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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
D2140
AMALGAM ONE SURFACE - PERMANENT OR PRIMARY
$55.00
$200.00
$145.00
D2150
AMALGAM TWO SURFACES - PERMANENT OR PRIMARY
$70.00
$251.00
$181.00
D2160
AMALGAM THREE SURFACES - PERM OR PRIME
$80.00
$307.00
$227.00
D2161
AMALGAM - FOUR OR MORE SURFACES PERM OR PRIM
$95.00
$363.00
$268.00
D2330
RESIN - ONE SURFACE
$60.00
$236.00
$176.00
D2331
RESIN - TWO SURFACES
$75.00
$262.00
$187.00
D2332
RESIN THREE OR MORE SURFACES
$90.00
$307.00
$217.00
D2335
RESIN - 4+ SRF OR INCISAL EDGE
$100.00
$400.00
$300.00
D2390
RESIN BASED COMPOSITE CROWN
$200.00
$630.00
$430.00
D2391
RESIN 1 SURFACE POSTERIOR
$75.00
$258.00
$183.00
D2392
RESIN-2 SURFACES, POSTERIOR
$100.00
$331.00
$231.00
D2393
RESIN-3 SURFACES, POST
$115.00
$406.00
$291.00

 Metrodent-Direct Membership Plan 2022. All rights reserved.

 

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