Cost of Common Procedures

CODE DESCRIPTION Fee
140  Limited Oral Evaluation  $107
220 Intraoral X-ray $24
364 3D Cone beam limited field w/ interp. $208
3310 Root Canal Therapy–Anterior tooth $1,260
3320 Root Canal Therapy–Bicuspid tooth $1,352
3330 Root Canal Therapy–Molar tooth $1,395
3346 Retreat Root Canal Therapy–Anterior tooth $1,364
3347 Retreat Root Canal Therapy–Bicuspid tooth  $1,461
3348 Retreat Root Canal Therapy–Molar tooth  $1,772
3410 Apicoectomy–Anterior tooth  $1,089
3421 Apicoectomy–Bicuspid tooth  $1,146
3425 Apicoectomy–Molar tooth $1,384
3430 Retrograde Filling  $275
3428 Bone graft 1st site  $563
9248 Conscious sedation $198