This schedule is valid at time of printing. Participating dentists and network members should check fee schedules posted on this website of for future changes and updates.

Oral Surgery

Oral Surgery Rates & Procedures
Regional Fee Network Fee Typical Network Savings Typical % Savings
Comprehensive oral evaluation $100 $55 $45 45%
Consultation $150 $75 $75 50%
TMJ Consult (may include X-Rays) $250 $185 $65 26%
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 33%
X-Ray Panorex $125 $85 $40 32%
X-Ray Full Mouth, Including Bitewings (complete) $115 - $165 $85 $60 39%
Tooth Extraction - Simple $250 $185 $65 26%
Tooth Extraction - Surgical $300 - $350 $250 $75 23%
Soft Tissue Impaction $375 - $450 $300 - $325 $100 24%
Partial Bony Impaction $500 - $550 $375 $150 29%
Full Bony Impaction $550 - $650 $450 $150 25%
Full Bony Impaction - Certain Manhattan Locations Only - Please consult with your dentist. $575 - $675 $475 $150 24%
Full Bony Impaction - Complicated $625 - $825 $475 $250 34%
Full Bony Impaction - Complicated - Certain Manhattan Locations Only - Please consult with your dentist. $625 - $825 $525 $200 28%
Biopsy of Oral Tissue (Hard - Excluding Lab Analysis Fee) $500 - $600 $425 $125 33%
Biopsy of Oral Tissue (Soft - Excluding Lab Analysis Fee) $300 - $400 $200 - $250 $125 36%
Excision of Benign Lesion (up to 1.25cm) $350 $250 $100 29%
Intra-Oral Incision and Drainage of Abcess $250 - $400 $175 $150 46%
Surgical Exposure of Tooth for Orthodontics (per tooth, including brackets) $750 $575 $175 23%
Alveoloplasty $700 $500 $200 29%
Hemisection (per root) $475 $350 $125 26%
Apicoectomy (Surgical Root Canal): - - - -
Apicoectomy - Anterior (does not include retrograde filling) $625 - $750 $500 - $550 $162 24%
Apicoectomy - Bicuspid (does not include retrograde filling) $750 - $825 $600 $228 24%
Apicoectomy - Molar (does not include retrograde filling) $850 - $900 $625 - $675 $225 26%
Retrograde Filling (apicoectomy - per root) $200 - $300 $125 - $150 $112 45%
Additional Root (apicoectomy - per additional root) $250 - $400 $175 - $225 $125 38%
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%
Bone Grafts: - - - -
Socket Graft (single tooth) $275 - $350 $225 $87 20%
Bone graft, first tooth, per quad. $600 $475 $125 29%
Bone graft, each additional tooth, per quad. $325 $225 $100 31%
Socket Graft (single tooth) $275 - $350 $225 $87 20%
Sinus Graft (sinus lift - per quad) $1800 - $2000 $1550 $359 18%
Bridge Sectioning $150 $125 $25 17%
Dental implant - Surgical fee, does not include Crown, Abutment or Bone Graft $1800 - $2300 $1500 - $1750 $375 18%
Note: Please note that certain Oral and Maxillofacial Surgery procedures may require hospital or lab based testing, treatment, and care. These services are not provided directly by the dentist and are not eligible for reduced NYDN network rates, however, it is possible that regular medical insurance will cover some or all of these expenses. - - - -
 

 
*Regional fees posted are representative of usual and customary fees charged by New York Dental Network, LLC participating dentists for patients who do not participate in a dental benefits plan. Some fee variation was found due to differences in office overhead, materials, lab fees, and other professional considerations.

*Network fees shown are the actual fees members will pay to the participating dentist. For procedures not shown, or variations of listed procedures, similar network fee reductions will apply in most cases. An exception may apply in the case of certain brand name dental products or services. Additionally, fee variations may be based upon degree of difficulty and time and materials involved in treatment. Please consult with your dentist prior to course of treatment.

*When a network fee range is shown, the usual and customary fee (UCR) of the dentist will determine the network fee to be paid by NYDN member. For example, if the dentist's UCR fee falls in the middle of regional fee range, the dentist will charge NYDN member a fee in the middle of network fee range. If the dentist's usual fee for a given procedure is lower than the stated network fee, the dentist agrees to charge usual fee, resulting in additional savings for network members.