- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont N/A
- Virginia
- Washington
- Washington DC
- West Virginia
- Wisconsin
- Wyoming
Alabama
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $49 | ||
| In depth check-up | $79 | ||
| Full mouth X-rays | $149 | ||
| Panoramic film | $108 | ||
| Adult teeth cleaning | $85 | ||
| Child teeth cleaning | $71 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $819 | ||
| Root canal treatment – Bicuspid | $898 | ||
| Root canal treatment – Molar | $1,072 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $156 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $323 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $357 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,071 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,217 | ||
| Implant supported metal crown | $1,371 | ||
| Denture & Bridges | |||
| Full upper denture | $1,375 | ||
| Add clasp to existing bridge (partial denture) | $232 | ||
| Tooth replacement part of permanent bridge | $1,087 | ||
Alaska
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $93 | ||
| In depth check-up | $155 | ||
| Full mouth X-rays | $221 | ||
| Panoramic film | $187 | ||
| Adult teeth cleaning | $169 | ||
| Child teeth cleaning | $125 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,210 | ||
| Root canal treatment – Bicuspid | $1,424 | ||
| Root canal treatment – Molar | $1,633 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $287 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $478 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $590 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,909 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,816 | ||
| Implant supported metal crown | $2,046 | ||
| Denture & Bridges | |||
| Full upper denture | $2,365 | ||
| Add clasp to existing bridge (partial denture) | $408 | ||
| Tooth replacement part of permanent bridge | $1,559 | ||
Arizona
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $63 | ||
| In depth check-up | $102 | ||
| Full mouth X-rays | $154 | ||
| Panoramic film | $137 | ||
| Adult teeth cleaning | $108 | ||
| Child teeth cleaning | $82 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $957 | ||
| Root canal treatment – Bicuspid | $1,088 | ||
| Root canal treatment – Molar | $1,323 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $204 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $373 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $471 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,365 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,629 | ||
| Implant supported metal crown | $1,650 | ||
| Denture & Bridges | |||
| Full upper denture | $1,946 | ||
| Add clasp to existing bridge (partial denture) | $337 | ||
| Tooth replacement part of permanent bridge | $1,214 | ||
Arkansas
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $52 | ||
| In depth check-up | $93 | ||
| Full mouth X-rays | $168 | ||
| Panoramic film | $118 | ||
| Adult teeth cleaning | $84 | ||
| Child teeth cleaning | $67 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $874 | ||
| Root canal treatment – Bicuspid | $990 | ||
| Root canal treatment – Molar | $1,314 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $173 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $374 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $434 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,141 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,418 | ||
| Implant supported metal crown | $1,597 | ||
| Denture & Bridges | |||
| Full upper denture | $1,644 | ||
| Add clasp to existing bridge (partial denture) | $231 | ||
| Tooth replacement part of permanent bridge | $1,096 | ||
California
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $86 | ||
| In depth check-up | $138 | ||
| Full mouth X-rays | $203 | ||
| Panoramic film | $165 | ||
| Adult teeth cleaning | $143 | ||
| Child teeth cleaning | $110 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,215 | ||
| Root canal treatment – Bicuspid | $1,343 | ||
| Root canal treatment – Molar | 1,604 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $247 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $495 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $632 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,808 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,845 | ||
| Implant supported metal crown | $2,420 | ||
| Denture & Bridges | |||
| Full upper denture | $2,438 | ||
| Add clasp to existing bridge (partial denture) | $368 | ||
| Tooth replacement part of permanent bridge | $1,694 | ||
Colorado
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $63 | ||
| In depth check-up | $111 | ||
| Full mouth X-rays | $167 | ||
| Panoramic film | $134 | ||
| Adult teeth cleaning | $111 | ||
| Child teeth cleaning | $81 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,072 | ||
| Root canal treatment – Bicuspid | $1,127 | ||
| Root canal treatment – Molar | $1,320 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $191 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $378 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $449 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,431 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,637 | ||
| Implant supported metal crown | $1,844 | ||
| Denture & Bridges | |||
| Full upper denture | $2,167 | ||
| Add clasp to existing bridge (partial denture) | $295 | ||
| Tooth replacement part of permanent bridge | $1,422 | ||
Connecticut
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $71 | ||
| In depth check-up | $110 | ||
| Full mouth X-rays | $169 | ||
| Panoramic film | $159 | ||
| Adult teeth cleaning | $122 | ||
| Child teeth cleaning | $98 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,133 | ||
