Office Fees

Dental Fees & Prices

At Pearl Shine Dental, we put you at the center of everything we do, which means being as transparent as possible about not only who we are and the services we offer, but also about how our fees are structured. We’ve listed some of our services with fee structures below. Please note that the price of each procedure could vary from these numbers depending on the need—every patient and every case is different.

For those of you with insurance, please note that fees will vary based on your specific PPO plan. We recommend checking your coverage with your benefits administrator or providing us with your insurance information so that we may check on your specific plan. Pearl Shine Dental does not represent your insurance carrier nor can we promise that they will cover all procedures.

Preventative Care

Certain insurance plans may cover up to 100%

Cleaning, Exam, Full Series of X-Rays, Fluoride (D0150)

$0-$170

Certain PPO plans may cover 100%

Dental Exam

$49-$69

Periodic Exam (D0120) $69
Comprehensive Exam (D0150) $69
Limited Exam (D0140) $49

Emergency Exam

$0-$49

Certain PPO plans may cover 100%

Dental Cleaning (Prophylaxis)

$69

Adult and Child Teeth Cleaning (D1110 OR D1120) $69

Dental X-rays

$32-$261

PA (D0220): $41
Addt'l PAs (D0230): $36
1 BWX (D0270): $41
2 BWX (D0272): $62
4 BWX (D0274): $89
Panoramic X-Ray (D0330): $154
CT (D0367): $200

Dental Sealants (D1351)

$42

Fluoride (D1206)

$32

Posterior Composite (White) Fillings

$199-$404

1 surface — $199
2 surface — $253
3 surface — $315
4 surface — $366
5 surface — $404

Certain PPO plans may cover up to 80%

Anterior Composite (White) Fillings

$229-$424

1 surface —$229
2 surface — $278
3 surface — $338
4 surface — $424

Certain PPO plans may cover up to 50-80%

Periodontal Maintenance (D4910)

$184

Certain PPO plans may cover up to 80%

Restorative Dental

Certain insurance plans may cover up to 80%

Porcelain Crown

$956-$1147

$956 (crown only)
$1147 (Including the build up)
Prices with Membership Plan discount
Certain PPO plans cover up to 80%

Scaling & Root Planing

$147-$169

1-3 Teeth (D4342): $147
Quad (D4341): $169

Prices with Membership Plan discount

Root Canals

$652- $833

Anterior (D3310): $652
Bicuspid (D3320): $673
Molar (D3330): $833

Prices with Membership Plan discount

Tooth Extractions

$229

Surgical Extraction (D7210): $229

Prices with Membership Plan discount

Bone Grafts

$337- $800

With Extraction (D7953): $337

Dental Implants (D6010/D6056/D6059)

$3,000-$4,795

D6010: $2,098
D6057: $1163
D6058: $1,534

Includes 3-D X-ray–certain PPO plans may cover up to 50%

Denture Services

$75 - $1,904

Denture Repair: $75-$300
Denture Reline (D5750 & 5751): $394
Flipper (D5820 & D5821): $506
Complete Upper (D5110): $1414
Complete Lower (D5120): $1414
Immediate Upper (D5130): $1414
Immediate Lower (D5140): $1414
Upper Partial (D5213): $1414
Lower Partial (D5214): $1414

Implant-Supported Dentures

$5,500-$9,500

2 implant overdenture — $5,500
4 implant overdenture — $9,500

Includes all costs except sedation and tooth extractions

Implant-Supported Bridge

$20,000 / arch

Includes 6 implants per arch and all costs except tooth extraction

Posterior Composite (White) Fillings

$20-$475

D2391 (1 Surface) $20-$260
D2392 (2 Surfaces) $20-$339
D2393 (3 Surfaces) $20-$407
D2394 (4 Surface) $20-$473

Sinus Augmentation

$800-$2500

Sinus Bump (D7952): $2500
Sinus Lift (D7951): $800

Cosmetic Dental

Take-Home Whitening (Custom Trays)

$250

Take-Home Whitening (Go Whitening Package)

$75

Porcelain Veneers

$1,500

Additional Services

Orthodontics (D8090)

$2,500-$5,200

Certain PPO plans may cover up to 50%

Nitrous Sedation

$95

Oral Conscious Sedation

$150

Full Arch Occlusal Guard (D9944)

$350

Sleep Apnea Appliance

$5,775

Pearl Shine Dental

12220 Jones Rd Ste C
Houston, TX 77070
View Map

Hours

Monday: 9:00 am – 6:00 pm
Tuesday: 9:00 am – 6:00 pm
Wednesday: 9:00 am – 5:00 pm
Thursday: 9:00 am – 6:00 pm
Friday: 9:00 am – 5:00 pm
Saturday: 9:00 am - 3:00 pm

Phone

281-477-7200

Email Address

info@pearlshinedentalclinic.com