Cost of Common Procedures

CODE DESCRIPTION Fee
140  Limited Oral Evaluation  $97
220 Intraoral X-ray $22
364 3D Cone beam limited field w/ interp. $365
3310 Root Canal Therapy–Anterior tooth $1,145
3320 Root Canal Therapy–Bicuspid tooth $1,229
3330 Root Canal Therapy–Molar tooth $1,308
3346 Retreat Root Canal Therapy–Anterior tooth $1,240
3347 Retreat Root Canal Therapy–Bicuspid tooth  $1,328
3348 Retreat Root Canal Therapy–Molar tooth  $1,611
3410 Apicoectomy–Anterior tooth  $990
3421 Apicoectomy–Bicuspid tooth  $1,042
3425 Apicoectomy–Molar tooth $1,258
3430 Retrograde Filling  $250
3428 Bone graft 1st site  $512
9248 Conscious sedation $180