Below is a survey of average fee charged by the dentists (general practitioners and specialists in U.S). The data gathered from a nationwide random sample of dentists completed in 2018 by American Dental Association (ADA).
The survey data provides here acts as a guide to the dental fees only. Therefore, the cost appears in this data may not interpret as a fee schedule in any way. Individual dentist establishes his/her fees based on his/her expenses, including the cost of operating business in a particular location, the cost of materials, and living expenses, etc.
Note: new CDT code added D1354: Interim caries arresting medication application (for application of SDF - Silver Diamine Fluoride)
The survey data provides here acts as a guide to the dental fees only. Therefore, the cost appears in this data may not interpret as a fee schedule in any way. Individual dentist establishes his/her fees based on his/her expenses, including the cost of operating business in a particular location, the cost of materials, and living expenses, etc.
Note: new CDT code added D1354: Interim caries arresting medication application (for application of SDF - Silver Diamine Fluoride)
Diagnostic
|
||
Procedure code
|
Service Description
|
Fees in U.S $
|
D0120
|
Periodic oral evaluation
|
51
|
D0140
|
Limited oral evaluation - problem focused
|
73
|
D0145
|
Oral evaluation/Counseling with care giver < 3 yrs old
|
64
|
D0150
|
Comprehensive oral evaluation
|
83
|
D0160
|
Detailed-extensive oral evaluation, problem focus
|
119
|
D0170
D0171 |
Re-evaluation - limited, problem focused
Re-evaluation post –operative office visit |
58
22 |
D0180
D0190 D0191 |
Comprehensive periodontal evaluation
Screening of a patient Assessment of a patient |
96
55 54 |
X-Rays /diagnostic imaging
|
||
D0210
|
Intraoral - complete series of images
|
141
|
D0220
|
Intraoral - periapical - first image
|
30
|
D0230
D0251 |
Intraoral - periapical - each additional image
Extra-oral posterior dental image |
24
28 |
D0272
|
Bitewings – two images
|
49
|
D0273
|
Bitewings – three images
|
57
|
D0274
|
Bitewings - four images
|
69
|
D0277
|
Vertical bitewings - 7 to 8 images
|
103
|
D0330
|
Panoramic image
|
120
|
D0350
D03364 D0365 D0366 D0367 |
Oral/facial photographic images
Cone beam CT capture and interpretation of image less than whole jaw Cone beam CT and interpretation – full lower jaw Cone beam CT and interpretation – full upper jaw Cone beam CT and interpretation – full both jaws |
55
283 313 312 346 |
Tests/Examinations
|
||
D0417
D0418 |
Collection/preparation of saliva sample for diagnosis
Analysis of saliva sample |
143
141 |
D0431
|
Adjunctive pre-diagnostic test that aids in detection of mucosal abnormalities
|
63
|
D0470
D0601 D0602 D0603 |
Diagnostic casts
Caries risk assessment and documentation with a finding of low risk Caries risk assessment and documentation with a finding of moderate risk Caries risk assessment and documentation with a finding of high risk |
115
42 47 47 |
Preventive
|
||
D1110
|
Prophylaxis - adult
|
96
|
D1120
|
Prophylaxis - child
|
72
|
D1206
D1208 |
Topical application of fluoride varnish
Topical application of fluoride excluding varnish |
41
38 |
D1320
|
Tobacco counseling for the control/prevention of oral disease
|
39
|
D1330
|
Oral hygiene instructions
|
29
|
D1351
|
Sealant - per tooth
|
57
|
D1352
D1354 |
Preventive resin restoration in a moderate to high caries risk patients – permanent tooth
Interim caries arresting medicament application |
98
61 |
D1510
|
Space maintainer - fixed - unilateral
|
328
|
D1515
|
Space maintainer - fixed - bilateral
|
441
|
Restorative –Amalgam
|
||
D2140
|
Amalgam - one surface, primary or permanent
|
146
|
D2150
|
Amalgam - two surfaces, primary or permanent
|
181
|
D2160
|
Amalgam - three surfaces, primary or permanent
|
216
|
D2161
|
Amalgam- four or more surfaces, primary or permanent
|
255
|
Restorative – Direct Composite
|
||
