A Comprehensive List of Our Oral and Maxillofacial Surgery Services
If you cannot determine your cost please call us for a price! If you need a surgery or service not listed please call us for a price!
Apicoectomies
Apicoectomies
These surgeries include removing any apical cyst, abscess, or granuloma and sedation.
Apicoectomy, incisor or canine tooth: $430
Apicoectomy, premolar: $490
Apicoectomy, molar: $600
View ApicoectomiesAnesthesia
Anesthesia
See our Oral Surgery Pre-Op Sedation Instructions here.
$160 per 15 minutes for surgeries that do not include sedation. IV anesthesia is included with most of our surgeries. Sedation is used to relax patients so the surgery is easier for everyone. Sedation does not take away pain, we use local anesthetics injections after the patient is sedated to block pain.
View AnesthesiaBasic Oral Surgery (Dentoalveolar Surgery)
Basic Oral Surgery
( also known as Dentoalveolar Surgery)
Sedation is included with all of these surgeries.
Extraction of first erupted tooth: $300
Extraction of additional erupted teeth during same surgery: $150 each
Extraction of first impacted tooth: $400
Extraction of additional impacted teeth during same surgery: $275 each
Alveoplasty at the time of extraction: $180 per quadrant
Includes exostosis
Alveoplasty separate from extractions: $420 per quadrant
Includes exostosis
Removal of lingual torus: $400 per side
Removal of palatal torus: $530
Sequestrectomy or removal of exposed bone after surgery: $380
No charge for surgery or sedation if RCOMS performed the surgery within the last 3 months
View Full DetailsBiopsies
Biopsies
Some lesions may not require a biopsy and may be treated with excision/resection rather than a biopsy.
These surgeries include sedation.
25% of the biopsy cost is applied towards final surgical treatment if the final surgery is done within 3 months.
Biopsy of a soft tissue lesion: $350
Biopsy of a bone lesion: $500
View Full DetailsDental Implant Surgery
Affordable Dental Implant Surgery
River City Oral Surgery is the nationwide leader in up-front, affordable, and fair pricing. We offer single implants to replace one tooth or multiple implants to replace all the teeth in a jaw.
For more information about dental implants, read our Dental Implant Fact Sheet.
We do offer a 5 year warranty on our implants. Details are available here.
Placement of a Dental Implant(s): $1,300 each
Click HERE to see all of our options and prices for dental implants.
View Full DetailsExam & Diagnostic Service
Exam & Diagnostic Services
X-rays are included if necessary. There is no discount for brining or sending x-rays but doing so will decrease your radiation exposure. X-rays need to be current to be useful.
Routine consultation: $200
Valid for 3 months
The entire fee is applied to surgery if surgery is needed & booked within 3 months
Re-evaluation of routine established patients: $100
Must have been seen in the last 12 months
Trauma consultation: $500
Valid for 2 weeks
The entire fee is applied to surgery if surgery is needed & booked within 2 weeks
Re-evaluation of a trauma patient: $120
Must have been seen within the last 12 months
TMJ consultation: $500
Not applied to surgery
TMJ re-evaluation of established patients: $300
Must have been seen in the last 12 months
Hospital/ER consultation: $300
For new patients (meaning any patient not seen in the last 12 months) first seen in the hospital or ER
Hospital rounding fee: $150 per day
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Grafting
Grafting
These surgeries include sedation if done in the office in combination with another surgery that includes sedation such as an extraction; if not, sedation is extra.
Complex grafts are usually done in the hospital where the anesthesiologist would usually accept your medical insurance.
Membranes and other supplies and harvesting patient bone are included in these prices.
RCOMS does not perform grafts to prepare a patient for further surgery with another doctor. For example, we will not perform a bone graft so another doctor can place your dental implant.
Bone graft, simple: $450 per area
Examples are: particulate grafts, socket preservation grafts, osteotome sinus lifts
Bone graft, intermediate: $980 per area
Examples are: open sinus lift, ridge split, autogenous bone blocks from oral donor sites
Bone graft, comlex: $3,000
Examples are: reconstruction of severe atrophy or continuity defects, autogenous bone blocks from extraoral donor sites.
Gum graft, first tooth: $400
Includes sedation
Extra fee for supplies if patient’s own tissue cannot be used
Gum graft, additional teeth: $300 per tooth
Includes sedation
View Full DetailsInfections
Infections
These surgeries do NOT include sedation unless combined with another surgery that includes sedation.
Complex and some intermediate surgeries are usually done in the hospital where the anesthesiologist would usually accept your medical insurance.
