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Dental Service Fees

Below is a list of the basic services that are provided by the SHAC Dental Clinic. More comprehensive information regarding additional services and fees may be obtained at your initial visit. To schedule a dental appointment, please call the dental reception desk at 503-725-2611.

Your student account will be billed for most of our services. You will be informed in advance if pre-payment is necessary for certain procedures. A brochure containing the information is also available in the Dental Clinic and at the front reception counter in the Center for Student Health and Counseling.

Please note: The Standard of Care in Oregon requires that current radiographs are available prior to providing treatment to a patient. If a patient without a medical justification refuses to allow radiographs to be taken, even with the offer to sign a waiver, then providing treatment to that patient would violate the Standard of Care in Oregon (taken from the Oregon Board of Dentistry newsletter February 2012). If new patients have current (within the last year) radiographs from their last dentist they can have them sent to the Portland State dental clinic or bring them to their new patient appointment.

See our Late Cancellation and No Show Fee Policy.

Dental Services & Fees

Office Visit: $30 per visit
Missed Appointment Fee: $30 per hour

Diagnostic & Preventive Services

Routine & Emergency exams Covered by office visit fee (see above)                                 
Sealants $42
Teeth cleaning $50
All X-rays Covered by office visit fee (see above)
Oral cancer screening Covered by office visit fee (see above)
Oral hygiene instruction Covered by office visit fee (see above)
Periodontal screening Covered by office visit fee (see above)

Restorative Dentistry & Prosthetics

Fillings (Amalgam) $60-$115 (dependent on size and number of surfaces filled)            
Composite fillings (White) $58-$147 (dependent on size and number of surfaces filled)            
Crowns $625-$660
Bridge-per tooth $625-$660 (dependent on material)

Oral Surgery

Routine extraction-single tooth $110                                                                        
Surgical extraction $188
Impacted wisdom teeth extractions $255                                  


Root canal therapy-anterior $225                                                                        
Root canal therapy-premolar $385
Root canal therapy-molar $440


Nitrous oxide $45 an hour                                     
Night guard $250
Missed appointment fee $30 per hour
Teeth bleaching tray $125 per tray
Root planing $105 per quadrant