Capitol Center For Oral & Maxillofacial Surgery
Dental Procedures
| Procedure | Estimate of Total Cost | Number of Visits | What You Will Pay Uninsured Discount: 0% |
|---|---|---|---|
| Dental Exam - Comprehensive | $108 | N/A | $108 |
| Dental Exam - Periodic, Established Patient | $108 | N/A | $108 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $109 | N/A | $109 |
| Tooth Extraction - Elevation and/or Forceps Removal | $218 | N/A | $218 |
| X-Ray - Whole Mouth from Outside Mouth | $153 | N/A | $153 |