General Dentistry
Kay Care Family Dental, PC
Olakunbi Onime, D.D.S.Invisalign, Sedation, Cosmetic Dentistry, Restorative, Complete Smile Makeovers
Medicaid/Chips Accepted
30% Discount on Office fee Schedule
Espanol
Address:
6559 Old Jacksonville Hwy. Tyler, Tx
Phone: 903.747.3839
East Tx Dental Group, LLC
Invisalign, Cosmetic Surgery, Conscious, Sedation, Implants, Orthodontics30% Discount on office fee schedule<
Espanol
Medicaid and Chips Accepted
Saturday Appointments
Address:
212 Old Grande Blvd., Ste B-224 Tyler, Tx
Phone: 903.509.0505
Shiloh Family Dental
Chris Williams, D.D.SInvisalign & Zoom Whitening Restorative Cosmetic Bonding
Sleep Apnea
Childrens Dentistry
30% Discount on office fee schedule
Espanol
Address:
5011 Troup Hwy., #700 Tyler, Tx
Phone: 903.581.5500
Dr Britt Ruby, D.D.S, F.A.G.D
Honors Rate ScheduleAddress:
719 Turtle Creek Dr. Tyler, Tx
Phone: 903-595-3662
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. | ||