CBCT Imaging & Reporting

Example of Image Capture

We individualize the patient’s radiographic needs by customizing a field-of-view to provide the referring clinician with the best image quality at the lowest radiation dose, implementing the ALARA (As Low As Reasonably Achievable) principle. All CBCT scans will be reviewed by a board-certified oral and maxillofacial radiologist, Dr. Sung Kim. 

Referring to UDA

1. Please download and fill out the CBCT Prescription Form and fax to the UDA (402.472.0048)

Download a CBCT & Surgical Guide Prescription Form

2. Our staff will contact the patient and schedule an appointment for the scan.

3. Once the patient is imaged, a CBCT scan (Dicom files and a free Dicom viewer) and an interpretation report will be transferred via a HIPAA compliant portal to the referring doctor's email.  Also, a CD can be mailed to the referring doctor’s office upon request. 

Telephone: 402.472.8900
Fax: 402.472.0048  Email: uda@unmc.edu
Address: 4000 East Campus Loop South Room 2039
Lincoln, NE 68583-0740

CBCT Imaging

CBCT Price List

Imaging Indication Fee
CBCT + interpretation report : ≤1 quadrant 200
CBCT + interpretation report: 2 quadrants or one full dental arch 250
CBCT + interpretation report: 3-4 quadrants or large field 300

CBCT repeat scan within 6 months + report: same size scan as before
(Indications: surgical guide fabrication, post-surgical follow-up [sinus lift, grafting procedure, implant placement, apicoectomy])

1/2 original fee

Digital impression of the arch using 3Shape Trios intraoral scanner

30 per arch

Patient is expected to make a full payment at the time of the service.

Order a Surgical Guide (New Service!)

A tooth-borne surgical guide can be ordered to make a pilot/initial osteotomy at the desired implant site. The guide needs to be supported on at least 3 teeth that are spread out in the arch for stability. We 3D-print surgical guides using biocompatible resin. If you have your own CBCT or intraoral scanner, we can accept your scans via a HIPPA compliant portal. There is no fee/charge for handling and processing your scans. 

Overall process:


  1. Fill out a CBCT & Surgical Guide Prescription form. 
  2. CBCT scan
  3. Arch model: submit your own stone model, polyvinyl impression, or STL file.  We can also take a digital impression with Trios 3Shape
  4. Online implant planning session with an oral and maxillofacial radiologist. 
  5. A surgical guide will be mailed to your office. 
Description Fee

1x additional drill site


Surgical guide base fee for 1 implant site
(ideal for 1-3 missing teeth, toothborne, pilot guide)
Online implant planning session is included


 Arch model can be either scanned at the UDA or provided by ordering dentist. 

CBCT Interpretation Service

Do you have your own CBCT? Submit your CBCT scans to Dr. Kim to:

 Description Fee
Interpretation report of a submitted CBCT scan (any size/field-of-view) 80

All CBCT scans need to be submitted in a DICOM format. When uploading, be sure to include the following information: