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CAREINGTON
International CI-8 Sample Schedule of Services |
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For a complete schedule of dental
services - See link at bottom of page.
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| ADA Code |
Procedure |
Your
Cost |
| 0120 |
Routine 6 Month Check-Up |
$24 |
| 0150 |
In Depth Check-Up |
$42 |
| 0210 |
Full Mouth X-Rays |
$72 |
| 1110 |
Adult Cleaning |
$47 |
| 1120 |
Child Cleaning |
$34 |
| 2140 |
Silver Filling |
$64 |
| 2330 |
White Filling |
$75 |
| 2750 |
Crown - Porcelain |
$613 |
| 3310 |
Root Canal - Anterior |
$376 |
| 5110 |
Upper Denture (Complete) |
$806 |
| 7110 |
Single Tooth Extraction |
$79 |
| 7220 |
Extraction - Impacted Wisdom Tooth (Soft Tissue) |
$157 |
| 7230 |
Extraction - Impacted Wisdom Tooth (Partial Bony) |
$209 |
| 7240 |
Extraction - Impacted Wisdom Tooth (Complete Bony) |
$245 |
| 8090 |
Comp Ortho Treatment (braces) Adult |
20% Discount |
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