Dental Hygiene Therapy (Cleaning)

 
Adult Hygiene Therapy (Class 0, I, and II)
$20
Adult Hygiene Therapy (Class IIP)
$30
Adult Hygiene Therapy (Class III )
$40
Adult Hygiene Therapy (Class IV)
$50
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