Office Fees
in Tomah, Wisconsin
An Overview of Our Service Costs
It's important for us to be straightforward about what you can expect with our service prices. Here is some general information about our pricing below, but please note that these can vary depending on the complexity of cases and your individual needs. Please don't hesitate to reach out if you have any questions.
Preventative Care
Cost
Dental Code
Comprehensive Oral Evaluation—New or Established Patient
$124
D0150
Periodontal Scaling and Root Planing
$376 (four or more teeth per quadrant)
D4341
Restorative Dental Services
Cost
Dental Code
Porcelain/Ceramic Crown
$1,525
D2740
Surgical Placement of Implant Body
$2,309
D6010
Extraction—Erupted Tooth or Exposed Root (Elevation and/or Forceps Removal)
$250
D7140
Extraction—Erupted Tooth Requiring Removal of Bone and/or Sectioning of Tooth, and Including Elevation or E-Surg)
$429
D7210
Removal of Impacted Tooth (Soft Tissue)
$489
D7220
Removal of Impacted Tooth (Partially Bony)
$625
D7230
Removal of Impacted Tooth (Completely Bony)
$775
D7240
Cosmetic Dental Services
Cost
Dental Code
KOR In-Office Teeth Whitening
$595
D9972Z
Labial Veneer (Resin Laminate)
$1,200
D2960
Labial Veneer (Porcelain Laminate)
$2,000
D2962
