Top 15 Codes

*Senate Bill (SB) 65, the Transparency bill, passed by the Colorado state legislature, 2017, requires all healthcare facilities, including all dental offices, to publish a list of fees for the 15 most common healthcare services provided by the office, by January 1, 2018. This must be made available electronically or on the provider’s website and updated annually.  

The health care price listed for any given health care service is an estimate. Actual charges for the health care service are dependent on the circumstances, including any complications or exceptional treatment, at the time the service is rendered.

If you are covered by health insurance or a dental plan, you are strongly encouraged to consult with your insurer or plan to determine accurate information about your financial responsibility for a particular health care service provided by a health care provider at this office. If you are not covered by health insurance or a dental plan, you are strongly encouraged to contact our billing office at 970-663-6878 to discuss payment option prior to receiving a health care service from a health care provider at this office since posted health care prices may not reflect the actual amount of your financial responsibility. 

Dental Services Description Charge Fee
9223 General Anesthesia, deep sedation $200
0150 Comprehensive oral evaluation $110
7240 Removal, completely bony impacted $595
0330 Panoramic Film $120
7140 Extraction, erupted tooth or exposed root $227
7210 Extraction, surgical removal erupted tooth $347
4266 Guided tissue regen-resorb $450
6199 Unspecified implant procedure $85
6010 Surgical Implant body: endosteal $1,995
9612 Therapeutic parenteral drugs- 2 or more $120
7230 Removal, partially bony impacted $481
6190 Radiograph/Surgical guide Implant $650
0140 Limited Oral Evaluation $92
0364 3D Scan, single tooth $185
6104 Bone graft @ time of implant placement $450