| Root canal treatment – Bicuspid | $1,259 | ||
| Root canal treatment – Molar | $1,441 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $272 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $423 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $532 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,475 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,668 | ||
| Implant supported metal crown | $3,025 | ||
| Denture & Bridges | |||
| Full upper denture | $1,952 | ||
| Add clasp to existing bridge (partial denture) | $269 | ||
| Tooth replacement part of permanent bridge | $1,500 | ||
Delaware
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $68 | ||
| In depth check-up | $113 | ||
| Full mouth X-rays | $197 | ||
| Panoramic film | $172 | ||
| Adult teeth cleaning | $121 | ||
| Child teeth cleaning | $93 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,061 | ||
| Root canal treatment – Bicuspid | $1,204 | ||
| Root canal treatment – Molar | $1,424 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $234 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $456 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $605 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,420 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,652 | ||
| Implant supported metal crown | $1,860 | ||
| Denture & Bridges | |||
| Full upper denture | $2,387 | ||
| Add clasp to existing bridge (partial denture) | $341 | ||
| Tooth replacement part of permanent bridge | $1,505 | ||
Florida
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $110 | ||
| In depth check-up | $140 | ||
| Full mouth X-rays | $194 | ||
| Panoramic film | $165 | ||
| Adult teeth cleaning | $132 | ||
| Child teeth cleaning | $110 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,375 | ||
| Root canal treatment – Bicuspid | $1,430 | ||
| Root canal treatment – Molar | $1,688 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $275 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $577 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $632 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,750 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,699 | ||
| Implant supported metal crown | $1,915 | ||
| Denture & Bridges | |||
| Full upper denture | $1,980 | ||
| Add clasp to existing bridge (partial denture) | $344 | ||
| Tooth replacement part of permanent bridge | $2,475 | ||
Georgia
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $63 | ||
| In depth check-up | $109 | ||
| Full mouth X-rays | $166 | ||
| Panoramic film | $147 | ||
| Adult teeth cleaning | $110 | ||
| Child teeth cleaning | $81 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,077 | ||
| Root canal treatment – Bicuspid | $1,210 | ||
| Root canal treatment – Molar | $1,534 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $214 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $434 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $546 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,695 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,773 | ||
| Implant supported metal crown | $1,631 | ||
| Denture & Bridges | |||
| Full upper denture | $1,813 | ||
| Add clasp to existing bridge (partial denture) | $300 | ||
| Tooth replacement part of permanent bridge | $1,430 | ||
Hawaii
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $69 | ||
| In depth check-up | $99 | ||
| Full mouth X-rays | $156 | ||
| Panoramic film | $131 | ||
| Adult teeth cleaning | $109 | ||
| Child teeth cleaning | $77 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $972 | ||
| Root canal treatment – Bicuspid | $1,210 | ||
| Root canal treatment – Molar | $1,386 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $167 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $440 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $550 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,970 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,652 | ||
| Implant supported metal crown | $1,861 | ||
| Denture & Bridges | |||
| Full upper denture | $1,929 | ||
| Add clasp to existing bridge (partial denture) | $308 | ||
| Tooth replacement part of permanent bridge | $1,236 | ||
Idaho
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $54 | ||
| In depth check-up | $92 | ||
| Full mouth X-rays | $165 | ||
| Panoramic film | $115 | ||
| Adult teeth cleaning | $99 | ||
| Child teeth cleaning | $71 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $770 | ||
| Root canal treatment – Bicuspid | $893 | ||
| Root canal treatment – Molar | $1,089 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $170 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $352 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $440 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,255 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,251 | ||
| Implant supported metal crown | $1,409 | ||
| Denture & Bridges | |||
| Full upper denture | $1,595 | ||
| Add clasp to existing bridge (partial denture) | $283 | ||
| Tooth replacement part of permanent bridge | $1,020 | ||
Illinois
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $71 | ||
| In depth check-up | $110 | ||
| Full mouth X-rays | $170 | ||
| Panoramic film | $165 | ||
| Adult teeth cleaning | $123 | ||
| Child teeth cleaning | $93 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,077 | ||
| Root canal treatment – Bicuspid | $1,204 | ||
| Root canal treatment – Molar | $1,427 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $241 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $522 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $643 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,585 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,683 | ||
