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303 Merrick Rd, Lynbrook, NY 11563
844-638-3368
Fee Schedule
The prices listed are the total cost for the according procedure. There are no surprise costs
CODE | PROCEDURE | WHAT YOU'LL PAY WITH METRODENT | TYPICAL CHARGE (WITHOUT METRODENT) | SAVINGS |
|---|---|---|---|---|
D0140 | LIMITED ORAL EVALUATION | $24.00 | $101.00 | $77.00 |
D0145 | ORAL EVAL FOR PATIENT UNDER 3 YRS | $24.00 | $92.00 | $68.00 |
D0145 | ORAL EVAL PT<3 YR CNSL PRIM CAREGIVER | $24.00 | $92.00 | $68.00 |
D0150 | COMPREHENSIVE ORAL EXAMINATION | $30.00 | $120.00 | $90.00 |
D0160 | DETAILED ORAL EVALUATION | $30.00 | $207.00 | $177.00 |
D0170 | RE-EVALUATION-LIMITED | $25.00 | $93.00 | $68.00 |
D0180 | COMPREHENSIVE PERIODONTAL EVAL | $30.00 | $128.00 | $98.00 |
D0210 | X-RAYS-FULL MOUTH | $60.00 | $187.00 | $127.00 |
D0220 | PERIAPICAL X-RAY FIRST FILM | $10.00 | $41.00 | $31.00 |
D0230 | X-RAY PERIAPICAL - ADDITIONAL | $6.00 | $35.00 | $29.00 |
D0240 | OCCLUSAL FILM | $15.00 | $57.00 | $42.00 |
D0250 | XRAY - EXTRAORAL | $35.00 | $87.00 | $52.00 |
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