Office Fees

Giving You the Full Picture

At Maynard Family Dentists, we put you at the center of everything we do, which means being as transparent as possible about not only who we are and the services we offer, but also about how our fees are structured. We’ve listed most of our services with fee structures below. Please understand that each procedure could vary in price from these numbers depending on the need—every patient and every case is different.

Preventative Care

Certain insurance plans may cover up to 100%

Dental Exam

$78-$150

Periodic Exam (D0120) - $78
Limited Exam (D0140) - $113
Exam < 3 years old (D0145) - $100
New Patient Exam (D0150) - $127
Perio Exam (D0180) - $150

Teeth Cleaning (Prophylaxis)

$97-$162

Adult Teeth Cleaning (D1110) - $162
Child Teeth Cleaning (D1120) - $97

Sealants (D1351)

$87

Amalgam (Silver) Fillings

$183-$346

1 Surface (D2140) - $183
2 Surfaces (D2150) - $226
3 Surfaces (D2160) - $271
4+ Surfaces (D2161) - $346

Composite (White) Anterior Fillings

$208-$400

1 Surface (D2330) - $208
2 Surfaces (D2331) - $255
3 Surfaces (D2332) - $304
4+ Surfaces (D2335) - $400

Composite (White) Posterior Fillings

$223-$410

1 Surface (D2391) - $223
2 Surfaces (D2392) - $287
3 Surfaces (D2393) - $354
4+ Surfaces (D2394) - $410

Osseous Surgery

$1,250-$1,650

1-3 Teeth (D4261) - $1,250
Quad (D4260) - $1,650

Tissue Graft (D4273)

$1,510

Scaling & Root Planing

$253-$337

1-3 Teeth (D4342) - $253
Quad (D4341) - $337

Periodontal Maintenance (D4910)

$177

Restorative Dental

Certain insurance plans may cover up to 100%

Dental Crowns

$450-$1,640

Crown - Porcelain/Ceramic (D2740) - $1,640
Crown - Porcelain Fused to Metal (D2750) - $1,604
Crown Build Up (D2950) - $450

Root Canal

$1,100-$1,600

Anterior (D3310) - $1,100
Bicuspid (D3320) - $1,400
Molar (D3330) - $1,600

Dentures

$2,900

Partial Upper Denture (D5213) - $2,900
Partial Lower Denture (D5214) - $2,900
Complete Upper Denture (D5110) - $2,900
Complete Lower Denture (D5120) - $2,900

Dental Bridges

$1,614-$1,712

Retainer - Porcelain/Ceramic (D6740) - $1,712
Pontic - Porcelain/Ceramic (D6245) - $1,614

Dental Implants

$1,106-$2,450

Custom Abutment (D6057) - $1,106
Implant Crown - Porcelain/Ceramic (D6058) - $1,896
Surgical Place Implant (D6010) - $2,450

Tooth Extractions

$250-$387

Simple Extraction (D7140) - $250
Surgical Extraction (D7210) - $387

Sinus Augmentation (D7952)

$1,500

Augmentation w/Bone (D7951) - $2,500

Bone Graft

$785

w/Implant (D6104) - $785
w/Extraction Only (D7953) - $785

Additional Services

Certain insurance plans may cover up to 100%

Fluoride (D1206)

$55

Dental X-rays

$36-$180

FMX (D0210) - $180
PA (D0220) - $42
Addt’l PAs (D0230) - $36
2 BWX (D0272) - $73
4 BWX (D0274) - $115
Panoramic X-ray (D0330) - $163