| Implant supported metal crown | $1,650 | ||
| Denture & Bridges | |||
| Full upper denture | $2,1856 | ||
| Add clasp to existing bridge (partial denture) | $308 | ||
| Tooth replacement part of permanent bridge | $1,650 | ||
Indiana
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $57 | ||
| In depth check-up | $101 | ||
| Full mouth X-rays | $154 | ||
| Panoramic film | $130 | ||
| Adult teeth cleaning | $101 | ||
| Child teeth cleaning | $78 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $906 | ||
| Root canal treatment – Bicuspid | $1,034 | ||
| Root canal treatment – Molar | $1,237 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $198 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $360 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $478 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,409 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,335 | ||
| Implant supported metal crown | $1,505 | ||
| Denture & Bridges | |||
| Full upper denture | $1,760 | ||
| Add clasp to existing bridge (partial denture) | $322 | ||
| Tooth replacement part of permanent bridge | $1245 | ||
Iowa
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $56 | ||
| In depth check-up | $89 | ||
| Full mouth X-rays | $170 | ||
| Panoramic film | $132 | ||
| Adult teeth cleaning | $97 | ||
| Child teeth cleaning | $70 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $825 | ||
| Root canal treatment – Bicuspid | $982 | ||
| Root canal treatment – Molar | $1,155 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $174 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $355 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $440 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,145 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,467 | ||
| Implant supported metal crown | $1,653 | ||
| Denture & Bridges | |||
| Full upper denture | $1,594 | ||
| Add clasp to existing bridge (partial denture) | $247 | ||
| Tooth replacement part of permanent bridge | $1,182 | ||
Kansas
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $55 | ||
| In depth check-up | $93 | ||
| Full mouth X-rays | $167 | ||
| Panoramic film | $129 | ||
| Adult teeth cleaning | $96 | ||
| Child teeth cleaning | $74 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $837 | ||
| Root canal treatment – Bicuspid | $989 | ||
| Root canal treatment – Molar | $1,155 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $179 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $353 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $467 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,310 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,225 | ||
| Implant supported metal crown | $1,380 | ||
| Denture & Bridges | |||
| Full upper denture | $1,705 | ||
| Add clasp to existing bridge (partial denture) | $275 | ||
| Tooth replacement part of permanent bridge | $1,110 | ||
Kentucky
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $51 | ||
| In depth check-up | $89 | ||
| Full mouth X-rays | $145 | ||
| Panoramic film | $115 | ||
| Adult teeth cleaning | $87 | ||
| Child teeth cleaning | $73 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $797 | ||
| Root canal treatment – Bicuspid | $910 | ||
| Root canal treatment – Molar | $1,083 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $172 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $324 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $404 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $1,952 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,303 | ||
| Implant supported metal crown | $1,468 | ||
| Denture & Bridges | |||
| Full upper denture | $1,633 | ||
| Add clasp to existing bridge (partial denture) | $291 | ||
| Tooth replacement part of permanent bridge | $1,035 | ||
Louisiana
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $55 | ||
| In depth check-up | $90 | ||
| Full mouth X-rays | $147 | ||
| Panoramic film | $121 | ||
| Adult teeth cleaning | $99 | ||
| Child teeth cleaning | $75 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,095 | ||
| Root canal treatment – Bicuspid | $1,149 | ||
| Root canal treatment – Molar | $1,206 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $189 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $412 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $467 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,207 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,511 | ||
| Implant supported metal crown | $1,550 | ||
| Denture & Bridges | |||
| Full upper denture | $1,728 | ||
| Add clasp to existing bridge (partial denture) | $277 | ||
| Tooth replacement part of permanent bridge | $1,173 | ||
Maine
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $57 | ||
| In depth check-up | $104 | ||
| Full mouth X-rays | $176 | ||
| Panoramic film | $152 | ||
| Adult teeth cleaning | $111 | ||
| Child teeth cleaning | $82 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,072 | ||
| Root canal treatment – Bicuspid | $1,292 | ||
| Root canal treatment – Molar | $1,584 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $203 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $357 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $412 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,475 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,574 | ||
| Implant supported metal crown | $1,773 | ||
| Denture & Bridges | |||
| Full upper denture | $1,743 | ||
| Add clasp to existing bridge (partial denture) | $316 | ||
| Tooth replacement part of permanent bridge | $1,408 | ||
Maryland
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $64 | ||
| In depth check-up | $104 | ||
| Full mouth X-rays | $172 | ||
| Panoramic film | $137 | ||
