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

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

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

Dental Implant Surgery

Sedation is included for implant placement.

Local anesthesia is included for abutment placement if a separate abutment (aka stage II) surgery is necessary.  Sedation for stage II surgery is additional if necessary or desired.

A name-brand implant(s) will be placed, no generic or “knock-off” implants.

Placement of first implant:  $1,300

Placement of additional implant(s) during same surgery:  $1,000

Placement of healing abutment:  $125

Placement of stock final abutment:  $325

Placement of custom abutment:  $730

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

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

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

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

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

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

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

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

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

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.

Miscellaneous Fees

Additional surgical fee for a surgery done in the operating room: $250

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

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