Fees

  • $64 D0120 Periodic Exam
  • $110 D0150 Comprehensive Exam
  • $38 D0220 Intraoral PA xray
  • $33 D0230 Each Additional PA
  • $83 D0274 (4)Bitewing xrays
  • $142 D0330 Panoramic xray
  • $115 D1110 Adult Prophy (cleaning)
  • $90 D1120 Child Prophy (cleaning)
  • $61 D1206 Topical Application of Fluoride
  • $75 D1351 Sealant –per tooth
  • $298 D2392 2 Surface composite filling
  • $176 D4910 Periodontal Maintenance

Dr. Sara Logan

4535 Milestone Lane
Castle Rock, CO 80108
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(303) 688-9476