| Adult teeth cleaning | $108 | ||
| Child teeth cleaning | $82 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,050 | ||
| Root canal treatment – Bicuspid | $1,204 | ||
| Root canal treatment – Molar | $1,468 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $203 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $389 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $467 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,530 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,686 | ||
| Implant supported metal crown | $1,899 | ||
| Denture & Bridges | |||
| Full upper denture | $1,785 | ||
| Add clasp to existing bridge (partial denture) | $299 | ||
| Tooth replacement part of permanent bridge | $1,039 | ||
Massachusetts
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $67 | ||
| In depth check-up | $132 | ||
| Full mouth X-rays | $209 | ||
| Panoramic film | $181 | ||
| Adult teeth cleaning | $143 | ||
| Child teeth cleaning | $110 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,419 | ||
| Root canal treatment – Bicuspid | $1,529 | ||
| Root canal treatment – Molar | $1,870 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $268 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $550 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $654 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,805 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,933 | ||
| Implant supported metal crown | $2,750 | ||
| Denture & Bridges | |||
| Full upper denture | $2,356 | ||
| Add clasp to existing bridge (partial denture) | $376 | ||
| Tooth replacement part of permanent bridge | $2,194 | ||
Michigan
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $66 | ||
| In depth check-up | $104 | ||
| Full mouth X-rays | $161 | ||
| Panoramic film | $146 | ||
| Adult teeth cleaning | $104 | ||
| Child teeth cleaning | $84 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $970 | ||
| Root canal treatment – Bicuspid | $1,083 | ||
| Root canal treatment – Molar | $1,342 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $184 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $367 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $462 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,246 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,522 | ||
| Implant supported metal crown | $1,483 | ||
| Denture & Bridges | |||
| Full upper denture | $1,870 | ||
| Add clasp to existing bridge (partial denture) | $378 | ||
| Tooth replacement part of permanent bridge | $1,204 | ||
Minnesota
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $64 | ||
| In depth check-up | $102 | ||
| Full mouth X-rays | $168 | ||
| Panoramic film | $165 | ||
| Adult teeth cleaning | $112 | ||
| Child teeth cleaning | $79 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,028 | ||
| Root canal treatment – Bicuspid | $1,243 | ||
| Root canal treatment – Molar | $1,479 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $210 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $461 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $608 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $3,056 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,730 | ||
| Implant supported metal crown | $1,949 | ||
| Denture & Bridges | |||
| Full upper denture | $2,167 | ||
| Add clasp to existing bridge (partial denture) | $339 | ||
| Tooth replacement part of permanent bridge | $1,355 | ||
Mississippi
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $55 | ||
| In depth check-up | $88 | ||
| Full mouth X-rays | $154 | ||
| Panoramic film | $113 | ||
| Adult teeth cleaning | $90 | ||
| Child teeth cleaning | $71 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $880 | ||
| Root canal treatment – Bicuspid | $1,028 | ||
| Root canal treatment – Molar | $1,219 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $203 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $332 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $440 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,093 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,259 | ||
| Implant supported metal crown | $1,418 | ||
| Denture & Bridges | |||
| Full upper denture | $1,405 | ||
| Add clasp to existing bridge (partial denture) | $247 | ||
| Tooth replacement part of permanent bridge | $1,171 | ||
Missouri
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $60 | ||
| In depth check-up | $104 | ||
| Full mouth X-rays | $156 | ||
| Panoramic film | $136 | ||
| Adult teeth cleaning | $104 | ||
| Child teeth cleaning | $78 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $951 | ||
| Root canal treatment – Bicuspid | $1,061 | ||
| Root canal treatment – Molar | $1,298 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $199 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $352 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $456 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,557 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,548 | ||
| Implant supported metal crown | $1,743 | ||
| Denture & Bridges | |||
| Full upper denture | $1,860 | ||
| Add clasp to existing bridge (partial denture) | $300 | ||
| Tooth replacement part of permanent bridge | $1,311 | ||
Montana
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $64 | ||
| In depth check-up | $103 | ||
| Full mouth X-rays | $168 | ||
| Panoramic film | $136 | ||
| Adult teeth cleaning | $107 | ||
| Child teeth cleaning | $79 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $959 | ||
| Root canal treatment – Bicuspid | $1,085 | ||
| Root canal treatment – Molar | $1,352 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $208 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $346 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $385 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,090 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,334 | ||
