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Dental Fee Survey for New York City Metro area

Network Fee Schedule – Endodontics

The schedule below is a comprehensive survey of regional
Usual and Customary Fees (UCR) compared with Reduced Fees paid by Network
Members.

To facilitate access to regular dental care and maintenance for all
household members, you will note exceptional savings on Preventive and
Diagnostic services, including Cleaning, Oral Exams, X-rays, Fluoride
Application, and Sealants, wherever these services appear on a fee schedule.

Member savings range from approximately 20% to 60% across the entire
plan. If there is a question about any fees posted, ask your dentist
about his or her Usual Fee (UCR) so that you can compare same with the
posted Network Fee.

Fees posted may change, without notice, from time to time to reflect
changes in Professional Fees in the NYC Metro area. It is important
that both the member and the dentist refer to the Professional Fee schedules
posted on this website on a regular basis to be sure fees discussed
are current.

Note: For some procedures listed
on this schedule we have posted an alternate, higher fee that may apply
at certain Manhattan practice locations only. Please consult with your
dentist about this.
This Fee Schedule calculates Member Savings in terms of Actual
Savings and Savings Percentage.

Plan members pay fee shown in NETWORK
FEE
column.

Endodontic Rates & Procedures
Services are provided by an Endodontist, a Specialist with additional
training in this field.
Regional Fee Network Fee Typical Network Savings Typical % Savings
Comprehensive Oral Exam $90 $50 $40 44%
Consultation – Extended, may include x-rays $200 $100 $100 50%
First Periapical X-ray $25 $15 $10 40%
Each Additional Periapical X-ray $20 $10 $10 50%
X-Ray Bite Wings (complete) $80 $45 $35 31%
X-Ray Full Mouth $140 $80 $60 43%
X-Ray Panorex $125 $85 $40 32%
X-Ray Full Mouth, Including Bitewings (complete) $115 – $165 $85 $60 39%
Pulp Test $75 $50 $25 33%
Pulpotomy $325 $225 $100 31%
Pulpectomy $450 $300 $150 33%
Root Canal therapy: Treatment
for the pulp of a tooth to avoid or eliminate infection and deterioration
of the tooth, its root, and underlying bone structure.

Fees for Root
Canal Therapy
and Retreatment
vary based upon tooth location and degree of difficulty. The dentist will
confirm his or her UCR fee and in this way you can determine the network
savings.

 
   
Root canal therapy – anterior $850 – $1050 $650 $300 32%
Root canal therapy – anterior
Alternate
Fee – Certain Manhattan Locations Only – Please consult with your dentist.

Endodontic
Therapy – Root Canal

$850 – $1150 $720 $280 28%
Root canal therapy – bicuspid $1050 – $1250 $830 $320 28%
Root canal therapy – bicuspid
Alternate
Fee – Certain Manhattan Locations Only – Please consult with your dentist.
$1250 – $1450 $880 $470 35%
Root canal therapy – molar $1400 – $1850 $1060 $565 37%
Root canal therapy – molar
Alternate
Fee – Certain Manhattan Locations Only – Please consult with your dentist.
$1450 – $1900 $1125 $550 33%
Root Canal Retreatment describes
professional care required due to problems following root canal therapy.
For more information: Retreatment
 
   
Retreatment, anterior $900 – $1150 $750 $275 27%
Retreatment, anterior
Alternate
Fee – Certain Manhattan Locations Only – Please consult with your dentist.
$1000 – $1250 $850 $275 24%
Retreatment, bicuspid $1120 – $1300 $930 $280 23%
Retreatment, bicuspid
Alternate
Fee – Certain Manhattan Locations Only – Please consult with your dentist.
$1250 – $1550 $1000 $400 29%
Retreatment, molar $1400 – $2000 $1140 $560 33%
Retreatment, molar
Alternate
Fee – Certain Manhattan Locations Only – Please consult with your dentist.
$1650 – $2250 $1280 $670 34%
Perforation Repair (MTA) Mineral Trioxide Aggregate $450 $350 $100 23%
Root Canal Retreatment – Removal of Post $375 $225 $150 40%
Apicoectomy (Surgical
Procedure)
costs vary based upon details of each case. See information
below and discuss variables with your dentist.
 
   
Apicoectomy – Anterior (does not include retrograde filling) $675 – $750 $550 $162 23%
Apicoectomy – Bicuspid (does not include retrograde filling) $775 – $825 $650 $150 19%
Apicoectomy – Molar (does not include retrograde filling) $850 – $900 $700 $175 20%
Retrograde Filling (apicoectomy – per root) $325 $200 $125 38%
Additional Root (apicoectomy – per additional root) $450 $300 $150 33%
Hemisection (per root) $425 $300 $125 29%
Intra-Oral Incision and Drainage of Abcess $300 – $400 $200
– $250
$125 36%
Bone Replacement (Grafting) $600 $400 $200 33%
Anesthesia and Analgesia – In some
cases, the cost of Inhalation Analgesia (nitrous oxide) may be included
in cost of the procedure. In other cases, a separate fee, as shown on
this schedule, may apply. In general, fees for Analgesia and for IV Sedation
are based upon time required for each procedure. In some dental procedures,
conventional medical insurance may cover a portion of the surgical or
anesthesia fees. Consult with your dentist about his/her fees for Analgesia
and Anesthesia to determine network savings.
       
Inhalation Analgesia (Nitrous Oxide) $65 – $95 $45 $35 44%
IV Conscious Sedation (first 30 minutes) $350 – $500 $250 $175 41%
IV Conscious Sedation (additional 15 minutes) $180 – $220 $100 $100 50%

*Regional fees posted are representative of usual and customary fees charged by New York Dental Network, LLC participating dentists for patients who do not participate in a dental benefits plan. Some fee variation was found due to differences in office overhead, materials, lab fees, and other professional considerations.

*Network fees shown are the actual fees members will pay to the participating dentist. For procedures not shown, or variations of listed procedures, similar network fee reductions will apply in most cases. An exception may apply in the case of certain brand name dental products or services. Additionally, fee variations may be based upon degree of difficulty and time and materials involved in treatment. Please consult with your dentist prior to course of treatment.

*When a network fee range is shown, the usual and customary fee (UCR) of the dentist will determine the network fee to be paid by NYDN member. For example, if the dentist’s UCR fee falls in the middle of regional fee range, the dentist will charge NYDN member a fee in the middle of network fee range. If the dentist’s usual fee for a given procedure is lower than the stated network fee, the dentist agrees to charge usual fee, resulting in additional savings for network members.

For more information on Dentisty, the links below may be useful:

American Dental Association
ada.org

American Association of Endodontists
aae.org