Office Fees

Giving You the Full Picture

At Lakeview Family Dentists, we put you at the center of everything we do, which means being as transparent as possible about not only who we are and the services we offer, but also about how our fees are structured. We’ve listed most of our services with fee structures below. Please understand that each procedure could vary in price from these numbers depending on the need—every patient and every case is different.

Preventative Care

Certain insurance plans may cover up to 100%

Dental Exam

$65-$150

Periodic Exam (D0120) - $65
Limited Exam (D0140) - $112
Exam < 3 years old (D0145) - $101
New Patient Exam (D0150) - $132
Perio Exam (D0180) - $150

Teeth Cleaning (Prophylaxis)

$104-$125

Adult Teeth Cleaning (D1110) - $125
Child Teeth Cleaning (D1120) - $104

Sealants (D1351)

$79

Amalgam (Silver) Fillings

$183-$324

1 Surface (D2140) - $183
2 Surfaces (D2150) - $215
3 Surfaces (D2160) - $260
4+ Surfaces (D2161) - $324

Composite (White) Anterior Fillings

$212-$412

1 Surface (D2330) - $212
2 Surfaces (D2331) - $260
3 Surfaces (D2332) - $310
4+ Surfaces (D2335) - $412

Composite (White) Posterior Fillings

$222-$422

1 Surface (D2391) - $222
2 Surfaces (D2392) - $287
3 Surfaces (D2393) - $350
4+ Surfaces (D2394) - $422

Osseous Surgery

$1,250-$1,650

1-3 Teeth (D4261) - $1,250
Quad (D4260) - $1,650

Tissue Graft (D4273)

$1,510

Scaling & Root Planing

$253-$321

1-3 Teeth (D4342) - $253
Quad (D4341) - $321

Periodontal Maintenance (D4910)

$174

Restorative Dental

Certain insurance plans may cover up to 100%

Dental Crowns

$405-$1,620

Crown - Porcelain/Ceramic (D2740) - $1,620
Crown - Porcelain Fused to Metal (D2750) - $1,538
Crown Build Up (D2950) - $405

Root Canal

$1,100-$1,600

Anterior (D3310) - $1,100
Bicuspid (D3320) - $1,400
Molar (D3330) - $1,600

Dentures

$1,896-$1,910

Partial Upper Denture (D5213) - $1,896
Partial Lower Denture (D5214) - $1,999
Complete Upper Denture (D5110) - $1,928
Complete Lower Denture (D5120) - $1,910

Dental Bridges

$1,583

Retainer - Porcelain/Ceramic (D6740) - $1,583
Pontic - Porcelain/Ceramic (D6245) - $1,583

Dental Implants

$2,450

Custom Abutment (D6057) - $963
Implant Crown - Porcelain/Ceramic (D6058) - $1,495
Surgical Place Implant (D6010) - $2,450

Tooth Extractions

$231-$387

Simple Extraction (D7140) - $231
Surgical Extraction (D7210) - $387
Non-Surgical Extraction- $231

Sinus Augmentation (D7952)

$1,500

Augmentation w/Bone (D7951) - $2,329

Bone Graft

$785

w/Implant (D6104) - $785
w/Extraction Only (D7953) - $785

Additional Services

Certain insurance plans may cover up to 100%

Fluoride (D1206)

$58

Dental X-rays

$35-$179

FMX (D0210) - $179
PA (D0220) - $40
Addt’l PAs (D0230) - $35
2 BWX (D0272) - $65
4 BWX (D0274) - $91
Panoramic X-ray (D0330) - $171