| Implant supported metal crown | $1,503 | ||
| Denture & Bridges | |||
| Full upper denture | $2,254 | ||
| Add clasp to existing bridge (partial denture) | $328 | ||
| Tooth replacement part of permanent bridge | $1,278 | ||
Nebraska
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $54 | ||
| In depth check-up | $89 | ||
| Full mouth X-rays | $148 | ||
| Panoramic film | $126 | ||
| Adult teeth cleaning | $91 | ||
| Child teeth cleaning | $70 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $814 | ||
| Root canal treatment – Bicuspid | $962 | ||
| Root canal treatment – Molar | $1,094 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $179 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $357 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $461 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,401 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,509 | ||
| Implant supported metal crown | $1,699 | ||
| Denture & Bridges | |||
| Full upper denture | $1,760 | ||
| Add clasp to existing bridge (partial denture) | $282 | ||
| Tooth replacement part of permanent bridge | $1,081 | ||
Nevada
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $62 | ||
| In depth check-up | $99 | ||
| Full mouth X-rays | $153 | ||
| Panoramic film | $140 | ||
| Adult teeth cleaning | $108 | ||
| Child teeth cleaning | $82 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $978 | ||
| Root canal treatment – Bicuspid | $1,110 | ||
| Root canal treatment – Molar | $1,369 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $198 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $346 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $412 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,563 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,484 | ||
| Implant supported metal crown | $1,265 | ||
| Denture & Bridges | |||
| Full upper denture | $1,760 | ||
| Add clasp to existing bridge (partial denture) | $246 | ||
| Tooth replacement part of permanent bridge | $1,034 | ||
New Hampshire
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $58 | ||
| In depth check-up | $110 | ||
| Full mouth X-rays | $175 | ||
| Panoramic film | $148 | ||
| Adult teeth cleaning | $114 | ||
| Child teeth cleaning | $95 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,144 | ||
| Root canal treatment – Bicuspid | $1,298 | ||
| Root canal treatment – Molar | $1,567 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $253 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $511 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $613 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,750 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,637 | ||
| Implant supported metal crown | $1,844 | ||
| Denture & Bridges | |||
| Full upper denture | $1,980 | ||
| Add clasp to existing bridge (partial denture) | $343 | ||
| Tooth replacement part of permanent bridge | $1,423 | ||
New Jersey
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $75 | ||
| In depth check-up | $115 | ||
| Full mouth X-rays | $176 | ||
| Panoramic film | $165 | ||
| Adult teeth cleaning | $132 | ||
| Child teeth cleaning | $99 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,077 | ||
| Root canal treatment – Bicuspid | $1,210 | ||
| Root canal treatment – Molar | $1,650 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $275 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $632 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $682 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,530 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,730 | ||
| Implant supported metal crown | $2,854 | ||
| Denture & Bridges | |||
| Full upper denture | $2,076 | ||
| Add clasp to existing bridge (partial denture) | $333 | ||
| Tooth replacement part of permanent bridge | $1,650 | ||
New Mexico
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $60 | ||
| In depth check-up | $99 | ||
| Full mouth X-rays | $151 | ||
| Panoramic film | $131 | ||
| Adult teeth cleaning | $108 | ||
| Child teeth cleaning | $84 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $927 | ||
| Root canal treatment – Bicuspid | $1,044 | ||
| Root canal treatment – Molar | $1,283 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $185 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $334 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $412 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,310 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,511 | ||
| Implant supported metal crown | $1,702 | ||
| Denture & Bridges | |||
| Full upper denture | $1,912 | ||
| Add clasp to existing bridge (partial denture) | $268 | ||
| Tooth replacement part of permanent bridge | $1,224 | ||
New York
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $137 | ||
| In depth check-up | $192 | ||
| Full mouth X-rays | $275 | ||
| Panoramic film | $247 | ||
| Adult teeth cleaning | $214 | ||
| Child teeth cleaning | $154 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,650 | ||
| Root canal treatment – Bicuspid | $1,787 | ||
| Root canal treatment – Molar | $2,172 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $522 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $781 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $852 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,915 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,629 | ||
| Implant supported metal crown | $2,750 | ||
| Denture & Bridges | |||
| Full upper denture | $2,750 | ||
| Add clasp to existing bridge (partial denture) | $302 | ||
| Tooth replacement part of permanent bridge | $2,053 | ||
North Carolina
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $64 | ||
