Office Fees

Giving You the Full Picture

At Leominster Family Dentists, we put you at the center of everything we do, which means being as transparent as possible about not only who we are and the services we offer, but also about how our fees are structured. We’ve listed most of our services with fee structures below. Please understand that each procedure could vary in price from these numbers depending on the need—every patient and every case is different.

Preventative Care

Certain insurance plans may cover up to 100%

Dental Exam

$58-$110

Periodic Exam (D0120) - $58
Limited Exam (D0140) - $97
Exam < 3 years old (D0145) - $90
New Patient Exam (D0150) - $102
Perio Exam (D0180) - $110

Teeth Cleaning (Prophylaxis)

$84-$110

Adult Teeth Cleaning (D1110) - $110
Child Teeth Cleaning (D1120) - $84

Sealants (D1351)

$61

Amalgam (Silver) Fillings

$153-$273

1 Surface (D2140) - $153
2 Surfaces (D2150) - $199
3 Surfaces (D2160) - $235
4+ Surfaces (D2161) - $273

Composite (White) Anterior Fillings

$165-$317

1 Surface (D2330) - $165
2 Surfaces (D2331) - $218
3 Surfaces (D2332) - $268
4+ Surfaces (D2335) - $317

Composite (White) Posterior Fillings

$194-$390

1 Surface (D2391) - $194
2 Surfaces (D2392) - $263
3 Surfaces (D2393) - $316
4+ Surfaces (D2394) - $390

Osseous Surgery

$883-$1,583

1-3 Teeth (D4261) - $883
Quad (D4260) - $1,583

Tissue Graft (D4273)

$1,375

Addt’l Teeth (D4283) - $1,217

Scaling & Root Planing

$226-$311

1-3 Teeth (D4342) - $226
Quad (D4341) - $331

Periodontal Maintenance (D4910)

$164

Restorative Dental

Certain insurance plans may cover up to 100%

Dental Crowns

$359-$1,365

Crown - Porcelain/Ceramic (D2740) - $1,365
Crown - Porcelain Fused to Metal (D2750) - $1,365
Crown Build Up (D2950) - $359

Root Canal

$1,100-$1,600

Anterior (D3310) - $1,100
Bicuspid (D3320) - $1,400
Molar (D3330) - $1,600

Dentures

$1,956-$2,001

Partial Upper Denture (D5213) - $1,956
Partial Lower Denture (D5214) - $1,956
Complete Upper Denture (D5110) - $2,001
Complete Lower Denture (D5120) - $2,001

Dental Bridges

$1,365-$1,472

Retainer - Porcelain/Ceramic (D6740) - $1,365
Pontic - Porcelain/Ceramic (D6245) - $1,472

Dental Implants

$963-$2,180

Custom Abutment (D6057) - $963
Implant Crown - Porcelain/Ceramic (D6058) - $1,585
Surgical Place Implant (D6010) - $2,180

Tooth Extractions

$201-$297

Simple Extraction (D7140) - $201
Surgical Extraction (D7210) - $297

Sinus Augmentation (D7952)

$1,500

Augmentation w/Bone (D7951) - $2,500

Bone Graft

$751-785

w/Implant (D6104) - $751
w/Extraction Only (D7953) - $785

Additional Services

Certain insurance plans may cover up to 100%

Fluoride (D1206)

$45

Dental X-rays

$31-$164

FMX (D0210) - $164
PA (D0220) - $35
Addt’l PAs (D0230) - $31
2 BWX (D0272) - $56
4 BWX (D0274) - $79
Panoramic X-ray (D0330) - $151