Nevada Dental Health Services
Nevada Dental Health Services - Fees
Fee Schedule

General Dental Care – ADA Codes

Fees valid if performed by General Dentists exclusively at The Dentists’ Office. Rates start at the pricing shown and may differ depending on doctor recommendation.

Service

Plan Fee Usual Fee Savings
Evaluations
0120 Exam-Periodic $30 $60 50%
0140 Exam - Limited $48 $96 50%
0145 Oral Examination under 3 $37 $73 50%
0150 Comprehensive Exam $50 $100 50%
FREE Services/Consultations
Oral Cancer Screening FREE
Cosmetic Consultation FREE
Orthodontic Consultation FREE
Preventative
0210 Full Mouth X-Ray $98 $150 35%
0220-0230 Single X-Ray $18 $35 50%
0270-0274 Bitewings $38 $75 50%
0330 Panoramic X-ray $77 $153 50%
110 Basic Cleaning – Adult $66 $110 40%
120 Basic Cleaning – Teen $54 $90 40%
120 Basic Cleaning – Child $52 $80 35%
1203-1204 Fluoride Treatment $19 $38 50%
1351 Sealant – Per Tooth $31 $62 50%
Restorations (Fillings)
Composite Fillings – Anterior
2330 1 Surface $160 $214 25%
12331 2 Surface $190 $253 25%
2332 3 Surface $230 $306 25%
2335 4 Surface $296 $370 20%
Composite Fillings – Posterior
2391 1 Surface $177 $236 25%
2392 2 Surface $226 $301 25%
2393 3 Surface $250 $385 35%
2394 4 Surface $300 $462 35%
Inlay/Onlay Restorations
Porcelain Inlay
2610 1 Surface $1027 $1284 20%
2620 2 Surface $1062 $1328 20%
2630 3+ Surface $1132 $1415 20%
Porcelain/Ceramic/CEREC Onlay
2642 2 Surface $1142 $1343 15%
2643 3 Surface $1173 $1380 15%
2644 4 + Surface $1236 $1454 15%
Service Plan Fee Usual Fee Savings
Crown/Single Restorations
2740 Crown – Porcelain/Ceramic $960 $1200 20%
2740 Crown – CEREC $960 $1200 20%
2750 Crown – Porcelain/High Noble $1020 $1200 15%
2790 Crown – Full Cast High Noble $1048 $1340 15%
2920 Replacement Perm Crown $90 $120 25%
2929 Porcelain Crown/Primary Tooth $329 $411 20%
2930 PreFab Stainless – Primary $229 $306 25%
2933 Stainless Steel Crown/Resin Window $321 $401 20%
2950 Core Buildup, Including Pins $155 $309 50%
2954 PreFab Post & Core-Per Tooth $206 $375 45%
2962 Porcelain Veneer $996 $1245 20%
Implant Restorations
6052 Precision Attachment $470 $522 10%
6056 Prefabricated Abutment $639 $710 10%
6057 Custom Implant Abutment $765 $850 10%
6059 Abutment Supported PFM $1305 $1450 10%
6061 Abutment Supported All Proc. $1305 $1450 10%
Endodontics (Does not include cost of restorative treatment)
3220 Therapeutic Pulpotomy $188 $209 10%
3221 Pulpal Debridement $209 $232 10%
3310 Root Canal – Anterior $743 $825 10%
3320 Root Canal – Bicuspid $869 $965 10%
3330 Root Canal – Molar $1089 $1210 10%
Periodontics
4342 Scaling/Root Planing
1-3 Teeth Per Quadrant
$154 $193 20%
4341 Scaling/Root Planing
4 or more Teeth Per Quadrant
$203 $290 30%
4355 Full Mouth Debridement $140 $187 25%
4910 Periodontal Maintenance $120 $150 20%
4381 Arestin – Minocycline HCI $90 $100 10%
Service Plan Fee Usual Fee Savings
Dentures and Partials
5110 Complete Denture (Upper) $1380 $1725 20%
5120 Complete Denture (Lower) $1380 $1725 20%
5130 Immediate Denture (Upper) $1540 $1925 20%
5140 Immediate Denture (Lower) $1540 $1925 20%
5211 Partial Denture Acrylic (Upper) $1172 $1379 15%
5212 Partial Denture Acrylic (Lower) $1172 $1379 15%
5213 Partial Denture Metal (Upper) $1568 $1845 15%
5214 Partial Denture Metal (Lower) $1568 $1845 15%
5511-5512 Repair Denture - Broken Base $172 $215 20%
5520 Repair Tooth $148 $185 20%
5611-5612 Repair Partial Acrylic $179 $210 15%
5640 Repair Partial Tooth $166 $195 15%
5850 Tissue Conditioning (Upper) $155 $221 30%
5851 Tissue Conditioning (Lower) $155 $221 30%
Adjustments to Dentures
5650 Add Tooth to Existing Partial $210 $247 15%
5750-5751 Reline Denture,
In Lab Per Arch
$350 $500 30%
5760-5761 Reline Partial,
In Lab, Per Arch
$350 $500 30%
5820-5821 Interim Partial Denture,
Per Arch
$455 $570 20%
Fixed Bridge Work
6210 Maryland Bridge Pontic $1104 $1299 15%
6240 Porcelain/Metal Pontic $1035 $1219 13%
6545 Maryland Bridge Abutment $636 $748 15%
6750 Porcelain/Metal Abutment $1050 $1235 15%
6930 Recement Fixed Bridge $165 $194 15%
Extractions
7111 Primary Tooth $91 $152 40%
7140 Extraction Erupted Tooth $133 $190 30%
7210 Surgical Removal of Erupted Tooth $280 $311 10%
Miscellaneous
1510 Space Maintainer (Unilateral) $290 $362 20%
1515 Space Maintainer (Bilateral) $392 $490 20%
9110 Palliative Treatment $92 $168 45%
9230 Nitrous $59 $84 30%
9940 Occlusal Guard (Hard/Soft) $444 $555 20%
Teeth Whitening Procedures
9972 Whitening Take Home $210 $350 40%
9972 Whitening In House $224 $280 20%
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Specialty Dental Care – ADA Codes

