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Dental Fees

​The following fees are the "Reasonable and Customary" Dental Fees for the most-performed procedures at the CU School of Dental Medicine.

As an academic and clinical training facility, we offer an additional discount to these fees (based on individual procedure) in clinics across the school. For example:

  • CU Dental Team Care Student Clinic: up to 55 percent discount off of the fees below
  • Graduate Periodontics Clinic: up to 45 percent discount off the fees below
  • General Practice Residency Clinic: up to 45 percent discount off the fees below

For more information or to schedule an appointment, please call 303-724-6900.

Procedure Code & Description
​D0120 - Periodic Oral Evaluation ​$52.00
​D0140 - Limited Oral Evaluation Problem Focused ​$87.00
​D0150 - Comprehensive Oral Evaluation ​$100.00
​D0180 - Comprehensive Periodontal Evaluation


​D0190 - Screening of a Patient ​$73.00
​D0210 - Intraoral - Complete Series of Radiographic Image ​$140.00

​D0220 - Intraoral - Periapical First Radiograph Image


​D0274 - Bitewing - Four Radiographic Images ​$69.00
​D0330 - Panoramic Radiographic Image ​$120.00
​D1110 - Prophylaxis - Adult ​$96.00
​D1206 - Topical Application of Fluoride Varnish ​$45.00
​D2150 - Amalgam - 2 Surface, Primary or Permanent ​$188.00
​D2330 - Resin-Based Composite - 1 Surface - Anterior ​$177.00
​D2331 - Resin-Based Composite - 2 Surface - Anterior ​$196.00
​D2391 - Resin-Based Composite - 1 Surface - Posterior ​$193.00
D2392 - Resin-Based Composite - 2 Surface - Posterior ​$248.00
​D4341 - Periodontal Scaling and Root Planing 4+ Teeth, Per Quad ​$285.00
​D4342 - Periodontal Scaling and Root Planing 1-3 Teeth, Per Quad ​$207.00
​D4910 - Periodontal Maintenance ​$145.00
​D7140 - Extraction, Erupted Tooth or Exposed Root ​$190.00
​D8090 - Comprehensive Orthodontic Treatment ​$3,750.00


The dental care prices listed for any given dental care service is an estimate. Actual charges for dental care services are dependent upon the circumstances, including any complications or exceptional treatment, at the time service is rendered.

If you are covered by health insurance or a dental plan, you are strongly encouraged to consult with your insurer or plan to determine accurate information about your financial responsibility for a particular health care service provided by a health care provider at this office.

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