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Limited Records

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 Limited Records

  • "Limited" Diagnostic Records

  • Diagnosis is the key to any successful treatment. As you are presenting with no craniofacial or sleep disorders of which you are aware, our records appointment will be "limited" to the following records. If it is determined that there are underlying disorders and/or conditions beyond which the "limited" records will allow us to see, other records/tests may be indicated and recommended.

    1. Records Appointment

    Information is gathered in order to make a thorough assessment and diagnosis. This includes:

    ProcedureADA CodeMed CodeCost
    Comprehensive Oral Exam015099203$75.00
    FMX Digital Radiographs - All021070320$96.00
    Orofacial and Posture Images035099070$63.00
    Nutritional ScanNS$25.00
    Diagnostic Casts (If Necessary)047099070$75.00
    Oral Cancer Phosphorescence048202431$25.00
    3D Digital Panoramic Image036770355$101.00
    Vitamin D TestVITD$35.00
    Heart Rate VariabilityHRV$25.00
    A1C TESTA1C$25.00
    Total Diagnostic Fees: $545
    2. Consultation Appointment  

    Should more than 1-2 simple fillings be required to restore your orofacial system to health, Dr.Wall will analyze your records and create a customized care plan. The fee listed is for care plan creation and accompanying consultation appointment.


    Payment of Fees

    If you have dental insurance, some of these fees may be reimbursable. Regardless of insurance coverage, however, payment for services rendered are due at the time of service. As a courtesy, you will be given a superbill at the end of your appointment. You may send this to your insurance company for direct reimbursement.

    By signing below, I attest that I understand and agree to the above-listed procedures and associated fees.
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Schedule Your Appointment with the Holistic Dentist

Every service we offer is aimed at improving your overall health. We offer several procedures that eliminate the need for surgical incisions, reducing your discomfort, downtime, and the need for multiple visits. Call our office to schedule your consultation today.