Top 15 Codes and UCR Fees

As an effort to provide our patients with price transparency and to be compliant with new Colorado State legislature, below is a list of our top 15 used codes and their usual and customary fees:

2018 Top 15 Codes
and UCR Fees

 

 

Dental Code

Procedure Name

UCR Fee

1

0140

Limited Oral Evaluation

$106.00

2

7240

Extraction impacted tooth complete bony

$617.00

3

7210

Surgical removal of erupted tooth

$316.00

4

0330

Panoramic film

$135.00

5

7230

Extraction impacted tooth partial bony

$527.00

6

0367

CT Scan both jaws

$453.00

7

7953

Bone graft/ridge preservation/site

$530.00

8

6010

Surgical Placement of Implant Body

$2,472.00

9

7140

Extraction of erupted tooth

$191.00

10

7250

Surgical removal of residual roots

$333.00

11

7220

Extraction impacted tooth -soft tissue

$397.00

12

7921

PRP/PRF

$295.00

13

6011

Second Stage Implant Surgery

$270.00

14

7286

Biopsy of oral tissue- soft

$538.00

15

7310

Alveoloplasty Quadrant with extraction of 4 or more teeth

$561.00

If you have questions regarding our fees and how they relate to your insurance plan, please contact our office.