Sugar Land Office Fees Preventative Care Service Cost Dental Codes Adult Cleaning, Exams, Full Series of X-rays, Fluoride $0-$600 D0150/D1110/D0210/D1206 Emergency Exam $0-$150 D0140/D0220 Deep Cleaning $0-$1500 D4346/D4342/D4341 Restorative Dental Services Service Cost Dental Codes Dental Implant $1050-$5300 D0150/D1110/D0210/D1206 Porcelain Crown $300-$1859 D2740 Posterior Composite (White) Fillings $50-$517 D2391/D2392/D2393/D2394 Anterior Composite (White) Fillings $50-$383 D2330/D2331/D2332 Endodontic Therapy Molar Tooth $280-$1863 D3330 Endodontic Therapy Premolar Tooth $200-$1423 D3320 Endodontic Therapy Anterior Tooth $200-$1234 D3310 Surgical Services Service Cost Dental Codes Implant Consult $0-$100 Extraction Consult $0-$100 Extractions $50-$755 D7140/D7220/D7230/D7240 Cosmetic Dental Services Service Cost Service Cost In-Office Professional Whitening $545 Take-Home Whitening $350 Porcelain Veneers $500-$1800 Removable Prosthetics Service Cost Dental Codes Complete Upper Denture $1200-$2469 D5110 Complete Lower Denture $1200-$2469 D5120 Partial Upper Denture (All Resin) $950-$1952 D5211 Partial Lower Dental (All Resin) $950-$1952 D5212 Partial Upper Denture (Metal Frame) $1200-$2539 D5213 Partial Lower Dental (Metal Frame) $1200-$2539 D5214 Removable Prosthetics Service Cost Dental Codes Orthodontics $1000-$6500 D8060-D8090 Nitrous Sedation $50-$165 D9230 Occlusal Guard $300-$650 D9944/D9945
