Orange County NC Website
Browse       Search
Commissioner Approved Fee Schedule- FY 2016-17 ATTACHMENT 2 <br /> Approved Fee Change for Last <br /> De artment/Pro ram Description Current Fee FY2O16-17 Revision <br /> D3220 Pul otora $183.00 2013 <br /> D2930 SSC Primary Tooth $247.00 2013 <br /> D2931 SSC Permanent Tooth $298.00 2013 <br /> D2932 Prebacricated Resin Crown $323.00 2013 <br /> D2934 Prefab.est.coat SSC Prim.Tooth $327.00 2013 <br /> D2940 Sedative Filling $113.00 2013 <br /> D9110 Palliative Treatment $115.00 2013 <br /> D7140 Eat.Emu ted Tooth Prim/Penn $162.00 2013 <br /> D7210 Extraction Sur ical-100+ $253.00 2013 <br /> D7111 Eat.cornal remnants deciduous $122.00 2013 <br /> D7310 Alveo4lastv extractions p/quad. $270.00 2013 <br /> D7311 er park in $273.00 2013 <br /> Alveloplasty not in conjunction with extraction 4 or <br /> D7320 moretooth s aces er uadrant $404.00 2013 <br /> Alveloplasty not in conjunction with extraction 1-3 <br /> D7321 tooth spaces per uadrant $384.00 2013 <br /> D2920 Recement Crown NOT cov.bv MA $100.00 2013 <br /> D0470 Stud Models $104.00 2013 <br /> D7510 I&D Minor Surgery Surge $217.00 2013 <br /> D9951 Occulsal Adjustment Limited $166.00 2013 <br /> D9999 Fractured Tooth Tat. $70.00 2013 <br /> D3110 Pulp Cap-direct ex p.Pul MED $76.00 2013 <br /> D3120 Pulp Cap-indirect neariv exposed $77.00 2013 <br /> D7286 Biopsv Oral Tissue $298.00 2013 <br /> D2951 Pin Retention/tooth $67.00 2012 <br /> MED Band&Loop/Quadrant Impress $0.00 2013 <br /> D1510 Band&Loop/Quadrant Deliver 209/25 $287.00 2013 <br /> MED Fixed Bilateral Impress $0.00 2013 <br /> D1515 Fixed Bilateral Deliver 419/30 $393.00 2013 <br /> Occlusal guard,by report minimize bruxism <br /> D9940 $274/95 lab $549.00 2013 <br /> D9941 Fabrication of Athletic Mouthimard $236.00 2013 <br /> D3310 Root Canal Thera v Anterior $676.00 2013 <br /> D3320 Root Canal Thera v Bicuspid $780.00 2013 <br /> D3330 Root Canal Thera v Molar $943.00 2013 <br /> Flat Fee Fabrication ofAthletic Mout=uard Projects $17.00 2009 <br /> Boil and Bite Mouthimards students with braces $5.00 2007 <br /> Sliding fee recommendation is to discontinue the <br /> $30 per preventative visit and$30 per procedure <br /> fee. Recommending to slide to 20%with a <br /> Minimum charge for dental visit minimum of$30 per visit. 2013 <br /> * Any fee changes wi I I be i nd uded i n thi s col umn; <br /> a bl ank besi de each fee means there i s no fee change i n FY 2016-17 Manager Recommended Fee Schedule <br />