Incision & drainage (I&D), simple: $300
Usually one space & easy access
Incision & drainage (I&D), intermediate: $700
May be more than one space or require extraoral access
More difficult case which may require more than one surgery
Incision & drainage (I&D), complex: $1,200
Usually extraoral and more than one space
Difficult access
Repeat I&D, washout, or debridement within 2 weeks: $200 each
Orthodontic Related Surgeries
Orthodontic Related Surgeries
These surgeries include sedation.
Surgical exposure of a tooth: $260 each
Attaching a bracket or wire to a surgically exposed tooth: $320 each tooth
Luxation (wiggling) of a surgically exposed tooth to aid in eruption: $100
Tooth auto-transplantation and stabilization: $2,000
Placement of a Temporary Anchorage Device (TAD): $620
Includes parts
View Full DetailsLegal Case/Expert Witness
Legal Case/Expert Witness
Pretrial work: $250 per half hour
One hour minimum
Rounded to next half hour block
Deposition: $500 per half hour
Rounded to next half hour block
Trial: $650 per half hour
Rounded to next half hour block
Travel Time: $150 per 15 minutes
Rounded to nearest 15 minutes
30 minute minimum to travel
Includes travel time and time waiting on-site
Minimum charge for deposition or trial: $3,500 per day
Maximum charge for deposition or trial: $9,000 per day
View Full DetailsMiscellaneous Fees
After Hours Fee $250
This fee is charged to see patients for new problems after normal hours. It is not charged for existing patients who need post-operative care.
Ultrasound Guided IV Placement $325
We can arrange to have your IV placed with an ultrasound if you know it is very hard to start an IV on you. The ultrasound makes even difficult IV’s faster and more predictable. Most of the time even the most difficult IV can be started on the first try with an ultrasound. This service is provided by another company that comes to our office.
Additional Surgical Fee $250
Additional surgical fee for a surgery done in the operating room
Additional surgical fee to take over or “fix” a case: $200
For example, to finish removing a tooth started by another doctor
Complete FEMLA paperwork: $50 – Three business day turn-around, can expedite for $50 more
Assist with out-of-network insurance claims: $50 – Three business day turn-around, can expedite for $50 more per order
Doctor letter to insurance: $100 – Five business day turn-around, can expedite for $50 more per order
Doctor letter to attorney: $150 – Five business day turn-around, can expedite for $50 more per order
Other miscellaneous forms: $15 per page – Five business day turn-around, can expedite for $50 more per order
View Full DetailsMiscellaneous Surgeries
Miscellaneous Surgeries
Caldwell Luc sinusotomy (aka antrostomy): $500 per side
Used to remove foreign bodies from the maxillary sinus or clean the maxillary sinus
Does NOT include sedation unless combined with another surgery than includes sedation
Coronoidectomy: $900 per side
Does NOT include sedation unless combined with another surgery than includes sedation
This surgery is typically done in the hospital & anesthesia is billed by the anesthesiologist who generally accepts your medical insurance.
Cutting a dental bridge: $250 per bridge
Does NOT include sedation unless combined with another surgery than includes sedation
Arch bar removal: $420 per bar
This service is included if RCOMS placed the arch bar
There is no additional fee to take-over this case
Includes sedation
Hardware removal: $480 per site
Sedation is included if done in the office.
Treatment of a dry socket for extraction NOT done by RCOMS: $40
Treatment is with local anesthesia only if necessary, does not include sedation.
This is in addition to consult fee. No additional fee to take-over this case.
View Full DetailsOrthognathic Surgery (Jaw Repositioning)
Orthognathic Surgery (Jaw Repositioning)
These surgeries are typically done in the hospital & anesthesia is billed by the anesthesiologist who generally accepts your medical insurance.
Does not include anesthesia or sedation if done in the office.
Does not include hardware (plates & screws) if done in the office.
Additional fees for bone grafts if necessary.
Mandibular sagittal split ramus osteotomy (SSRO): $2,800 per side
Mandibular intraoral vertical ramus osteotomy (IVRO): $2,200 per side
Maxillary LeFort I osteotomy, 1 piece: $6,200
Maxillary LeFort I osteotomy, 2 pieces: $7,600
Maxillary LeFort I osteotomy, 3 pieces: $8,500
Subapical osteotomy: $3,300
Genioplasty (chin repositioning): $2,800
Bone allograft (non-living) for orthognathic surgery: $350 per osteotomy
Bone allograft (living bone from the patient) for orthognathic surgery: $1,600 per osteotomy
View Full DetailsReconstruction
Reconstruction
These surgeries, except where noted, do NOT include sedation unless combined with another surgery than includes sedation.
