|
Patients are assigned to residents and treated under the direct supervision of faculty orthodontists.
General Information
| Location: |
2rd floor, UCLA School of Dentistry (Westwood campus)
Room 20-140 CHS |
| Phone: |
310-825-5161 |
| Fax: |
310-206-5349 |
| Hours of Operation: |
Mon-Fri, 8am-5pm |

Representative Services Fees
RESIDENTS PROGRAM
| X-Rays |
$350.00 |
|
| Screening Exam |
$35.00 |
|
| Comprehensive Exam |
$68.00 |
|
| Study models & slides/treatment plan |
$142.00 |
|
| Patients 12 yrs & under |
Full Phase Mixed Dentition
$700.00 down/balance 18 pymts |
$2,888.00
$121.56
|
|
| Patients 13 yrs. - 20yrs. |
Permanent/or Near Premanent Dentition
$800.00 down/balance 18 pymts |
$3,310.00
$139.44 |
|
| Patients 21 yrs. & above |
Adult Dentition
$850.00 down/balance 18 pymts |
$3,750.00
$161.11 |
|
| Invisalign Appliance |
$2,100.00 down/balance 12 pymts |
$4,410.00
$192.50
|
|
| Limited Treatment-Fixed appl. per arch |
$1,740.00 |
|
| |
|
|
| Miscellaneous Procedure |
VARIABLE FEE |
| Replacement Retainer - passive |
$170.00 |
|
| Clear Appliance (per arch) $200.00 |
|
|
| Teeth Bleaching per arch |
$195.00 |
|
PRIMARY OR MIXED DENTITION / TWO PHASE TREATMENT
Pre-phase I - Primary Dentition - One arch
$300.00 down/balance 6 pymts |
$610.00
$51.67 |
Pre-phase II - Primary Dentition - Two arch
$300.00 down/balance 6 pymts |
$940.00
$106.67 |
| Phase I - Mixed Dentition |
$1,600.00 |
Phase II - Permanent Dentition
PH I - II payment plan $600.00 down/balance 12 pymnts |
$1,995.00 |
Class III Research
CL III payment plan $500.00 down/balance 12 pymts |
$1,190.00 |
PRE-DOCTORAL PROGRAM
| Fixed or Removable Active Appliance Per Arch |
$895.00 |
| Retainer Per Arch-Passive |
$170.00 |
| Spring Aligner-one arch (6 month treatment plan) |
$370.00 |
* Prices subject to change without notice

How to Make Appointments
Please contact the clinic at (310) 825-5161 to schedule an appointment.

What to Expect
The first visit will include a meeting of approximately 30 minutes with a resident and faculty member to determine the needs of the patient and whether the case is appropriate for teaching.

Billing Questions
Please direct billing questions to the patient billing office located in room 10-137 or by calling (310) 206-3571.

Request Dental Records
In order to protect the confidentiality of your dental record, we require a written authorization before releasing a copy of any portion of your dental record. To obtain the appropriate authorization form, please download it from our website or contact the Records Room at (310) 825-3195 to have the form faxed to you. Please submit your written authorization by fax to (310) 825-2951 (attention: Records Room) or in person to the Records Room located in the General Clinic lobby. There may be fees associated with the duplication of the record.

|
 |