D2330
|
Composite - one surface, anterior
|
175
|
D2331
|
Composite - two surfaces, anterior
|
211
|
D2332
|
Composite - three surfaces, anterior
|
253
|
D2335
|
Composite – four or more surfaces, or involving incisal angle, anterior
|
308
|
D2390
|
Composite crown, anterior
|
449
|
D2391
|
Composite - one surface, posterior
|
190
|
D2392
|
Composite – two surfaces, posterior
|
242
|
D2393
|
Composite – three surfaces, posterior
|
292
|
D2394
|
Composite – four or more surfaces, posterior
|
340
|
Restorative – Inlay/Onlay
|
||
D2520
|
Inlay - metallic - two surfaces
|
916
|
D2543
|
Onlay - metallic - three surfaces
|
1,038
|
D2620
|
Inlay - porcelain/ceramic - two surfaces
|
1,002
|
D2642
|
Onlay - porcelain/ceramic - two surfaces
|
1,060
|
D2643
|
Onlay - porcelain/ceramic - three surfaces
|
1,103
|
D2644
|
Onlay - porcelain/ceramic - four or more surfaces
|
1,144
|
D2651
|
Inlay - resin-based composite - two surfaces
|
840
|
D2662
|
Onlay - resin-based composite - two surfaces
|
908
|
D2663
|
Onlay - resin-based composite - three surfaces
|
951
|
D2664
|
Onlay - resin-based composite-four or more surfaces
|
988
|
Crowns and related restoration
|
||
D2710
|
Crown, resin-based composite (indirect)
|
756
|
D2740
|
Crown - porcelain/ceramic substrate
|
1,219
|
D2750
|
Crown - porcelain fused to high noble metal
|
1,201
|
D2751
|
Crown - porcelain fused to predominantly base metal
|
1,082
|
D2752
|
Crown - porcelain fused to noble metal
|
1,148
|
D2780
|
Crown - 3/4 cast high noble metal
|
1,178
|
D2783
|
Crown - 3/4 porcelain/ceramic
|
1,179
|
D2790
D2794 |
Crown - full cast high noble metal
Crown - Titanium |
1,235
1,137 |
D2799
|
Provisional crown (temporary crown)
|
351
|
D2920
D2929 |
Re-cement or re-bond crown
Pre-fabricated porcelain/ceramic crown - primary tooth |
111
348 |
D2930
|
Pre-fabricated stainless crown – primary tooth
|
280
|
D2931
|
Pre-fabricated stainless crown – permanent tooth
|
330
|
D2940
D2949 |
Protective restoration
Restorative foundation for an indirect restoration |
124
182 |
D2950
|
Core buildup, including any pins
|
280
|
D2952
|
Post and core in addition to crown, indirect fabricated
|
412
|
D2954
|
Prefabricated post and core in addition to crown
|
348
|
D2961
|
Labial veneer (resin laminate) - laboratory
|
937
|
D2962
|
Labial veneer (porcelain laminate) - laboratory
|
1,213
|
D2980
D2981 D2982 D2983 D2990 |
Crown repair necessitated by restorative material failure
Inlay repair due to restorative material failure Onlay repair due to material failure Veneer repair due to material failure Resin infiltration of incipient smooth surface lesions |
270
260 257 258 146 |
Pulpal therapy excludes final restoration
|
||
D3110
|
Pulp cap - direct
|
84
|
D3120
|
Pulp cap - indirect
|
83
|
D3220
|
Therapeutic pulpotomy
|
193
|
D3221
|
Pulpal debridement, primary and permanent teeth
|
200
|
D3222
|
Partial pulpotomy for apexogenesis-permanent tooth with incomplete root development
|
249
|
D3230
|
Pulpal therapy (resorbable filling)-anterior primary tooth
|
247
|
D3240
|
Pulpal therapy (resorbable filling)-posterior primary tooth
|
278
|
Endodontic therapy (root canal treatment, RCT) and related on permanent tooth
|
||
D3310
|
Endodontic therapy Anterior permanent tooth
|
785
|
D3320
|
Endodontic therapy Bicuspid
|
910
|
D3330
|
Endodontic therapy Molar
|
1,092
|
D3331
|
Treatment of root canal obstruction; non surgical access
|
465
|
D3332
|
Incomplete endodontic therapy; inoperable, unrestorable or fractured tooth
|
353
|
D3346
|
Re-treatment of previous RCT, anterior tooth
|
902
|
D3347
|
Re-treatment of previous RCT, bicuspid tooth
|
1,023
|
D3348
|
Re-treatment, molar tooth
|
1,215
|
D3351
|
Apexification/recalcification –first visit
|
339
|
D3352
|
Apexification/recalcification – interim medication replacement visit
|
240
|
D3353
D3355 D3356 |
Apexification/recalcification - final visit
Pulpal regeneration - first visit Pulpal regeneration – interim medication placement |
