Fees

  • $62 D0120 Periodic Exam
  • $107 D0150 Comprehensive Exam
  • $37 D0220 Intraoral PA xray
  • $32 D0230 Each Additional PA
  • $81 D0274 (4)Bitewing xrays
  • $138 D0330 Panoramic xray
  • $112 D1110 Adult Prophy (cleaning)
  • $87 D1120 Child Prophy (cleaning)
  • $59 D1206 Topical Application of Fluoride
  • $73 D1351 Sealant –per tooth
  • $289 D2392 2 Surface composite filling
  • $171 D4910 Periodontal Maintenance

Dr. Sara Logan

323 Metzler Drive, Suite 102
Castle Rock, CO 80108
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(303) 688-9476