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. Dental Health Fees 21 <br /> Fees have been reviewed and approved by the Board of Health <br /> All Fees will be administered on a Sliding Scale Fee. Fees shown here are at 100%. <br /> 100% 100% <br /> FEE (1) FEE (2) <br /> PRESENT <br /> A <br /> Primary Teeth <br /> One Surface 50 <br /> 45 Two Surface 40 60 <br /> Three Surface 45 60 <br /> Four Surface 50 <br /> Permanent Teeth . 40 <br /> One Surface 40 50 <br /> Two Surface 60 <br /> 50 6 <br /> Three Surface 0 <br /> Four Surface 60 70 <br /> Five Surface <br /> BIOPSY 30 <br /> Oral Tissue MB <br /> COMPOSITE RESIN (natural colored fillin:.) <br /> Anterior 30 45 <br /> 1 Surface 40 111111111111111111 • <br /> 2 Surface 70 <br /> 3 Surface 455 5 80 <br /> 4 Surface <br /> Post, Permanent <br /> 1 Surface 80 <br /> 2 Surface 455 5 90 <br /> 3 Surface <br /> Post, Primary 60 <br /> 1 Surface 45 <br /> 2 Surface 50 90 <br /> 3 Surface <br /> CONSULTATION 10 20 <br /> Consultation <br /> CROWNS 100 <br /> Prefabricated Resin 100 120 <br /> Stanless Steel, Permanent -�� 95 <br /> Stainless Steel, Primary <br /> EXAMINATION 20 30 <br /> Initial, Oral 20 . <br /> Periodic, Oral 10 20 <br /> Emergency <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 />