Request Appointment Home » Request Appointment New Patient Existing Patient Name: Email: Phone: Preferred Date/Time: Private Insurance: HCF NIB Other insurances NO INSURANCE What are you interested in? Examination, teeth clean, fluoride application $110 Surgical wisdom tooth removal from $550 Dental implant including final crown $3800 Pay No Gap for exam, cleans, fluoride treatment, X-rays, mouthguards, simple fillings, simple extractions Pay No Gap for teeth whitening take-home kit and bleaching trays Bulk bill for children eligible for Medicare CDBS Comments or Questions: Leave this field empty