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

$72-$155

Periodic Exam (D0120) - $72
Limited Exam (D0140) - $115
Exam < 3 years old (D0145) - $104
New Patient Exam (D0150) - $127
Perio Exam (D0180) - $155

Teeth Cleaning (Prophylaxis)

$93-$134

Adult Teeth Cleaning (D1110) - $134
Child Teeth Cleaning (D1120) - $93

Sealants (D1351)

$76

Amalgam (Silver) Fillings

$188-$300

1 Surface (D2140) - $188
2 Surfaces (D2150) - $221
3 Surfaces (D2160) - $252
4+ Surfaces (D2161) - $300

Composite (White) Anterior Fillings

$233-$433

1 Surface (D2330) - $233
2 Surfaces (D2331) - $283
3 Surfaces (D2332) - $345
4+ Surfaces (D2335) - $433

Composite (White) Posterior Fillings

$251-$465

1 Surface (D2391) - $251
2 Surfaces (D2392) - $319
3 Surfaces (D2393) - $396
4+ Surfaces (D2394) - $465

Osseous Surgery

$1,400-$1,730

1-3 Teeth (D4261) - $1,400
Quad (D4260) - $1,730

Tissue Graft (D4273)

$1,555

Scaling & Root Planing

$283-$375

1-3 Teeth (D4342) - $283
Quad (D4341) - $375

Periodontal Maintenance (D4910)

$201

Restorative Dental

Certain insurance plans may cover up to 100%

Dental Crowns

$412-$1,628

Crown - Porcelain/Ceramic (D2740) - $1,628
Crown - Porcelain Fused to Metal (D2750) - $1,628
Crown Build Up (D2950) - $412

Root Canal

$1,133-$1,648

Anterior (D3310) - $1,133
Bicuspid (D3320) - $1,442
Molar (D3330) - $1,648

Dentures

$2,594-$2,651

Partial Upper Denture (D5213) - $2,651
Partial Lower Denture (D5214) - $2,651
Complete Upper Denture (D5110) - $2,594
Complete Lower Denture (D5120) - $2,594

Dental Bridges

$1,624

Retainer - Porcelain/Ceramic (D6740) - $1,624
Pontic - Porcelain/Ceramic (D6245) - $1,624

Dental Implants

$1,249-$2,575

Custom Abutment (D6057) - $1,249
Implant Crown - Porcelain/Ceramic (D6058) - $1,918
Surgical Place Implant (D6010) - $2,575

Tooth Extractions

$283-$416

Simple Extraction (D7140) - $283
Surgical Extraction (D7210) - $416

Sinus Augmentation (D7952)

$1,545

Augmentation w/Bone (D7951) - $2,575

Bone Graft

$809

w/Implant (D6104) - $809
w/Extraction Only (D7953) - $809

Additional Services

Certain insurance plans may cover up to 100%

Fluoride (D1206)

$60

Dental X-rays

$36-$185

FMX (D0210) - $180
PA (D0220) - $41
Addt’l PAs (D0230) - $36
2 BWX (D0272) - $62
4 BWX (D0274) - $93
Panoramic X-ray (D0330) - $185

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)