Baker Pediatric Dentistry

Cash prices

1. Two Bitewing Radiographs (X-rays for children <12 years)

   Standard service: Bitewing X-rays (2 images)

   Code D0272

   Ask what's included
   $49

   For children under 12 without dental insurance paying at the time of service. Price covers a set of two bitewing x-rays.

   Source: bakerpediatricdentistry.com · checked Oct 2026
2. Four Bitewings (X-rays for children 12 years and older)

   Standard service: Bitewing X-rays (4 films)

   Code D0274

   Ask what's included
   $74

   For children age 12 and older without dental insurance paying at the time of service. Price covers a set of four bitewing x-rays.

   Source: bakerpediatricdentistry.com · checked Oct 2026
3. Typical 6 month check up for a child 12 and older

   Standard service: Dental checkup (child 12+)

   Ask what's includedPackage
   $292 per visit

   For established patients age 12 and older without dental insurance paying at the time of service. Typical total includes periodic exam, four bitewing x-rays, adult cleaning and fluoride. Additional recommended services are extra.

   Source: bakerpediatricdentistry.com · checked Oct 2026
4. Typical 6 month check up for a child under 12

   Standard service: Dental checkup (child under 12)

   Ask what's includedPackage
   $237 per visit

   For established patients under 12 without dental insurance paying at the time of service. Typical total includes periodic exam, two bitewing x-rays, child cleaning and fluoride. Additional recommended services are extra.

   Source: bakerpediatricdentistry.com · checked Oct 2026
5. Emergency Visit to Diagnose

   Standard service: Emergency dental visit

   Ask what's includedPackage
   $120 per visit

   For patients without dental insurance paying at the time of service. Typical diagnostic total includes emergency exam and one periapical x-ray. Additional services or treatment are extra.

   Source: bakerpediatricdentistry.com · checked Oct 2026
6. Two surface filling

   Standard service: Filling, 2 surfaces

   Ask what's included
   $206

   For patients without dental insurance paying at the time of service. Price is per two-surface filling.

   Source: bakerpediatricdentistry.com · checked Oct 2026
7. Topical Fluoride Varnish

   Standard service: Fluoride varnish

   Code D1206

   Ask what's included
   $48

   For patients without dental insurance paying at the time of service. Price is per fluoride varnish application.

   Source: bakerpediatricdentistry.com · checked Oct 2026
8. Lip Tie release

   Standard service: Labial frenectomy

   Code D7961

   Ask what's included
   $150

   For patients without dental insurance paying at the time of service.

   Source: bakerpediatricdentistry.com · checked Oct 2026
9. Limited Oral Evaluation (Emergency Exam)

   Standard service: Limited dental exam (problem-focused)

   Code D0140

   Ask what's included
   $87 per visit

   For patients without dental insurance paying at the time of service. Price covers the emergency exam only.

   Source: bakerpediatricdentistry.com · checked Oct 2026
10. New Patient Special

    Ask what's includedNew-patient offer
    $100

    One-time offer for new patients without dental insurance paying at the time of service. Includes exam, x-ray, cleaning and fluoride. Additional recommended services are extra.

    Source: bakerpediatricdentistry.com · checked Oct 2026
11. Nitrous Oxide (laughing gas)

    Standard service: Nitrous oxide sedation

    Code D9230

    Ask what's included
    $82

    For patients without dental insurance paying at the time of service.

    Source: bakerpediatricdentistry.com · checked Oct 2026
12. One Periapical radiograph

    Standard service: Periapical X-ray (first image)

    Code D0220

    Ask what's included
    $33

    For patients without dental insurance paying at the time of service. Price covers one periapical x-ray.

    Source: bakerpediatricdentistry.com · checked Oct 2026
13. Periodic Exam (6 month exam) for established patient

    Standard service: Periodic oral exam

    Code D0120

    Ask what's included
    $59 per visit

    For established patients without dental insurance paying at the time of service.

    Source: bakerpediatricdentistry.com · checked Oct 2026
14. Stainless Steel Crown Primary Tooth

    Standard service: Stainless steel crown (primary tooth)

    Code D2930

    Ask what's included
    $308

    For patients without dental insurance paying at the time of service. Price is per stainless steel crown on a primary tooth.

    Source: bakerpediatricdentistry.com · checked Oct 2026
15. Prophylaxis Adult (12 years and older)

    Standard service: Teeth cleaning (adult)

    Code D1110

    Ask what's included
    $111

    For patients age 12 and older without dental insurance paying at the time of service. Price is per cleaning.

    Source: bakerpediatricdentistry.com · checked Oct 2026
16. Child dental cleaning (under 12)

    Standard service: Teeth cleaning (child)

    Code D1120

    Ask what's included
    $81

    For children under 12 without dental insurance paying at the time of service. Price is per cleaning.

    Source: bakerpediatricdentistry.com · checked Oct 2026
17. Child dental cleaning (under 12)

    Standard service: Teeth cleaning (child)

    Code D1120

    Ask what's included
    $81

    For children under 12 without dental insurance paying at the time of service. Price is per cleaning.

    Source: bakerpediatricdentistry.com · checked Oct 2026
18. White Crown Primary Tooth

    Standard service: Tooth-colored crown (primary tooth)

    Ask what's included
    $328

    For patients without dental insurance paying at the time of service. Price is per white crown on a primary tooth.

    Source: bakerpediatricdentistry.com · checked Oct 2026

Prices are published cash prices with their source and the date we last checked. Confirm with the provider before you book. Hospital prices for a billing code are often the facility charge only.