| In depth check-up | $104 | ||
| Full mouth X-rays | $180 | ||
| Panoramic film | $135 | ||
| Adult teeth cleaning | $108 | ||
| Child teeth cleaning | $84 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,061 | ||
| Root canal treatment – Bicuspid | $1,215 | ||
| Root canal treatment – Molar | $1,408 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $222 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $406 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $511 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,504 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,511 | ||
| Implant supported metal crown | $1,702 | ||
| Denture & Bridges | |||
| Full upper denture | $1,966 | ||
| Add clasp to existing bridge (partial denture) | $331 | ||
| Tooth replacement part of permanent bridge | $1,285 | ||
North Dakota
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $59 | ||
| In depth check-up | $110 | ||
| Full mouth X-rays | $169 | ||
| Panoramic film | $140 | ||
| Adult teeth cleaning | $107 | ||
| Child teeth cleaning | $77 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $881 | ||
| Root canal treatment – Bicuspid | $1,001 | ||
| Root canal treatment – Molar | $1,215 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $192 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $357 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $444 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,035 | ||
| Abutment support cast metal crown (predominantly base metal) | $2,078 | ||
| Implant supported metal crown | $2,341 | ||
| Denture & Bridges | |||
| Full upper denture | $2,097 | ||
| Add clasp to existing bridge (partial denture) | $346 | ||
| Tooth replacement part of permanent bridge | $1,219 | ||
Ohio
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $56 | ||
| In depth check-up | $97 | ||
| Full mouth X-rays | $151 | ||
| Panoramic film | $128 | ||
| Adult teeth cleaning | $100 | ||
| Child teeth cleaning | $74 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $984 | ||
| Root canal treatment – Bicuspid | $1,144 | ||
| Root canal treatment – Molar | $1,314 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $192 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $385 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $500 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,420 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,495 | ||
| Implant supported metal crown | $1,732 | ||
| Denture & Bridges | |||
| Full upper denture | $1,704 | ||
| Add clasp to existing bridge (partial denture) | $275 | ||
| Tooth replacement part of permanent bridge | $1,210 | ||
Oklahoma
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $58 | ||
| In depth check-up | $93 | ||
| Full mouth X-rays | $153 | ||
| Panoramic film | $117 | ||
| Adult teeth cleaning | $96 | ||
| Child teeth cleaning | $78 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $918 | ||
| Root canal treatment – Bicuspid | $990 | ||
| Root canal treatment – Molar | $1,319 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $183 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $340 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $443 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,200 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,299 | ||
| Implant supported metal crown | $1,464 | ||
| Denture & Bridges | |||
| Full upper denture | $1,754 | ||
| Add clasp to existing bridge (partial denture) | $294 | ||
| Tooth replacement part of permanent bridge | $1,168 | ||
Oregon
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $76 | ||
| In depth check-up | $104 | ||
| Full mouth X-rays | $152 | ||
| Panoramic film | $135 | ||
| Adult teeth cleaning | $112 | ||
| Child teeth cleaning | $86 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $929 | ||
| Root canal treatment – Bicuspid | $1,056 | ||
| Root canal treatment – Molar | $1,287 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $200 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $396 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $500 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,695 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,564 | ||
| Implant supported metal crown | $1,762 | ||
| Denture & Bridges | |||
| Full upper denture | $1,754 | ||
| Add clasp to existing bridge (partial denture) | $302 | ||
| Tooth replacement part of permanent bridge | $1,100 | ||
Pennsylvania
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $69 | ||
| In depth check-up | $110 | ||
| Full mouth X-rays | $165 | ||
| Panoramic film | $151 | ||
| Adult teeth cleaning | $119 | ||
| Child teeth cleaning | $93 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $990 | ||
| Root canal treatment – Bicuspid | $1,207 | ||
| Root canal treatment – Molar | $1,474 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $194 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $330 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $467 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,420 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,720 | ||
| Implant supported metal crown | $2,086 | ||
| Denture & Bridges | |||
| Full upper denture | $1,650 | ||
| Add clasp to existing bridge (partial denture) | $247 | ||
| Tooth replacement part of permanent bridge | $1,320 | ||
Rhode Island
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $57 | ||
| In depth check-up | $93 | ||
| Full mouth X-rays | $165 | ||
| Panoramic film | $137 | ||
| Adult teeth cleaning | $114 | ||
| Child teeth cleaning | $80 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,094 | ||
| Root canal treatment – Bicuspid | $1,265 | ||