507
332 190 |
D3410
|
Apicoectomy surgery - anterior
|
707
|
D3421
|
Apicoectomy surgery – bicuspid (first root)
|
777
|
D3425
D3426 |
Apicoectomy surgery – molar (first root)
Apicoectomy each additional root |
856
345 |
Periodontics (includes post operative care)
|
||
D4210
|
Gingivectomy or gingingivoplasty – four or more contiguious teeth or tooth bounded spaces per quadrant
|
587
|
D4211
D4212 |
Gingivectomy or gingingivoplasty – one to three contiguious teeth or tooth bounded spaces per quadrant
Gingivectomy or gingingivoplasty to allow access for restoration, per tooth |
293
228 |
D4240
|
Gingival flap procedure, including root planning – four or more contiguous teeth or tooth bounded spaces per quadrant
|
720
|
D4241
|
Gingival flap procedure, including root planning –one to three contiguous teeth or tooth bounded spaces per quadrant
|
550
|
D4249
|
Clinical crown lengthening - hard tissue
|
742
|
D4260
|
Osseous surgery - four or more contiguous teeth or tooth bounded spaces per quadrant
|
1,090
|
D4261
D4263 D4264 D4266 D4267 D4273 D4275 D4277 D4278 |
Osseous surgery - one to three contiguous teeth or tooth bounded spaces per quadrant
Bone replacement graft – first site in quadrant Bone replacement graft – each additional site in quadrant Guided tissue regeneration – resorbable barrier, per site Guided tissue regeneration – non-resorbable barrier, per site Autogenous connective tissue graft procedure first tooth, implant or edentulous tooth position Non-Autogenous connective tissue graft procedure first tooth, implant or edentulous tooth position Free soft tissue graft, first tooth, implant or edentulous tooth position in graft Free soft tissue graft procedure addition contiguous tooth, implant or edentulous tooth position in same graft site |
881
599 458 588 740 1,089 966 932 621 |
D4321
|
Provisional splinting – extra coronal
|
415
|
D4341
|
Periodontal scaling and root planning – four or more teeth per quadrant
|
264
|
D4342
|
Periodontal scaling and root planning – one to three teeth per quadrant
|
188
|
D4355
|
Full mouth debridement to enable comprehensive evaluation and diagnosis
|
180
|
D4381
|
Localized delivery of antimicrobial agents via a control release vehicle into diseased crevicular tissue, per tooth
|
81
|
D4910
|
Periodontal maintenance
|
147
|
Prosthodontics – Removable
|
||
Complete dentures, includes post operative care
|
||
D5110
|
Complete denture – maxillary (upper)
|
1,718
|
D5120
|
Complete denture – mandibular (lower)
|
1.719
|
D5130
|
Immediate denture – upper
|
1,813
|
D5140
|
Immediate denture – lower
|
1,815
|
Partial dentures, includes post operative care
|
||
D5211
|
Upper partial denture – resin base including clasps
|
1,313
|
D5212
|
Lower partial denture – resin base including clasps
|
1,316
|
D5213
|
Upper partial denture – cast metal framework with resin denture bases
|
1,786
|
D5214
D5221 D5222 D5223 D5224 D5225 |
Lower partial denture – cast metal framework with resin denture bases
Immediate upper partial denture-resin base including clasps Immediate lower partial denture-resin base including clasps Immediate upper partial denture-cast metal framework with resin denture base including clasps Immediate lower partial denture-cast metal framework with resin denture base including clasps Upper partial denture – flexible base including clasps |
1,790
1,396 1,404 1,701 1,702 1,514 |
D5226
|
Lower partial denture – flexible base including clasps
|
1,519
|
Repair - dentures
|
||
D5510
|
Repair broken complete denture base
|
207
|
D5520
D5610 D5640 D5650 D5660 |
Replace broken or missing tooth – complete denture (per tooth)
Repair resin denture base Replace broken tooth – per tooth Add tooth to existing partial denture – per tooth Add clasp to existing partial denture – per tooth |
191
199 189 226 257 |
D5710
D5711 D5720 D5721 |
Rebase complete upper denture
