Finance & Insurance
Financial Information
We believe in keeping care simple, transparent, and supportive for every family. Below is a clear breakdown of costs associated with your child’s frenectomy treatment.
Payment in full is required at the time of the procedure. Please click here for payment options at our office.
Initial Consultation – $150
If your child proceeds with treatment, this fee will be applied toward the total cost of care.
Your consultation also includes educational and therapeutic resources to help you feel prepared and confident, including guidance on what to expect before and after treatment.
Labial Frenectomy Procedure (Lip-Tie Release)– $400
Release of the maxillary labial frenum with the LightScalpel CO₂ laser. Includes anesthetic, the laser release, post-op stretching, and aftercare instructions.
Lingual Frenectomy Procedure (Tongue-Tie Release)– $400
Release of the lingual frenum (ankyloglossia) with the LightScalpel CO₂ laser. Includes anesthetic, the laser release, post-op stretching, and aftercare instructions.
Follow-Up Visits
Your child’s 1-week and 2-week post-operative visits are included in the treatment fee. Any additional follow-up visits, if needed, are $75 per visit.
Insurance Information
We are an out-of-network provider and do not directly participate with insurance plans, including both dental and medical.
Payment is required at the time of treatment. However, we are happy to assist with submitting claims to your dental insurance and will provide all necessary medical codes and documentation for potential reimbursement.
Any insurance reimbursement is sent directly to the subscriber by the insurance company.
We recommend contacting your insurance provider prior to treatment so you understand your benefits and can let our team know how you would like claims handled at your visit.
Procedure & Diagnostic Codes
We provide the following codes for your insurance reference:
Dental Procedure Codes
- D7961 – Frenectomy (Labial)
- D7962 – Frenectomy (Lingual)
Medical Procedure Codes
- 41010 – Tongue Frenectomy
- 40806 – Lip Frenectomy
Medical Diagnostic Codes
- Q38.0 – Lip Tie
- Q38.1 – Tongue Tie
- K08.89 – Buccal Tie
- R63.3 – Feeding Difficulty / Mismanagement (non-breastfeeding)
- P92.2 – Slow Feeding Newborn
- P92.8 – Other Feeding Problems of Newborn
- P92.9 – Feeding Problem in Newborn
- M26.59 – Other Dentofacial Functional Anomalies (Myofunctional disorder)
- R47.9 – Speech Disturbances (articulation-related)
- R13 series – Dysphagia/swallowing disorders
Upon request, Dr. Kaitlynn Harvey can also provide a letter of medical necessity to support families when submitting claims to their medical insurance provider.