​​Lone Tree Dental Associates



                                             







                                   Fees and Services 

     The following is a list of some of our usual and customary fees:


1.) D0150- Comprehensive Oral Evaluation/Established Patient- $75

2.) D0120- Periodic Oral Evaluation- $50

3.) D0140- Limited Oral Evaluation Problem Focused- $50

​4.) D0220- Intraoral Periapical First Radiographic Image- $25

5.) D0274- Bitewings- Four Radiographic Images- $58

6.) D0330- Panoramic Radiographic Image- $125

7.) D1110- Prophylaxis Adult- $93

8.) D1120- Prophylaxis Child- $67

9.) D2391- Resin Composite One Surface Posterior- $180

10.) D2392- Resin Composite Two Surface Posterior- $201

11.) D2393- Resin Composite Three Surface Posterior- $239

12.) D2394- Resin Composite Four/More Surface Anterior- $274

13.) D2950- Core Buildup Including Pins- $310

14.) D2750- Crown Porcelain Fused High Noble Metal- $1125

15.) D7210- Surgical Removal Erupted Tooth- $244


"The health care price listed for any given health care service is an estimate.  Actual charges for the health care service are dependent on the circumstances, including any complications or exceptional treatment, at the time the service is rendered.

If you are covered by health insurance or a dental plan, you are strongly encouraged to consult with your insurer or plan to determine accurate information about your financial responsibility for a particular health care service provided by a health care provider at this office.  If you are not covered by health insurance or a dental plan, you are strongly encouraged to contact our billing office at

303-671-0761 to discuss payment options prior to receiving a health care service from a health care provider at this office since posted health care prices may not reflect the actual amount of your financial responsibility."


Services Offered


*Implants-Dental implants consist of a titanium screw placed into the bone with a crown placed on top used to replace individual missing teeth, an entire arch, or to support dentures.


*Crown and Bridge-A type of all porcelain or porcelain fused to metal crown or series of crowns fused together (bridge) to cover and support broken down or decayed teeth.


*RCT or Root Canal Therapy-A RCT procedure is when the nerve is removed from the canal inside the tooth and the canal is then cleaned, filled and sealed.  The tooth then needs a crown to complete treatment.


*Silent Nite/Snore Appliance-A mouth guard worn at night that opens your airway while sleeping and provides more oxygen and a better nights rest quietly.


*TMJ Appliances/Mouth guards-TMJ stands for Temporo-Mandibular Joint and refers to complications and problems with this joint. A TMJ splint will alleviate the symptoms associated with this such as clicking, pain, limited movement, etc.  A mouth guard will protect teeth from certain problems like grinding your teeth at night, in which case you would need a bruxism splint.


*Laser Treatments-This treatment is used to remove harmful bacteria and diseased tissue from the gum pocket.  It can also be used on cold sores, canker sore, herpes and cyst and tissue removal. 


*Extractions-Removal of a non-salvageable tooth or wisdom teeth.


*White Resin Fillings-Tooth colored material that is bonded to your teeth and is used more today than silver amalgam filling material.


*Teeth cleaning-We recommend teeth cleanings on a regular basis every 6 months.  We do offer teeth cleanings every 3-4 months for those patients that require it.  Also offered is root planing and scaling or deep cleanings.


*Emergency Visits-We so have same day emergency appointments available for those unexpected toothaches that come up.


Cosmetic Dentistry


*Cosmetic Smile Makeover-A complete makeover of the upper and lower arch customized to your personal needs.  Everything from veneers, all-porcelain crowns, professional teeth whitening, Invisalign and more!


*Veneers-Thin porcelain covering that fit over the anterior teeth used to enhance your smile. Only covers the front service of the tooth.


*All Porcelain Crowns-All porcelain crowns cover the entire tooth and have no metal.  They resemble real teeth and allow sunlight to shine through them. 


*Invisalign/Clear Correct-A clear alternative to traditional braces.  We use a series of clear removable aligners to move your teeth into the perfect position.  No one will hardly notice your're wearing them!


*Traditional Braces-Traditional braces are made up of the metal brackets and wires that are placed on the teeth to straighten them into the right position.


*Professional Teeth Whitening-1 hour chair side professional strength bleach that takes up to 10 years of stain off your teeth in one appointment.



If you have questions regarding any of the treatments above, please call the office at 303-671-0761 or email officeltl327@gmail.com