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

$70-$150

Periodic Exam (D0120) - $70
Limited Exam (D0140) - $112
Exam < 3 years old (D0145) - $101
New Patient Exam (D0150) - $123
Perio Exam (D0180) - $150

Teeth Cleaning (Prophylaxis)

$90-$130

Adult Teeth Cleaning (D1110) - $130
Child Teeth Cleaning (D1120) - $90

Sealants (D1351)

$74

Amalgam (Silver) Fillings

$183-$291

1 Surface (D2140) - $183
2 Surfaces (D2150) - $215
3 Surfaces (D2160) - $245
4+ Surfaces (D2161) - $291

Composite (White) Anterior Fillings

$226-$420

1 Surface (D2330) - $226
2 Surfaces (D2331) - $275
3 Surfaces (D2332) - $335
4+ Surfaces (D2335) - $420

Composite (White) Posterior Fillings

$244-$451

1 Surface (D2391) - $244
2 Surfaces (D2392) - $310
3 Surfaces (D2393) - $384
4+ Surfaces (D2394) - $451

Osseous Surgery

$1,359-$1,680

1-3 Teeth (D4261) - $1,359
Quad (D4260) - $1,680

Tissue Graft (D4273)

$1,510

Scaling & Root Planing

$275-$364

1-3 Teeth (D4342) - $275
Quad (D4341) - $364

Periodontal Maintenance (D4910)

$195

Restorative Dental

Certain insurance plans may cover up to 100%

Dental Crowns

$400-$1,581

Crown - Porcelain/Ceramic (D2740) - $1,581
Crown - Porcelain Fused to Metal (D2750) - $1,581
Crown Build Up (D2950) - $400

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) - $2,574
Partial Lower Denture (D5214) - $2,574
Complete Upper Denture (D5110) - $2,518
Complete Lower Denture (D5120) - $2,518

Dental Bridges

$1,577

Retainer - Porcelain/Ceramic (D6740) - $1,577
Pontic - Porcelain/Ceramic (D6245) - $1,577

Dental Implants

$1,213-$2,500

Custom Abutment (D6057) - $1,213
Implant Crown - Porcelain/Ceramic (D6058) - $1,862
Surgical Place Implant (D6010) - $2,500

Tooth Extractions

$275-$404

Simple Extraction (D7140) - $275
Surgical Extraction (D7210) - $404

Sinus Augmentation (D7952)

$1,500

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

Bone Graft

$785

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

Additional Services

Certain insurance plans may cover up to 100%

Fluoride (D1206)

$58

Dental X-rays

$33-$180

FMX (D0210) - $175
PA (D0220) - $40
Addt’l PAs (D0230) - $35
2 BWX (D0272) - $60
4 BWX (D0274) - $90
Panoramic X-ray (D0330) - $180

Front entrance of Leominster Family Dentists

Leominster Family Dentists

81 West Street
Leominster, MA 01453
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Hours

Monday & Tuesday 8:00 a.m. – 8:00 p.m.
Wednesday - Friday: 8:00 a.m. – 5:00 p.m.
Saturday: 8:00 a.m. – 1:00 p.m. (alternating)