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Commissioner Approved Fee Schedule - FY 2024-25 38 <br /> Last <br /> Department/Program Description Current Fee Revision <br /> Anions-FI,CI,Sulf $75.00 2019 <br /> Disinfection By-products $75.00 2019 <br /> Fluoride-Physician,Dentist request $75.00 2019 <br /> Nitrate/Nitrite $75.00 2019 <br /> Arsenic Speciation $75.00 2019 <br /> Organic Chemistry <br /> Pesticides $150.00 2019 <br /> Herbicides $150.00 2019 <br /> Petroleum Products $150.00 2019 <br /> Volitile Organic Chemicals $150.00 2019 <br /> New Well Full Well Panel included in well permit 1/l/2015 <br /> Existing Well Full Well Panel $150.00 2019 <br /> Tattoo Parlors <br /> Tattoo Artist Annual Permit fee $350.00 2019 <br /> Temporary Tattoo Permit(<30days) $100.00 2020 <br /> Swimming Pools <br /> Swimming Pool Inspection $310.00 2017 <br /> Plan Review-Swimming Pools $450.00 2023 <br /> Reinspection of Pool/Spa $150.00 2018 <br /> Annual/Year Round Pool/Spa Permit $450.00 2023 <br /> Seasonal Public Pool Permit $400.00 2023 <br /> Food Service <br /> Plan review and permit fee-Temporary Food <br /> Establishment $75.00 2010 <br /> Plan Review-Food Service Establishment $250.00 2010 <br /> Shared Kitchen/Mobile Food Unit $100.00 2018 <br /> Reinspection of Food Service Establishment $50.00 2018 <br /> Transitional Permit Plan Review $100.00 2018 <br /> Mobile Food Unit Plan Review $200.00 2023 <br /> ADA Code <br /> Dental Health D0120 Periodic Oral Evaluation $54.00 2024 <br /> D0140 Limited Oral Evaluation $82.80 2024 <br /> D0150 I Comprehensive Oral Evaluation $96.00 2024 <br /> D0170 Re-evaluation-limited,problem $78.00 2024 <br /> D0210 Full Mouth Series w BWX $144.00 2024 <br /> D0220 1 st Intraoral PA Film $31.20 2024 <br /> D0230 Additional PA Film $27.60 2024 <br /> D0240 Intraoral Occulusal Film $45.60 2024 <br /> D0270 BWX I Film $31.20 2024 <br /> D0272 BWX 2 Films $49.20 2024 <br /> D0273 Bitewings-three films 61.20 2024 <br /> D0274 BWX 4 Films $69.60 2024 <br /> D0330 Panoramic Film $120.00 2024 <br /> D0470 Study Models $124.80 2024 <br /> D1110 Prophy/Adult age 13 and up $98.40 2024 <br /> D1120 Prophy/Child under age 13 $73.20 2024 <br /> Topical Fluoride varnish;therapeutic application for <br /> D1206 moderate to high caries risk patients $46.80 2024 <br /> D1351 Sealant/Newly Erupted Teeth 1$58.80 2024 <br /> D1354 SDF-Interim Caries Arresting Medicament 1$58.80 2024 <br />