Rebase complete lower denture Rebase upper partial denture Rebase lower partial denture |
577
572 545 546 |
D5730
|
Reline complete upper denture (chair side)
|
345
|
D5731
|
Reline complete lower denture (chair side)
|
344
|
D5750
|
Reline complete upper denture (laboratory)
|
455
|
D5751
|
Reline complete lower denture (laboratory)
|
455
|
Miscellaneous D5986 D5991 D5994 |
Fluoride gel carrier Vesiculobullous disease medicament carrier Periodontal medicament carrier with peripheral seal – laboratory processed |
181 261 422 |
Implants
D6010
D6011 |
Surgical placement of implant body: endosteal implant
Second stage implant surgery |
2,024
542 |
D6012
D6051 |
Surgical placement of interim implant body for transitional prosthesis: endosteal implant
Interim abutment |
1,613
493 |
D6055
|
Connecting bar – implant supported or abutment supported
|
2,386
|
D6056
|
Prefabricated abutment – includes placement
|
717
|
D6057
|
Custom fabricated abutment - includes placement
|
865
|
D6059
|
Abutment supported porcelain fused to metal crown (high noble metal)
|
1,352
|
D6066
|
Implant supported porcelain fused to metal crown (titanium, titanium alloy, high noble metal)
|
1,557
|
D6069
|
Abutment supported retainer for porcelain to metal FPD (high noble metal)
|
1,377
|
D6076
|
Implant supported retainer for porcelain fused to metal FPD (titanium, titanium alloy, high noble metal)
|
1,451
|
D6080
D6100 D6104 |
Implant maintenance procedures, including removal of prosthesis, cleansing of prosthesis and abutments and reinsertion of prosthesis
Implant removal, by report Bone graft at time of implant placement |
203
617 549 |
Prosthodontics (fixed)
|
||
Fixed partial denture pontics
|
||
D6205
|
Pontic - indirect resin based composite
|
986
|
D6210
|
Pontic - cast high noble metal
|
1,189
|
D6240
|
Pontic - porcelain fused to high noble metal
|
1,181
|
D6241
|
Pontic - porcelain fused to pre-dominantly base metal
|
1,093
|
D6245
D6253 |
Pontic - porcelain/ceramic
Provision pontic – further treatment or completion of diagnosis necessary prior to final impression |
1,196
549 |
Fixed partial denture retainers – crowns
D6545 |
Retainer – cast metal for resin bonded fix prosthesis |
661 |
D6549
D6710 |
Resin retainer – for resin bonded fixed prosthesis
Retainer crown - indirect resin based composite |
706
1,009 |
D6750
|
Retainer crown - porcelain fused to high noble metal
|
1,200
|
D6751
|
Retainer crown - porcelain fused to predominantly base metal
|
1,093
|
D6790
D6793 |
Retainer crown - full cast high noble metal
Provisional retainer crown – further treatment or completion of diagnosis necessary prior to final impression |
1,196
450 |
D6930
|
Re-cement or re-bond fixed partial denture
|
169
|
Oral and maxillofacial surgery
|
||
Extraction (includes post operative care, suture, and anesthesia)
|
||
D7111
|
Extraction, coronal remnants - deciduous tooth
|
131
|
D7140
|
Extraction, erupted tooth or exposed root (elevation and/or forceps removal)
|
187
|
D7210
|
Surgical removal of erupted tooth requiring removal of bone and/or section of tooth, and including elevation of mucoperiosteal flap if indicated
|
290
|
D7220
|
Removal of impacted tooth - soft tissue
|
334
|
D7230
|
Removal of impacted tooth - partially bony
|
407
|
D7240
|
Removal of impacted tooth - completely bony
|
487
|
D7250
|
Surgical removal of residual tooth roots (cutting procedure)
|
301
|
D7251
|
Coronectomy - intentional partial tooth removal
|
396
|
Other surgical procedure
|
||
D7286
|
Incisional biopsy of oral tissue – soft
|
319
|
D7287
|
Exfoliative cytological sample collection
|
174
|
D7288
D7295 |
Brush biopsy - trans epithelial sample collection
Harvest of bone for use of autogenous grafting procedure |
185
602 |
Alveoloplasty – surgical preparation of ridge
|
||
D7310
|
Alveoloplasty in conjunction with extractions – four or more teeth or tooth spaces, per quadrant
|
301
|
D7320
|
