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Dental Fee Survey for New York City Metro area
Network Fee Schedule – Oral Surgery

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.

Oral Surgery Rates & Procedures
Services are provided by an Oral Surgeon, a Specialist with additional
training in this field.
Regional Fee Network Fee Typical Network Savings Typical % Savings
Comprehensive oral evaluation $125 – $175 $75 $75 50%
Consultation $150 – $200 $100 $75 43%
TMJ Consult (may include X-Rays)
TMJ
Information
$250 – $350 $200 $100 33%
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 33%
X-Ray Panorex $125 $85 $40 32%
X-Ray Full Mouth, Including Bitewings (complete) $115 – $165 $85 $60 39%
Dental Extractions
may range from relatively simple soft tissue extractions to partially
erupted teeth, some of which emerge at difficult angles, to partially
bony impactions, to more complicated full bony impactions.

Wisdom Teeth are
the molars found at the ends of the upper and lower Mandible.
Wisdom teeth are so named because they usually appear between the ages
of 16-25, long after all other teeth have appeared. Wisdom teeth that
fail to erupt through the gum line are called Impacted.

       
Tooth Extraction – Simple $250 $160 $90 36%
Tooth Extraction – Surgical $300 – $350 $220 $105 32%
Soft Tissue Impaction $370 – $450 $260 $150 37%
Partial Bony Impaction $500 – $550 $350 $175 31%
Full Bony Impaction $560 – $620 $380 $210 36%
Full Bony Impaction – Complicated $625 – $825 $435 $290 40%
Biopsy of Oral Tissue (Hard – Excluding Lab Analysis Fee) $500 – $600 $425 $125 33%
Biopsy of Oral Tissue (Soft – Excluding Lab Analysis Fee) $300 – $400 $200 –
$250
$125 36%
Excision of Benign Lesion (up to 1.25cm) $350 $250 $100 29%
Intra-Oral Incision and Drainage of Abcess $250 – $400 $175 $150 46%
Surgical Exposure of Tooth for Orthodontics (per tooth, including brackets) $750 $575 $175 23%
Alveoloplasty $700 $500 $200 29%
Hemisection (per root) $475 $350 $125 26%
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) $625 – $750 $500 –
$550
$162 24%
Apicoectomy – Bicuspid (does not include retrograde filling) $750 – $825 $600 $228 24%
Apicoectomy – Molar (does not include retrograde filling) $850 – $900 $625 –
$675
$225 26%
Retrograde Filling (apicoectomy – per root) $200 – $300 $125 –
$150
$112 45%
Additional Root (apicoectomy – per additional root) $250 – $400 $175 –
$225
$125 38%
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) $380 – $550 $275 $190 41%
IV Conscious Sedation (additional 15 minutes) $260 – $320 $180 $110 38%
Bone Grafts:
Socket Graft (single tooth) $275 – $350 $225 $87 20%
Bone graft, first tooth, per quad. $600 $475 $125 29%
Bone graft, each additional tooth, per quad. $325 $225 $100 31%
Socket Graft (single tooth) $275 – $350 $225 $87 20%
Sinus Graft (sinus lift – per quad) $2800 – $3600 $1850-2250 $1150 31%
Bridge Sectioning $150 $125 $25 17%
Implants: The first step of the
Implant procedure is placement into the jaw of a titanium screw that will
anchor the implant abutment and crown. In some cases, it may be necessary
to do bone grafting to build up bone density at implant site.

Implants – More
information

The Crown will be attached to the Implant via an abutment. Often the Crown
and a custom abutment will be created together in a dental lab, to assure the best fit
and long term durability. Anestheisa charges (above) will be separate.

Dental Implant
(complete)
Includes Implant, Crown, and Custom Abutment
Note: Please see variables, including Bone Graft
info.
$3150 – $4150 $2825 $1025 28%
Dental Implant
(complete)
Includes Implant, Crown, and Custom Abutment
Note: Please see variables, including Bone Graft info.
Alternate
Fee – Certain Manhattan Locations Only – Please consult with your dentist.
$3250 – $4400 $2850 $975 25%
Dental Implant
(Surgical Fee) Does not include Crown or Abutment
$1850 – $2600 $1650
$575 24%
Crown + Abutment. Porcelain fused to noble metal + Custom Abutment
$1775 – $2150 $ 1455 $508 26%
Implant
Abutment
Noble Metal, Custom Cast. This entry shows cost of abutment
only.
$450 – $750 $350-$650 $100 17%
Implant
Abutment
Custom Cad Titanium. This entry shows cost of custom abutment
only. Note: In some cases the crown + custom abutment are fabricated together
in same lab, combined cost is shown above.
$550 – $1050 $300
– $950
$175 22%
Implant Bone Graft: An implant
bone graft procedure will be necessary if the (jaw) bone at the implant
site is not sufficiently dense to support the implant. For more information
on this procedure and wide cost variation:

Implant
bone grafts – More information

Implant Bone Graft
Note: Per the above article on Implant Bone Grafts, rates shown here are
for illustration only, as actual cost may be higher or lower, depending
upon amount of bone density reinforcement needed.
$250 – $900 $175
– $650
$163 28%
Note: Please note that certain Oral and Maxillofacial Surgery
procedures may require hospital or lab based testing, treatment, and care.
These services are not provided directly by the dentist and are not eligible
for reduced NYDN network rates, however, it is possible that regular medical
insurance will cover some or all of these expenses.
       

*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 College of Oral and Maxillofacial Surgeons
acoms.org