 211
D6794 CROWN TITANIUM 580
D6930 RECEMENT FIXED PARTIAL DENTURE 71
D6950 PRECISION ATTACHMENT 302
D6970 POST & CORE ADD FIXED PART DENTURE RETAI 210
D6972 PREFAB POST&CORE ADD FIX PART DENTUR RET 155
D6973 CORE BUILD UP FOR RETAINER INCLUDING ANY 126
D6975 COPING - METAL 350
D6980 FIXED PARTIAL DENTURE REPAIR BY REPORT 130
D6985 PEDIATRIC PARTIAL DENTURE FIXED 580
D7111 EXTRACTION CORONAL REMNANTS DECIDUOUS TO 49
D7140 EXTRACTION ERUPTED TOOTH OR EXPOSED ROOT 68
D7210 SURG REMV ERUPTED TOOTH RQR ELEV FLP&REM 126
D7220 REMOVAL OF IMPACTED TOOTH - SOFT TISSUE 154
D7230 REMOVAL OF IMPACTED TOOTH - PARTIALLY BO 206
D7240 REMOVAL OF IMPACTED TOOTH - COMPLETELY B 246
D7241 REMV IMP TOOTH - CMPL BONY W/UNUSUAL SUR 309
D7250 SURGICAL REMOVAL OF RESIDUAL TOOTH ROOTS 135
D7280 SURGICAL ACCESS OF AN UNERUPTED TOOTH 275
D7285 BIOPSY OF ORAL TISSUE HARD 500
D7286 BIOPSY OF ORAL TISSUE  SOFT 215
D7287 EXFOLIATIVE CYTOLOGICAL SAMPLE COLLECTIO 68
D7288 BRUSH BIOPSY TRANSEPITHELIAL SAMPLE COLL 65
D7310 ALVEOLOPLASTY W/EXTRACTION 4/> TEETH/SPA 149
D7311 ALVEOLOPLSTY CONJNC XTRACT 1-3 TEETH/SPA 103
D7320 ALVEOLOPLASTY NOT W/EXTRACTIONS 4/> TEET 245
D7321 ALVEOLOPLSTY NOT CNJNC XTRCT 1-3 TEETH/S 183
D7471 REMOVAL OF LATERAL EXOSTOSIS 480
D7510 INCISION & DRAINAGE ABSCESS-INTRAORAL SO 81
D7511 I & D ABSCESS INTRAORAL SOFT TISSUE  COM 154
D7880 OCCLUSAL ORTHOTIC APPLIANCE 370
D7960 FRENULECTOMY SEPARATE PROCEDURE 290
D7963 FRENULOPLASTY 315
D7970 EXCISION OF HYPERPLASTIC TISSUE-PER ARCH 310
D7972 SURGICAL REDUCTION OF FIBROUS TUBEROSITY 228
D8010 LIMITED ORTHODONTIC TREATMENT PRIMARY DE 450
D8020 LTD ORTHODONTIC TREATMENT TRANSITIONAL D 480
D8030 LTD ORTHODONTIC TREATMENT ADOLESCENT DEN 480
D8040 LIMITED ORTHODONTIC TREATMENT ADULT DENT 480
D8050 INTERCEPTIVE ORTHODONTIC TX PRIMARY DENT 2050
D8060 INTRCPTV ORTHODONTIC TX TRANSITIONAL DEN 2050
D8070 COMP ORTHODONTIC TX TRANSITIONAL DENTITI 4100
D8080 COMPREHENSIVE ORTHODONTIC TX ADOLES DENT 4100
D8090 COMPREHENSIVE ORTHODONTIC TX ADULT DENTI 4100
D8210 REMOVABLE APPLIANCE THERAPY 390
D8220 FIXED APPLIANCE THERAPY 390
D8680 ORTHODONTIC RETENTION 275
D8691 REPAIR OF ORTHODONTIC APPLIANCE 65
D9110 PALLIATIVE TREATMENT DENTAL PAIN - MINOR 45
D9120 FIXED PARTIAL DENTURE SECTIONING 51
D9215 LOCAL ANESTHESIA 16
D9220 DEEP SEDATION/GENERAL ANESTHESIA-1ST 30 200
D9221 DEEP SEDATION/GENERAL ANESTHESIA-EA ADD 85
D9230 ANALGESIA ANXIOLYSIS INHALATION OF NITRO 27
D9241 IV CONSCIOUS SEDATION/ANALG - 1ST 30 MIN 155
D9242 IV CONSCIOUS SEDATION/ANALG - EA ADD 15 65
D9310 CONSULT DX SERV DENT/PHY NOT REQUESTING 91
D9410 HOUSE/EXTENDED CARE FACILITY CALL 114
D9420 HOSPITAL CALL 154
D9430 OFFICE VISIT OBSERVATION NO OTHER SRVC P 35
D9440 OFFICE VISIT-AFTER REGULARLY SCHEDULED H 63
D9610 THERAPEUTIC PARENTERAL DRUG SINGL ADMINI 30
D9612 TX PARENTERAL DRUGS 2/> ADMINISTRATIONS 45
D9940 OCCLUSAL GUARD BY REPORT 350
D9942 REPAIR AND/OR RELINE OF OCCLUSAL GUARD 95
D9951 OCCLUSAL ADJUSTMENT - LIMITED 65
D9952 OCCLUSAL ADJUSTMENT - COMPLETE 360
D9970 ENAMEL MICROABRASION 54
D9971 ODONTOPLASTY 1-2 TEETH; INCL REMOVAL ENA 72
D9972 EXTERNAL BLEACHING - PER ARCH 340
D9973 EXTERNAL BLEACHING - PER TOOTH 54
D9974 INTERNAL BLEACHING - PER TOOTH 266

fees may vary by region/provider/specialty, above fees for zip code 44124


 Sign Up!