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Dental Health Fees <br /> ;:=s have been reviewed and approved by the Board of Health - 427 <br /> All Fees will be administered on a Sliding Scale Fee. Fees shown here are at 100%. <br /> PRESENT <br /> 100% 100% <br /> FEE (1) FEE (2) <br /> AMALGAM (silver colored fillings) <br /> Primary Teeth <br /> One Surface 25 35 <br /> Two Surface 40 50 <br /> Three Surface 45 60 <br /> Four Surface 50 65 <br /> Permanent Teeth <br /> One Surface 25 40 <br /> Two Surface 40 50 <br /> Three Surface 45 60 <br /> Four Surface 50 70 <br /> Five Surface 60 80 <br /> BIOPSY <br /> Oral Tissue 30 45 <br /> COMPOSITE RESIN (natural colored fillings) <br /> Anterior <br /> 1 Surface 30 45 <br /> 2 Surface 40 55 <br /> 3 Surface 45 70 <br /> 4 Surface 50 80 <br /> Post, Permanent <br /> 11 Surface 35 55 <br /> 2 Surface 45 80 <br /> 3 Surface 50 95 <br /> Post, Primary <br /> I Surface 35 60 <br /> 2 Surface 45 75 <br /> 3 Surface 50 90 <br /> CONSULTATION <br /> Consultation _ 10 20 <br /> CROWNS <br /> Prefabricated Resin 75 100 <br /> Stanless Steel, Permanent 100 120 <br /> Stainless Steel, Primary 75 95 <br /> EXAMINATION F <br /> Initial, Oral 20 30 <br /> Periodic, Oral 20 25 <br /> Emergency 10 20 <br /> (1) Present Fees: Fee currently charged to 100% pay patients at Orange County Dental Clinic. <br /> (2) Recommended 100% Fee: Recommended new fees. <br /> '* NOTE** <br /> Minimum Charge of$15 per Visit <br /> 1 <br />