| Root canal treatment – Molar | $1,540 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $198 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $385 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $489 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,365 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,730 | ||
| Implant supported metal crown | $1,949 | ||
| Denture & Bridges | |||
| Full upper denture | $1,980 | ||
| Add clasp to existing bridge (partial denture) | $275 | ||
| Tooth replacement part of permanent bridge | $1,393 | ||
South Carolina
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $55 | ||
| In depth check-up | $95 | ||
| Full mouth X-rays | $157 | ||
| Panoramic film | $121 | ||
| Adult teeth cleaning | $98 | ||
| Child teeth cleaning | $71 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $837 | ||
| Root canal treatment – Bicuspid | $962 | ||
| Root canal treatment – Molar | $1,100 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $192 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $412 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $538 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,421 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,429 | ||
| Implant supported metal crown | $1,610 | ||
| Denture & Bridges | |||
| Full upper denture | $1,594 | ||
| Add clasp to existing bridge (partial denture) | $253 | ||
| Tooth replacement part of permanent bridge | $1,268 | ||
South Dakota
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $54 | ||
| In depth check-up | $87 | ||
| Full mouth X-rays | $170 | ||
| Panoramic film | $132 | ||
| Adult teeth cleaning | $97 | ||
| Child teeth cleaning | $69 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $948 | ||
| Root canal treatment – Bicuspid | $1,103 | ||
| Root canal treatment – Molar | $1,3617 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $188 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $365 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $488 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,506 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,297 | ||
| Implant supported metal crown | $1,461 | ||
| Denture & Bridges | |||
| Full upper denture | $1,749 | ||
| Add clasp to existing bridge (partial denture) | $284 | ||
| Tooth replacement part of permanent bridge | $1,063 | ||
Tennessee
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $56 | ||
| In depth check-up | $98 | ||
| Full mouth X-rays | $165 | ||
| Panoramic film | $132 | ||
| Adult teeth cleaning | $100 | ||
| Child teeth cleaning | $69 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,125 | ||
| Root canal treatment – Bicuspid | $1,306 | ||
| Root canal treatment – Molar | $1,537 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $183 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $392 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $489 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,348 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,407 | ||
| Implant supported metal crown | $1,585 | ||
| Denture & Bridges | |||
| Full upper denture | $1,644 | ||
| Add clasp to existing bridge (partial denture) | $385 | ||
| Tooth replacement part of permanent bridge | $1,269 | ||
Texas
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $66 | ||
| In depth check-up | $109 | ||
| Full mouth X-rays | $164 | ||
| Panoramic film | $135 | ||
| Adult teeth cleaning | $113 | ||
| Child teeth cleaning | $87 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,016 | ||
| Root canal treatment – Bicuspid | $1,155 | ||
| Root canal treatment – Molar | $1,614 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $224 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $427 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $560 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,634 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,760 | ||
| Implant supported metal crown | $1,914 | ||
| Denture & Bridges | |||
| Full upper denture | $2,062 | ||
| Add clasp to existing bridge (partial denture) | $342 | ||
| Tooth replacement part of permanent bridge | $1,606 | ||
Utah
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $49 | ||
| In depth check-up | $78 | ||
| Full mouth X-rays | $154 | ||
| Panoramic film | $106 | ||
| Adult teeth cleaning | $88 | ||
| Child teeth cleaning | $65 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $750 | ||
| Root canal treatment – Bicuspid | $841 | ||
| Root canal treatment – Molar | $1,045 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $150 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $297 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $368 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $1,985 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,197 | ||
| Implant supported metal crown | $1,347 | ||
| Denture & Bridges | |||
| Full upper denture | $1,650 | ||
| Add clasp to existing bridge (partial denture) | $255 | ||
| Tooth replacement part of permanent bridge | $1,276 | ||
Vermont
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $ | ||
| In depth check-up | $ | ||
| Full mouth X-rays | $ | ||
| Panoramic film | $ | ||
| Adult teeth cleaning | $ | ||
| Child teeth cleaning | $ | ||
| Root Canals | |||
| Root canal treatment – front tooth | $ | ||
| Root canal treatment – Bicuspid | $ | ||
| Root canal treatment – Molar | $ | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $ | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $ | ||
| Extraction – Impacted wisdom tooth (partial bony) | $ | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $ | ||
| Abutment support cast metal crown (predominantly base metal) | $ | ||
| Implant supported metal crown | $ | ||
| Denture & Bridges | |||
| Full upper denture | $ | ||
| Add clasp to existing bridge (partial denture) | $ | ||
