Procedure
ADA Code
UCR
Union Fee Schedule
Discount
Initial Oral Exam and Digital X-Rays
150, 210
$234
$59
$175
Teeth Cleaning
1110
$102
$53
$49
2 Surface Composite Filling
2392
$251
$118
$133
Root Canal (Molar)
3330
$1,240
$699
$541
Full Upper or Lower Denture
5120
$1,832
$885
$947
Extraction of Erupted Tooth
7140
$188
$74
$114