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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
D0340
CEPHALOMETRIC FILM
$50.00
$169.00
$119.00
D0350
ORAL/FACIAL IMAGES
$25.00
$100.00
$75.00
D0364
CONE BEAM CT CAPTURE-LESS THAN WHOLE JAW
$200.00
$427.00
$227.00
D0365
CONE BEAM CT - MANDIBLE
$200.00
$460.00
$260.00
D0366
CONE BEAM CT
$200.00
$440.00
$240.00
D0367
CONE BEAM CT - WITH OR WITHOUT CRANIUM
$200.00
$467.00
$267.00
D0368
CONE BEAM CT CAPTURE AND INTER
$200.00
$510.00
$310.00
D0380
CONE BEAM CT
$200.00
$366.00
$166.00
D0381
CONE BEAM CT IMAGE
$200.00
$423.00
$223.00
D0382
CONE BEAM CT IMAGE CAPTURE WITH FIELD OF VIEW OF O
$200.00
$408.00
$208.00
D0383
CONE BEAM CT
$200.00
$440.00
$240.00
D0415
BACTERIOLOGIC STUDIES
$25.00
$232.00
$207.00

 Metrodent-Direct Membership Plan 2022. All rights reserved.

 

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