Fees valid if performed by Dentists exclusively at The Dentists’ Office. Rates start at the pricing shown and may differ depending on doctor recommendation.

Service

Plan Fee Usual Fee Savings
Endodontics (*Does not include cost of Restorative Treatment)
*3310 Anterior Root Canal $855 $950 10%
*3320 Bicuspid Root Canal $999 $1110 10%
*3330 Molar Root Canal $1139 $1265 10%
*3346 Retreat Anterior Canal $1013 $1125 10%
*3347 Retreat Bicuspid Canal $1202 $1335 10%
*3348 Retreat Molar Canal $1313 $1459 10%
3410 Anterior Apicoectomy $914 $1015 10%
3421 Bicuspid Apicoectomy $1037 $1152 10%
3425 Molar Apicoectomy $1104 $1227 10%
9310 Consultation $135 $150 10%
Oral Surgery
6010 Single Implant $1782 $1980 10%
7140 Erupted Extraction $182 $202 10%
7210 Surgical Extraction $307 $341 10%
7220 Soft Tissue Impaction $325 $361 10%
7230 Partial Bony Impaction $415 $461 10%
7240 Full Bony Impaction $494 $549 10%
7241 Fully Bony – Complicated $572 $636 10%
7280 Surgical Access of Tooth $509 $565 10%
7283 Placement of Device
to Facilitate Eruption
$447 $497 10%
7286 Biopsy of Oral Soft Tissue $376 $418 10%
7953 Bone Graft $525 $583 10%
9222-9223 General Anesthetic
(Each additional 15 minutes)
$232 $285 10%
9310 Consultation $138 $153 10%
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Fees are subject to change.

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