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dental student at the dental clinic

Preventive Services

  • Oral Exam and Cancer Screenings
  • Periodontal Assessments
  • Teeth Cleaning (routine and deep cleaning)
  • Local Antibacterial medicaments
  • Local Anesthesia (numbing)
  • Oral Hygiene Instructions
  • Dietary Counseling
  • Fluoride Treatments
  • Sealants
  • Dental X-rays

Clinic Fees

All new patients in our clinic will require an exam and if necessary, the dentist will designate x-rays to be taken as part of the standard of care practices. Dental x-rays (radiographs) may be prescribed every 3-5 years or as needed to provide accurate and best treatment care outcomes. 

D1110

Adult Prophylaxis (12 teeth or less, $10.00 discount)

$30.00

D1110.2

Adult Prohylaxis Class II (Slight Periodontitis)

$35.00

D1120

Child Prophylaxis (up to 12 years)

$20.00

D1208

Fluoride Treatment

$7.00

D1206

Fluoride Varnish

$7.00

D1351

Pit and Fissure Sealant (per tooth)

$6.00

D4355

Full Mouth Debridement with Prophylaxis

$35.00

D4341

Scaling and Root Planing ($10 per quadrant)

$40.00

D4910

Periodontal Maintenance

$35.00

D0150

Comprehensive Oral Exam

$15.00

D0120

Periodic Oral Exam

$10.00

D0210

Complete Radiograph Survey (Child or Adult)

$30.00

D0330

Panoramic Radiograph (Child or Adult)

$30.00

D0220

Periapical- Single, first film

$6.00

D0230

Periapical- Each additional film

$6.00

D0272

Bite-wings- 2 films

$12.00

D0274

Bite-wings- 4 films

$17.00

D0277

Vertical Bite-wing Survey (7 films)

$20.00

Film Duplicating- Each survey

$15.00

We accept Cash, Check, Visa, Mastercard, Discover, American Express, and JCB for dental services. 

The IU Northwest Dental Education Clinic does NOT provide restorative services like fillings or extractions except during special community events throughout the year.  

*Explanation of Services

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