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
|
|||
|
|
Dental Code |
Procedure Name |
UCR Fee |
|
1 |
0140 |
Limited Oral Evaluation |
$102.00 |
|
2 |
7240 |
Extraction impacted tooth complete bony |
$593.00 |
|
3 |
7210 |
Surgical removal of erupted tooth |
$304.00 |
|
4 |
0330 |
Panoramic film |
$130.00 |
|
5 |
7230 |
Extraction impacted tooth partial bony |
$507.00 |
|
6 |
0367 |
CT Scan both jaws |
$453.00 |
|
7 |
7953 |
Bone graft/ridge preservation/site |
$510.00 |
|
8 |
6010 |
Surgical Placement of Implant Body |
$2,472.00 |
|
9 |
7140 |
Extraction of erupted tooth |
$183.00 |
|
10 |
7250 |
Surgical removal of residual roots |
$320.00 |
|
11 |
7220 |
Extraction impacted tooth -soft tissue |
$381.00 |
|
12 |
7921 |
PRP/PRF |
$283.00 |
|
13 |
6011 |
Second Stage Implant Surgery |
$270.00 |
|
14 |
7286 |
Biopsy of oral tissue- soft |
$517.00 |
|
15 |
7310 |
Alveoloplasty Quadrant with extraction of 4 or more teeth |
$540.00 |
If you have questions regarding our fees and how they relate to your insurance plan, please contact our office.