Dental Hygiene Therapy (Cleaning)

 

Adult Hygiene Therapy (Class 0, I, and II)

$20

Adult Hygiene Therapy (Class IIP)

$30

Adult Hygiene Therapy (Class III and IV)

$40

Child Hygiene Therapy

$15

   

Radiographs

 

Full Mouth Series X-rays

$25

Panoramic X-ray

$30

Vertical Bitewing X-rays (4-7)

$15-$20

Bitewing X-ray (4)

$15

Bitewing X-ray (2)

$10

X-ray single film

$5

Each additional x-ray

$2

FMX or Pano duplicate film (non-SFSC x-ray)

$10

Bitewing duplicate film (non-SFSC x-ray)

$10

Digital X-rays

Same as traditional

   

Other Procedures

 

Sealants per tooth

$8

Local Anesthesia (non-operative/non-surgical)

$8

Night Guards and Bleaching Trays

$20

Fissurotomy (when needed prior to sealant)

$7 per tooth