FB Instagram

Fee Schedule

FEE sCHEDULE

In compliance with Colorado state law, the fee schedule for the 15 most common codes our offices use for a cash patient are:

  1. D0180 Periodontal Exam 100.00
  2. D4249 Crown Lengthening 900.00
  3. D4260 Osseous Surgery(quad) 1200.00
  4. D4261 Osseous Surgery(1-3) 1000.00
  5. D4266 Guided Tissue Regeneration 650.00
  6. D4263 Bone graft for Perio 650.00
  7. D4277 Free Gingival Graft 1150.00
  8. D4278 Additional FGG 700.00
  9. D4273 Connective Tissue Graft 1250.00
  10. D4283 Additional CT 700.00
  11. D4341 Root Plane Quad 350.00
  12. 4910 Periodontal Maintenance 130.00
  13. D6010 Implant Placement 2500.00
  14. D6100 Implant Removal 1000.00
  15. D0210 Full Mouth X-Rays 100.00