Diagnostic Dentistry
| D0120 | Periodical Oral Examination | $9.00 |
| D0140 | Limited Oral Examination, Problem Focused | $12.00 |
| D0150 | Comprehensive Oral Examination | $18.00 |
| D0210 | Intraoral-X-Ray Complete Series | $28.00 |
| D0460 | Pulp Vitality Test | $15.00 |
| D9999 | Asepsis Fee (Infection Control) | $8.00 |
| All Bitewing/Single Film X-Rays 20% Discount | ||