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Rate Schedule For Dental Services

Rate Schedule For Dental Services
Rates subject to change

* UCR = Usual and customary rates for geographical area.
** Routine only if patient has had regular cleaning. Normal fee charge for first time on plan. Does NOT coincide with ordinary insurance.

 

Class I Preventative Services

*UCR

MBS

Exam & Consultation
$56
$25
Palliative Emergency Treatment
60
25
Panoramic X-Ray or Full Mouth
82
35
Single X-Rays
23
10
Bitewing X-Rays
46
20
Additional X-Ray
16
5
Sealant
40
15
Routine Cleaning - Child
66
36
Routine Cleaning - Adult **
98
42
Scaling in the Presence of (Inflamation)
107
60
Scaling & Root Planning (Per Quad)
167
80
Sterilization Charge
10
6



Class II Restoration Services

1 Surface (Amalgam)
91
29
2 Surface
118
39
3 Surface
134
59
4 Surface
150
65
Add $40 for Composites


Build Ups
199
70
Sedative Filling
78
25



Class III Surgical Services

Simple Extraction
100
58
Each Additional Tooth
100
55
Root Removal
165
65
Surgical Extraction
200
80
Wisdom Extractions
250
100-200
Removal of Impacted Tooth
- partially boney
393
175
Alveoloplasty in Conjunction
125
75
Alveoloplasty without Conjuction
245
85



Class IV Services - Root Canal Treatment

One Canal
510
275
Two Canal
627
350
Three Canal
715
455
Four Canal
715
455
Pulpotomy
135
75



Class V Major Services

Stainless Steel Crown
125
80
Porcelain Veneers
950
650
Porcelain to Metal
845
450
Nonprecious Metals (Silver)
550
350
Gold Crowns
875
450
Gold-Plated Designs
500
310
Denture Gold Designs (+ Lab Fee)
200
125



Class VI Dentures

Full Upper or Lower Dentures
1050
600
Upper or Lower Metal Partials
1390
700
Acrylic Partials or Temporary
895
299
Relines Permanent
360
125
Repairs - Partial or Denture (+ Lab Fee)
360
65
Local Anesthesia
15
7
Nitrous Oxide Gas (+ Lab Fee)
25
15



Any services not listed will have a 25% off discount.


PARTICIPATING GENERAL DENTISTS


R. Britt Ruby, D.D.S., F.A.G.D.

(1982 University of Tx Houston Dental School)
General Dentistry     Limited Orthodontics
719 Turtle Creek Dr.     Tyler, Tx    903-595-3662

Honors Rate Schedule


Best DentalCare @ Tyler

General Dentistry  Pediatric Dentistry

 Conscious Sedation   I.V Sedation

   Dental Sleep Apnea Therapy 

         Limited Orthodontics

   Saturday Appointments Available
      Medicaid/Chips Accepted
     3310 S SW Loop 323  Tyler, Tx
                 903-593-3333

    www.bestdentalcaretylertx.com

          Honors Rate Schedule Plus..

              40% off unlisted fees

 

Tyler Family Dental

William Jenninngs, D.D.S

(1997 Baylor Collegeee of Dentistry)

Invisalign & Zoom Whitening

        Medicaid Accepted    Espanol

    209 W. 8th Street  Tyler, Tx  903-597-3940

      www.tylerfamilydental.com

30% discount on office fee schedule


Shiloh Family Dental

Chris Williams, D.D.S

Invisalign & Zoom Whitening

             Espanol

 5011 Troup Hwy., #700 Tyler, Tx
903-581-5500

    www.mytylerdentist.com

30% discount off office fee schedule


Kay Care Family Dental, PC

Olakunbi Onime, D.D.S.

(2003 New York University )

Invisalign Sedation Cosmetic Dentistry

Restorative   Complete Smile Makeovers

Medicaid/Chips Accepted  Espanol
6559 Old Jacksonville Hwy.  Tyler, Tx
        903-747-3839

 www.kaycarefamilydental.com

30 % discount off fee schedule


East Tx Dental Group, LLC

Invisalign  Cosmetic Surgery

Conscious Sedation Implants

 

Medicaid Accepted   Espanol

212 Old Grande Blvd., Ste B-224  Tyler, Tx

          903-509-0505

www.easttxdentalassociates.com

30% discount off office fee schedule


Longview Family Dental

www.longviewfamilydental.com

410 N. Third St, Longview Tx

903-753-2633

30% Discount on office fee schedule


PEDIATRIC DENTAL PROVIDERS

 

East Texas Dental Group

Dr. Wayne Babin, DDS

General Dentistry Orthodontics

Oral Surgery  Conscious Sedation

 

Saturday Appointments Available

 

212 Old Grande Blvd., Ste B-224  903-509-0505

30% Discount off Office Fee Schedule


Dr. Culberson R. Boren & Assoc.

www.tylerkidsteeth.com
212 Old Grande Blvd Ste. B-224,
Tyler-903-581-2198
Jacksonville - 903-284-6149
Longview - 903-315-4410
30% Discount on cash prices

 

Best Dental Care @ Tyler

3310 SSW Loop 323 Tyler Tx


40% discount off everyday low prices