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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 |
|---|---|---|---|---|
D0431 | ADJUNCTIVE PRE-DIAGNOSTIC TEST | $35.00 | $93.00 | $58.00 |
D0460 | PULP VITALITY TEST | $20.00 | $80.00 | $60.00 |
D0470 | DIAGNOSTIC CASTS | $40.00 | $153.00 | $113.00 |
D0472 | ACCESSION TISSUE, EXM, PREP, REP | $40.00 | $163.00 | $123.00 |
D0473 | ACCESSION TISSUE-MICRO EXAM | $60.00 | $221.00 | $161.00 |
D0474 | ACCESSION OF TISSUE, GROSS AND MICROSCOPIC EXAMINA | $40.00 | $259.00 | $219.00 |
D0502 | OTHER ORAL PATHOLOGY PROCEDURES, BY REPORT | $40.00 | $176.00 | $136.00 |
D1110 | PROPHYLAXIS | $45.00 | $101.00 | $56.00 |
D1120 | PROPHYLAXIS - CHILD | $35.00 | $73.00 | $38.00 |
D1206 | TOPICAL FLUORIDE VARNISH | $20.00 | $48.00 | $28.00 |
D1208 | TOPICAL APPLICATION FLUORIDE | $20.00 | $42.00 | $22.00 |
D1310 | NUTRITIONAL COUNSELING | $15.00 | $74.00 | $59.00 |
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