Clair Family Dentistry

Cash prices

1. 2 bite wing x-rays

   Standard service: Bitewing X-rays (2 images)

   Code D0272

   Ask what's included
   $70

   Standard fee for two bitewing X-rays. Insured out-of-pocket costs depend on your plan’s negotiated rates, deductible and copays.

   Source: clairdental.com · checked Oct 2026
2. 4 bite wing x-rays

   Standard service: Bitewing X-rays (4 films)

   Code D0274

   Ask what's included
   $95

   Standard fee for four bitewing X-rays. Insured out-of-pocket costs depend on your plan’s negotiated rates, deductible and copays.

   Source: clairdental.com · checked Oct 2026
3. One-surface composite filling in a back tooth

   Standard service: Composite filling, posterior (1 surface)

   Code D2391

   Ask what's included
   $300

   Standard fee. Insured out-of-pocket costs depend on your plan’s negotiated rates, deductible and copays.

   Source: clairdental.com · checked Oct 2026
4. Two-surface composite filling in a back tooth

   Standard service: Composite filling, posterior (2 surfaces)

   Code D2392

   Ask what's included
   $350

   Standard fee. Insured out-of-pocket costs depend on your plan’s negotiated rates, deductible and copays.

   Source: clairdental.com · checked Oct 2026
5. Crown

   Ask what's included
   $1,600

   Standard fee. Insured out-of-pocket costs depend on your plan’s negotiated rates, deductible and copays.

   Source: clairdental.com · checked Oct 2026
6. Additional periapical X-ray

   Standard service: Dental X-ray periapical - additional image

   Code D0230

   Ask what's includedAddon
   $45 per unit

   Standard fee per additional X-ray. Insured out-of-pocket costs depend on your plan’s negotiated rates, deductible and copays.

   Source: clairdental.com · checked Oct 2026
7. Fluoride

   Standard service: Fluoride treatment

   Ask what's included
   $50

   Standard fee. Insured out-of-pocket costs depend on your plan’s negotiated rates, deductible and copays.

   Source: clairdental.com · checked Oct 2026
8. Full mouth x-ray

   Standard service: Full mouth X-rays (FMX)

   Code D0210

   Ask what's included
   $180

   Standard fee. Insured out-of-pocket costs depend on your plan’s negotiated rates, deductible and copays.

   Source: clairdental.com · checked Oct 2026
9. Implant crown

   Ask what's included
   $2,500

   Standard fee. Insured out-of-pocket costs depend on your plan’s negotiated rates, deductible and copays.

   Source: clairdental.com · checked Oct 2026
10. Limited exam

    Standard service: Limited dental exam (problem-focused)

    Code D0140

    Ask what's included
    $120 per visit

    Standard fee. Insured out-of-pocket costs depend on your plan’s negotiated rates, deductible and copays.

    Source: clairdental.com · checked Oct 2026
11. New patient exam

    Ask what's included
    $140 per visit

    Standard fee. Insured out-of-pocket costs depend on your plan’s negotiated rates, deductible and copays.

    Source: clairdental.com · checked Oct 2026
12. Single periapical X-ray

    Standard service: Periapical X-ray

    Code D0220

    Ask what's included
    $50

    Standard fee. Insured out-of-pocket costs depend on your plan’s negotiated rates, deductible and copays.

    Source: clairdental.com · checked Oct 2026
13. Periodic exam

    Standard service: Periodic oral exam

    Code D0120

    Ask what's included
    $80 per visit

    Standard fee. Insured out-of-pocket costs depend on your plan’s negotiated rates, deductible and copays.

    Source: clairdental.com · checked Oct 2026
14. Scaling & root planing

    Standard service: Scaling and root planing (deep cleaning)

    Ask what's included
    $400 per unit

    Standard fee per quadrant of the mouth. Insured out-of-pocket costs depend on your plan’s negotiated rates, deductible and copays.

    Source: clairdental.com · checked Oct 2026
15. Adult cleaning

    Standard service: Teeth cleaning (adult)

    Code D1110

    Ask what's included
    $140 per visit

    Standard fee. Insured out-of-pocket costs depend on your plan’s negotiated rates, deductible and copays.

    Source: clairdental.com · checked Oct 2026
16. Child cleaning

    Standard service: Teeth cleaning (child)

    Code D1120

    Ask what's included
    $105 per visit

    Standard fee. Insured out-of-pocket costs depend on your plan’s negotiated rates, deductible and copays.

    Source: clairdental.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.