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

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.

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

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

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.

X-rays are included if necessary.  There is no discount for brining or sending x-rays to info@RiverCityOMS.com, but doing so will decrease your radiation exposure.  X-rays need to be clear & current to be useful.  A photo of an x-ray on a computer screen is not usually good enough.

Routine consultation:  $200
Valid for 3 months. The entire fee is applied to surgery if surgery is needed & completed within 3 months.

Re-evaluation of routine established patients:  $125
This fee is for evaluation of patients last seen between 3 and 12 months ago.  After 12 months a regular consultation fee is charged.  The entire fee is applied to surgery if another surgery is needed & completed within 3 months of the re-evaluation.

Consultations for trauma, TMJ, and orthognathic surgery have different fees.  Please click View Full Details below for more information.

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

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

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

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

Currently there is a $25 PPE fee added to these surgeries if we do them in our office.

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.

Operating Room 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

Miscellaneous Surgeries

Caldwell Luc sinusotomy (aka antrostomy):  $580 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.

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

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:  $1300 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

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

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

Trauma Surgery

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:  $1,200

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

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.