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 $26 $58 55%
0140 Exam - Limited $43 $95 55%
0145 Oral Examination under 3 $24 $54 55%
0150 Comprehensive Exam $45 $99 55%
FREE Services/Consultations
Oral Cancer Screening FREE
Cosmetic Consultation FREE
Orthodontic Consultation FREE
Preventative
0210 Full Mouth X-Ray $95 $146 35%
0220-0230 Single X-Ray $16 $33 50%
0270-0274 Bitewings $35 $71 50%
0330 Panoramic X-ray $69 $153 55%
110 Basic Cleaning – Adult $64 $107 40%
120 Basic Cleaning – Teen $54 $90 40%
120 Basic Cleaning – Child $48 $77 38%
1203-1204 Fluoride Treatment $17 $35 50%
1351 Sealant – Per Tooth $29 $59 50%
Restorations (Fillings)
Composite Fillings – Anterior
2330 1 Surface $160 $214 25%
12331 2 Surface $189 $252 25%
2332 3 Surface $229 $305 25%
2335 4 Surface $295 $369 20%
Composite Fillings – Posterior
2391 1 Surface $176 $235 25%
2392 2 Surface $225 $300 25%
2393 3 Surface $242 $373 35%
2394 4 Surface $300 $461 35%
Inlay/Onlay Restorations
Porcelain Inlay
2610 1 Surface $519 $649 20%
2620 2 Surface $519 $649 20%
2630 3+ Surface $519 $649 20%
Porcelain/Ceramic/CEREC Onlay
2642 2 Surface $989 $1124 12%
2643 3 Surface $989 $1124 12%
2644 4 + Surface $989 $1124 12%
Service Plan Fee Usual Fee Savings
Crown/Single Restorations
2740 Crown – Porcelain/Ceramic $905 $1176 23%
2740 Crown – CEREC $905 $1176 23%
2750 Crown – Porcelain/High Noble $1023 $1176 13%
2790 Crown – Full Cast High Noble $1023 $1233 17%
2920 Replacement Perm Crown $85 $114 25%
2930 PreFab Stainless – Primary $214 $302 29%
2950 Core Buildup, Including Pins $147 $295 50%
2954 PreFab Post & Core-Per Tooth $200 $364 45%
2962 Porcelain Veneer $977 $1177 17%
L05 Porcelain Margin
Implant Restorations
6056 Prefabricated Abutment $583 $614 5%
6057 Custom Implant Abutment $692 $728 5%
6059 Abutment Supported PFM $1315 $1384 5%
6061 Abutment Supported All Proc. $1315 $1384 5%
6052 Precision Attachment $408 $430 5%
Endodontics (Does not include cost of restorative treatment)
3220 Therapeutic Pulpotomy $175 $194 10%
3221 Pulpal Debridement $154 $171 10%
3310 Root Canal – Anterior $718 $798 10%
3320 Root Canal – Bicuspid $868 $964 10%
3330 Root Canal – Molar $1038 $1153 10%
Periodontics
4342 Scaling/Root Planing
1-3 Teeth Per Quadrant
$121 $151 20%
4341 Scaling/Root Planing
4 or more Teeth Per Quadrant
$198 $279 29%
4355 Full Mouth Debridement $127 $170 25%
4910 Periodontal Maintenance $110 $138 20%
4381 Arestin – Minocycline HCI $91 $101 10%
4999 Subgingival Irrigation Per Quad $13 $15 10%
Service Plan Fee Usual Fee Savings
Dentures and Partials
5110 Complete Denture (Upper) $1353 $1691 20%
5120 Complete Denture (Lower) $1353 $1691 20%
5130 Immediate Denture (Upper) $1411 $1764 20%
5140 Immediate Denture (Lower) $1411 $1764 20%
5211 Partial Denture Acrylic (Upper) $1145 $1347 15%
5212 Partial Denture Acrylic (Lower) $1145 $1347 15%
5213 Partial Denture Metal (Upper) $1566 $1842 15%
5214 Partial Denture Metal (Lower) $1566 $1842 15%
5510 Repair Base $154 $193 20%
5520 Repair Tooth $147 $184 20%
5610 Repair Partial Acrylic $177 $208 15%
5640 Repair Partial Tooth $156 $183 15%
5850 Tissue Conditioning (Upper) $116 $166 30%
5851 Tissue Conditioning (Lower) $116 $166 30%
Adjustments to Dentures
5650 Add Tooth to Existing Partial $204 $240 15%
5750-5751 Reline Denture,
In Lab Per Arch
$350 $500 30%
5760-5761 Reline Partial,
In Lab, Per Arch
$350 $500 30%
55820-5821 Interim Partial Denture,
Per Arch
$394 $493 20%
Fixed Bridge Work
6210 Maryland Bridge Pontic $1026 $1207 15%
6240 Porcelain/Metal Pontic $1006 $1156 13%
6545 Maryland Bridge Abutment $518 $609 15%
6750 Porcelain/Metal Abutment) $1000 $1176 15%
6930 Recement Fixed Bridge $133 $156 15%
Extractions
7111 Primary Tooth $91 $151 40%
7140 Extraction Erupted Tooth $130 $186 30%
7210 Surgical Removal of Erupted Tooth $253 $278 9%
Miscellaneous
9110 Palliative Treatment $86 $168 49%
9940 Occlusal Guard (Hard/Soft) $404 $505 20%
Teeth Whitening Procedures
9972 Whitening Take Home $177 $295 40%
9972 Whitening In House $596 $795 25%
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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 $824 $916 10%
*3320 Bicuspid Root Canal $947 $1052 10%
*3330 Molar Root Canal $1134 $1260 10%
*3346 Retreat Anterior Canal $922 $1025 10%
*3347 Retreat Bicuspid Canal $1076 $1196 10%
*3348 Retreat Molar Canal $1227 $1363 10%
3410 Anterior Apicoectomy $913 $1015 10%
3421 Bicuspid Apicoectomy $1007 $1119 10%
3425 Molar Apicoectomy $1101 $1223 10%
9310 Consultation $120 $133 10%
Oral Surgery
6010 Single Implant $1687 $1874 10%
7140 Erupted Extraction $175 $194 10%
7210 Surgical Extraction $250 $278 10%
7220 Soft Tissue Impaction $314 $349 10%
7230 Partial Bony Impaction $352 $391 10%
7240 Full Bony Impaction $426 $473 10%
7241 Fully Bony – Complicated $529 $588 10%
7280 Surgical Access of Tooth $421 $468 10%
7283 Placement of Device
to Facilitate Eruption
$176 $196 10%
7286 Biopsy of Oral Soft Tissue $319 $354 10%
9220 General Anesthetic
(Each additional 15 minutes)
$223 $248 10%
9310 Consultation $85 $94 10%
9310A Consultation (Extensive) $92 $131 30%
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Fees are subject to change.

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