Alveoloplasty not in conjunction with extractions – four or more teeth or tooth spaces, per quadrant
|
413
|
Surgical excision of soft tissue lesions
|
||
D7410
|
Excision of benign lesion up to 1.25 cm
|
388
|
Surgical excision of intra-osseous lesions
|
||
D7440
|
Excision of malignant tumor – lesion up to 1.25 cm
|
735
|
D7450
D7640 |
Removal of benign odontogenic cyst or tumor lesion up to 1.25 cm
Mandible – closed reduction (teeth immobilized, if present) |
504
3,466 |
D7880
|
Occlusal orthotic device, by report
|
823
|
Repair of traumatic wounds
|
||
D7910
D7921 |
Suture of recent small wounds up to 5 cm
Collection and application of autologous blood concentrate product |
264
387 |
Other repair procedures
|
||
D7953
|
Bone replacement graft for ridge preservation – per site
|
538
|
D7960
|
Frenulectomy (Frenectomy or frenotomy) – separate procedure not incidental to another
|
429
|
D7970
|
Excision of hyperplastic tissue – per arch
|
452
|
Orthodontics
|
||
D8020
|
Limited treatment of the transitional dentition
|
2,486
|
D8030
|
Limited treatment of the adolescent dentition
|
2,910
|
D8040
|
Limited treatment of the adult dentition
|
3,247
|
D8050
|
Interceptive treatment of the primary dentition
|
2,456
|
D8060
|
Interceptive treatment of the transitional dentition
|
2,724
|
D8070
|
Comprehensive treatment of the transition dentition
|
5,189
|
D8080
|
Comprehensive treatment of the adolescent dentition
|
5,449
|
D8090
D8660 |
Comprehensive treatment of the adult dentition
Pre-orthodontic treatment exam to monitor growth and development |
5,552
285 |
D8670
D8681 |
Periodic treatment visit (as part of contract)
Removable orthodontic retainer adjustment |
225
189 |
D8690
|
Orthodontic treatment ( alternative billing to a contract fee)
|
318
|
D8692
|
Replacement of lost or broken retainer
|
304
|
General Services
|
||
D9110
|
Palliative (emergency) treatment of dental pain – minor procedure
|
123
|
D9120
|
Fixed partial denture sectioning
|
178
|
Anesthesia
|
||
D9210
D9215 |
Local anesthesia not in conjunction with operative or surgical procedures
Local anesthesia in conjunction with operative or surgical procedures |
66
38 |
D9230
D9243 |
Inhalation of nitrous oxide/analgesia, anxiolysis
Intravenous moderate (conscious) sedation/analgesia each 15 minutes increment |
67
216 |
D9248
|
Non-intravenous conscious sedation
|
197
|
Professional consultation
|
||
D9310
|
Consultation (diagnostic service provided by dentist or physician other than requesting dentist or physician)
|
98
|
Professional visits
|
||
D9410
|
House/extended care facility call
|
203
|
D9420
|
Hospital or ambulatory surgical center call
|
255
|
D9430
|
Office visit for observation (during regular hours) – no other service performed
|
59
|
D9440
|
Office visit – after regularly hours
|
158
|
D9450
|
Case presentation, detailed and extensive treatment planning
|
130
|
Drugs
|
||
D9610
|
Therapeutic parenteral drug, single administration
|
61
|
D9630
|
Other drugs and/or medicaments, by report
|
32
|
Miscellaneous services
|
||
D9910
|
Application of desensitizing medicament
|
55
|
D9911
|
Application of desensitizing resin for cervical and/or root surface per tooth
|
60
|
D9920
D9930 D9932 D9933 D9934 D9935 |
Behavior management, by report
treatment of complication – post surgical Cleaning/inspection of removable upper full denture Cleaning/inspection of removable lower full denture Cleaning/inspection of removable upper partial denture Cleaning/inspection of removable lower partial denture |
115
112 62 61 62 62 |
D9940
|
Occlusal guard, by report
|
535
|
D9941
D9943 |
Fabrication of athletic mouth guard
Occlusal guard adjustment |
230
96 |
D9951
|
Occlusal adjustment – limited
|
150
|
D9952
|
Occlusal adjustment – complete
|
569
|
D9972
|
External bleaching - per arch
|
288
|
D9974
D9975 |
Internal bleaching - per tooth
External bleaching for home application, per arch, includes materials and fabrication of custom trays |
248
250 |