Gingivectomy, first tooth: $260
Gingivectomy, each additional tooth during the same surgery: $120
Crown lengthening: $390 per tooth
Apically positioned gingival flap: $320
Vestibuloplasty: $1,080 per jaw
Includes supplies
Maxillary sinus repair, simple: $260
Usually a primary repair at the time of extraction
Usually requires only a plug & suture, no significant tissue flaps
Maxillary sinus repair, complex: $650
Usually a secondary repair
Usually requires local or regional flaps
Repositioning of the trigeminal nerve: $920 per nerve
Includes sedation if done in the office
Pectoralis flap reconstruction: $4,000
Nerve exploration and/or repair, simple: $1,600
Nerve exploration and/or repair, complex: $2,800
Scar revision: $400 per centimeter of length
Includes sedation if done in the office
View Full DetailsSalivary Surgery
Salivary Surgery
Except where noted, these surgeries may be done in the hospital & anesthesia is billed by the anesthesiologist who generally accepts your medical insurance.
Does not include anesthesia or sedation if done in the office.
Sialodochoplasty: $880
Repositioning of the salivary duct
Sialolithotomy: $520
Surgical removal of a salivary stone
Includes sedation
Excision of sublingual or submandibular gland: $880 per gland
View Full DetailsSurgical Treatment of Pathology
Surgical Treatment of Pathology
These surgeries include sedation if done in the office.
Some of these surgeries will be done in the hospital in which case anesthesia will be billed by the anesthesiologist who generally accepts your medical insurance.
Excision of a benign lesion, simple: $440
Single layer closure
Excision of a benign lesion, intermediate: $800
May require multiple layer closure or wide undermining of tissue
Excision of a benign lesion, complex: $1,400
Requires rotational flaps or other complex closure
Marsupialization of a cyst or ranula: $680
Enucleation or simple resection of a benign bony lesion: $650
Additional fees for complicated closures such as sinus opening
Intermediate or complex resection of a benign bony lesion: $3,000
Resection of a soft tissue cancerous lesion, simple: $1,200
Resection of a soft tissue cancerous lesion, intermediate: $3,200
Resection of a soft tissue cancerous lesion, complex: $4,500
Resection of a cancerous lesion in bone or requiring bone resection: $5,800
Neck dissection prior to radiation: $3,600
View Full DetailsTrauma
Trauma
These surgeries include sedation if done in the office. Many of these surgeries are done in the operating room & anesthesia is billed by the anesthesiologist who generally accepts your medical insurance.
Mandible fracture, maxillo-mandibular fixation (MMF): $2,800 per fracture
Wiring the mouth closed to allow healing
Mandible fracture, maxillo-mandibular fixation (MMF) with open reduction: $3,000 per fracture
Wiring the mouth closed to allow healing
Mandible fracture, open reduction & internal fixation (ORIF), intraoral approach: $2,500 per fracture
Putting metal plates, screws, and/or wires on or into the bone to allow healing
Mandible fracture, open reduction & internal fixation (ORIF), extraoral approach: $3,300 per fracture
Putting metal plates, screws, and/or wires on or into the bone to allow healing
Dentoalveolar fracture repair: $2,400 per fracture
Facial fracture, ORIF: $1,600 per fracture
Includes nose, maxilla, ZMC, orbit, frontal bone, and zygomatic arch
Nasal fracture, closed reduction: $870
Coronal or bicoronal flap for access: $1,000
Allows access to the forehead and upper face for trauma or pathology surgery
Laceration repair, simple: $600 per wound
Single layer closure
Laceration repair, intermediate: $860 per wound
Multiple layer closure
Laceration repair, complex: $1,120 per wound
Multiple layer and/or flap closure
View Full DetailsWisdom Teeth Extraction
Wisdom Teeth Extraction
We will remove four wisdom teeth for $1000 plus the current $25 PPE fee. We don’t need to see the x-rays. The type of impaction doesn’t matter. Four wisdom teeth = $1025!
Surgery includes:
- Consultation
- In-office x-rays as needed
- IV sedation
- Extraction of the 4 teeth (additional fees apply if you have more than 4 wisdom teeth)
- Appropriate aftercare
Most people’s wisdom teeth don’t grow completely into their mouth in a normal position and end up causing problems. You might have a minor problem like food trapping or gum irritation, a moderate problem like cavities or pain, or a serious problem like cysts around the teeth, infection, fever, and/or swelling. We will evaluate your case and give you and honest opinion. If there is no reason to remove the teeth we will tell you.
Sometimes people ask why we remove wisdom teeth that haven’t cause a problem yet. We remove them when we think it’s likely you will have problems based on your situation. We also remove wisdom teeth that are interfering with orthodontic treatment. The earlier we remove the teeth, the younger you are (within reason), the easier the surgery tends to be. The recovery is faster and there are usually less complications.
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