Endodontic Rates & Procedures
|
Regional Fee
|
Network Fee
|
Typical Network Savings |
Typical % Savings |
| Comprehensive Oral Exam |
$90 |
$50 |
$40 |
44% |
| Consultation - Extended, may include x-rays |
$200 |
$100 |
$100 |
50% |
| First Periapical X-ray |
$25 |
$15 |
$10 |
40% |
| Each Additional Periapical X-ray |
$20 |
$10 |
$10 |
50% |
| X-Ray Bite Wings (complete) |
$80 |
$45 |
$35 |
31% |
| X-Ray Full Mouth |
$140 |
$80 |
$60 |
43% |
| X-Ray Panorex |
$125 |
$85 |
$40 |
32% |
| X-Ray Full Mouth, Including Bitewings (complete) |
$115 - $165 |
$85 |
$60 |
39% |
| Pulp Test |
$75 |
$50 |
$25 |
33% |
| Pulpotomy |
$325 |
$225 |
$100 |
31% |
| Pulpectomy |
$450 |
$300 |
$150 |
33% |
| Note: Fees for Root Canal Therapy and Retreatments vary based upon degree of difficulty, time, and individual professional considerations. The dentist will confirm UCR fee and in this way you can determine the amount and the percentage of network savings. |
- |
- |
- |
- |
| Root canal therapy - anterior |
$850 - $1050 |
$650 |
$300 |
32% |
Root canal therapy - anterior Alternate Fee - Certain Manhattan Locations Only - Please consult with your dentist. |
$850 - $1150 |
$750 |
$250 |
25% |
| Root canal therapy - bicuspid |
$1050 - $1150 |
$825 |
$275 |
25% |
Root canal therapy - bicuspid Alternate Fee - Certain Manhattan Locations Only - Please consult with your dentist. |
$1050 - $1250 |
$900 |
$150 |
22% |
| Root canal therapy - molar |
$1100 - $1350 |
$900 |
$325 |
27% |
Root canal therapy - anterior Alternate Fee - Certain Manhattan Locations Only - Please consult with your dentist. |
$1250 - $1650 |
$1150 |
$300 |
21% |
Root Canal Retreatment* (upon referral)
*Generally, more complicated than initial root canal therapy, when indicated. |
- |
- |
- |
- |
| Retreatment, anterior |
$900 - $1150 |
$750 |
$275 |
27% |
Retreatment, anterior Alternate Fee - Certain Manhattan Locations Only - Please consult with your dentist. |
$1000 - $1250 |
$850 |
$275 |
24% |
| Retreatment, bicuspid |
$1000 - $1300 |
$925 |
$225 |
20% |
Retreatment, bicuspid Alternate Fee - Certain Manhattan Locations Only - Please consult with your dentist. |
$1050 - $1350 |
$1000 |
$200 |
17% |
| Retreatment, molar |
$1200 - $1600 |
$1000 |
$400 |
29% |
Retreatment, molar Alternate Fee - Certain Manhattan Locations Only - Please consult with your dentist. |
$1350 - $1750 |
$1200 |
$350 |
23% |
| Perforation Repair (MTA) Mineral Trioxide Aggregate |
$450 |
$350 |
$100 |
23% |
| Root Canal Retreatment - Removal of Post |
$375 |
$225 |
$150 |
40% |
| Apicoectomy (Surgical Root Canal) |
- |
- |
- |
- |
| Apicoectomy - Anterior (does not include retrograde filling) |
$675 - $750 |
$550 |
$162 |
23% |
| Apicoectomy - Bicuspid (does not include retrograde filling) |
$775 - $825 |
$650 |
$150 |
19% |
| Apicoectomy - Molar (does not include retrograde filling) |
$850 - $900 |
$700 |
$175 |
20% |
| Retrograde Filling (apicoectomy - per root) |
$325 |
$200 |
$125 |
38% |
| Additional Root (apicoectomy - per additional root) |
$450 |
$300 |
$150 |
33% |
| Hemisection (per root) |
$425 |
$300 |
$125 |
29% |
| Intra-Oral Incision and Drainage of Abcess |
$300 - $400 |
$200 - $250 |
$125 |
36% |
| Bone Replacement (Grafting) |
$600 |
$400 |
$200 |
33% |
| Anesthesia and Analgesia - In some cases, the cost of Inhalation Analgesia (nitrous oxide) may be included in cost of the procedure. In other cases, a separate fee, as shown on this schedule, may apply. In general, fees for Analgesia and for IV Sedation are based upon time required for each procedure. In some dental procedures, conventional medical insurance may cover a portion of the surgical or anesthesia fees. Consult with your dentist about his/her fees for Analgesia and Anesthesia to determine network savings. |
|
|
|
|
| Inhalation Analgesia (Nitrous Oxide) |
$65 - $95 |
$45 |
$35 |
44% |
| IV Conscious Sedation (first 30 minutes) |
$350 - $500 |
$250 |
$175 |
41% |
| IV Conscious Sedation (additional 15 minutes) |
$180 - $220 |
$100 |
$100 |
50% |