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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
D1320
TOBACCO COUNSELING
$15.00
$82.00
$67.00
D1351
SEALANT
$25.00
$61.00
$36.00
D1352
PREVENTIVE RESIN RESTORATION
$25.00
$113.00
$88.00
D1510
SPACE MAINTAINER-FIXED
$190.00
$442.00
$252.00
D1516
SPACE MAINTAINER - FIXED - BILATERAL, MAXILLARY
$225.00
$0.00
'-
D1517
SPACE MAINTAINER - FIXED - BILATERAL, MANDIBULAR
$225.00
$0.00
'-
D1520
SPACE MAINTAINER - REMOVABLE
$185.00
$534.00
$349.00
D1526
SPACE MAINTAINER - REMOVABLE - BILATERAL, MAXILLAR
$250.00
$0.00
'-
D1527
SPACE MAINTAINER - REMOVABLE - BILATERAL, MANDIBULAR
$250.00
$0.00
'-
D1551
RE-CEMENT OR RE-BOND BILATERAL SPACE MAINTAINER
$40.00
$0.00
'-
D1552
RE-CEMENT OR RE-BOND BILATERAL SPACE MAINTAINER
$40.00
$0.00
'-
D1553
RE-CEMENT OR RE-BOND UNILATERAL SPACE MAINTAINER
$40.00
$0.00
'-

 Metrodent-Direct Membership Plan 2022. All rights reserved.

 

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