| Tooth replacement part of permanent bridge | $ | ||
Virginia
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $65 | ||
| In depth check-up | $104 | ||
| Full mouth X-rays | $168 | ||
| Panoramic film | $137 | ||
| Adult teeth cleaning | $114 | ||
| Child teeth cleaning | $88 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,011 | ||
| Root canal treatment – Bicuspid | $1,154 | ||
| Root canal treatment – Molar | $1,425 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $205 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $416 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $521 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,530 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,705 | ||
| Implant supported metal crown | $1,925 | ||
| Denture & Bridges | |||
| Full upper denture | $2,007 | ||
| Add clasp to existing bridge (partial denture) | $297 | ||
| Tooth replacement part of permanent bridge | $1,320 | ||
Washington
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $77 | ||
| In depth check-up | $115 | ||
| Full mouth X-rays | $168 | ||
| Panoramic film | $141 | ||
| Adult teeth cleaning | $145 | ||
| Child teeth cleaning | $96 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,100 | ||
| Root canal treatment – Bicuspid | $1,320 | ||
| Root canal treatment – Molar | $1,716 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $220 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $440 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $544 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,911 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,657 | ||
| Implant supported metal crown | $1,866 | ||
| Denture & Bridges | |||
| Full upper denture | $2,310 | ||
| Add clasp to existing bridge (partial denture) | $275 | ||
| Tooth replacement part of permanent bridge | $1,366 | ||
Washington DC
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $81 | ||
| In depth check-up | $128 | ||
| Full mouth X-rays | $219 | ||
| Panoramic film | $192 | ||
| Adult teeth cleaning | $148 | ||
| Child teeth cleaning | $103 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $1,666 | ||
| Root canal treatment – Bicuspid | $1,842 | ||
| Root canal treatment – Molar | $2,117 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $291 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $535 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $713 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $3,283 | ||
| Abutment support cast metal crown (predominantly base metal) | $2,342 | ||
| Implant supported metal crown | $2,638 | ||
| Denture & Bridges | |||
| Full upper denture | $2,202 | ||
| Add clasp to existing bridge (partial denture) | $305 | ||
| Tooth replacement part of permanent bridge | $1,963 | ||
West Virginia
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $54 | ||
| In depth check-up | $86 | ||
| Full mouth X-rays | $161 | ||
| Panoramic film | $115 | ||
| Adult teeth cleaning | $90 | ||
| Child teeth cleaning | $71 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $742 | ||
| Root canal treatment – Bicuspid | $825 | ||
| Root canal treatment – Molar | $927 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $155 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $243 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $323 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $1,812 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,511 | ||
| Implant supported metal crown | $1,473 | ||
| Denture & Bridges | |||
| Full upper denture | $1,395 | ||
| Add clasp to existing bridge (partial denture) | $220 | ||
| Tooth replacement part of permanent bridge | $1,285 | ||
Wisconsin
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $56 | ||
| In depth check-up | $93 | ||
| Full mouth X-rays | $185 | ||
| Panoramic film | $142 | ||
| Adult teeth cleaning | $99 | ||
| Child teeth cleaning | $75 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $946 | ||
| Root canal treatment – Bicuspid | $1,067 | ||
| Root canal treatment – Molar | $1,397 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $191 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $392 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $531 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,620 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,651 | ||
| Implant supported metal crown | $1,860 | ||
| Denture & Bridges | |||
| Full upper denture | $1,915 | ||
| Add clasp to existing bridge (partial denture) | $307 | ||
| Tooth replacement part of permanent bridge | $1,328 | ||
Wyoming
| Routine Dental & Pedodontic | |||
| Routine 6 month check-up | $60 | ||
| In depth check-up | $89 | ||
| Full mouth X-rays | $152 | ||
| Panoramic film | $128 | ||
| Adult teeth cleaning | $98 | ||
| Child teeth cleaning | $79 | ||
| Root Canals | |||
| Root canal treatment – front tooth | $832 | ||
| Root canal treatment – Bicuspid | $972 | ||
| Root canal treatment – Molar | $1,118 | ||
| Tooth Extractions | |||
| Single tooth removal – Simple extraction | $185 | ||
| Extraction – Impacted wisdom tooth (soft tissue) | $306 | ||
| Extraction – Impacted wisdom tooth (partial bony) | $398 | ||
| Orthodontics & Braces | |||
| Orthodontic treatment (transitional) | $5,562 | ||
| Full orthodontic child treatment (braces) | $5,658 | ||
| Full orthodontic adult treatment (braces) | $5,936 | ||
| Crown & Implants | |||
| Surgical placement of implant body: endosteal implant | $2,280 | ||
| Abutment support cast metal crown (predominantly base metal) | $1,222 | ||
| Implant supported metal crown | $1,376 | ||
| Denture & Bridges | |||
| Full upper denture | $1,666 | ||
| Add clasp to existing bridge (partial denture) | $229 | ||
| Tooth replacement part of permanent bridge | $1,076 | ||