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Orange County Commissioner Approved Fee Schedule - FY 2013 -14 36 <br />Department/Program <br />Description <br />Current Fee <br />\` \ Last <br />Revision <br />Well Permits <br />$430.00 (effective January I, 2008) <br />2007 <br />Permit Site Revisit <br />$125.00 <br />2006 <br />Bacteriological <br />$25.00 <br />2006 <br />Inorganic Chemical Samples <br />$35.00 <br />2006 <br />Pesticide/Petroleum <br />$75.00 <br />2006 <br />Full Sample Suite (Bact, Nox, Inorganic, + 7 m <br />$100.00 (effective January 1, 2008) <br />2007 <br />Iron Bacteria/Sulfur Bacteria <br />$25.00 <br />2010 <br />Radon Air Sample Kit - Radon <br />$20.00 <br />2010 <br />TATTOO PARLORS <br />Artist Permit <br />$250.00 <br />2010 <br />SWIMMING POOLS <br />Swimming Pool Inspections <br />$250.00 <br />2010 <br />Plan Review <br />$250.00 <br />2010 <br />FOOD SERVICE <br />Plan Review <br />$250.00 <br />2010 <br />Plan Review & permit fee -Temp. <br />Establishment <br />$75.00 <br />2010 <br />Dental Health <br />Comprehensive Oral Evaluation <br />$90.00 <br />2012 <br />Periodic Oral Evaluation <br />$50.00 <br />2012 <br />Limited Oral Evaluation <br />$70.00 <br />2012 <br />Re- evaluation- limited, problem <br />$45.00 <br />2012 <br />Consultation <br />$54.00 <br />2009 <br />Panoramic Film <br />$86.00 <br />2009 <br />BWX 1 Fihn <br />$28.00 <br />2009 <br />BWX 2 Films <br />$40.00 <br />2012 <br />Bitewings - three films <br />$46.00 <br />2012 <br />BWX 4 Films <br />$56.00 <br />2012 <br />1st hitraoral PA Film <br />$27.00 <br />2009 <br />Additional PA Fihn <br />$25.00 <br />2009 <br />hitraoral Occulusal Fihn <br />$35.00 <br />2012 <br />Full Mouth Series w BWX <br />$115.00 <br />2012 <br />Prophy /Child under age 13 <br />$65.00 <br />2012 <br />Prophy /Adult age 13 and up <br />$88.00 <br />2012 <br />Fluoride Varnish (age 13 &under) <br />$38.00 <br />2012 <br />Fluoride Varnish (age 13 -20) <br />$35.00 <br />2012 <br />Topical Fluoride Varnish; Therapeutic <br />application for moderate to high caries risk <br />patients <br />$60.00 <br />2012 <br />Sealant/NEWLY ERUPTED TEETH <br />$48.00 <br />2012 <br />Scale/Root Planing 1 -3 teeth p/q <br />$130.00 <br />2012 <br />Scale Root Planing 4> teeth p/q <br />1$220.00 <br />2012 <br />Full mouth Debridement <br />1$185.00 <br />2012 <br />*Any fee changes wi I I be included in this column; <br />a bl ank besi de each f ee means there i s no f ee change i n FY 2013 -14 Comm i ssi oner Approved Fee Schedule <br />