3d Dental
203 Turnpike Street, Suite 100 North Andover, MA 01845
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $145 | 0% | $145 | Medium |
| Child Dental Cleaning | $106 | 0% | $106 | Medium |
| Fluoride - Topical Application | $46 | 0% | $46 | Medium |
| Plaque and tartar removal from around teeth and gums-per quadrant | $365 | 0% | $365 | Medium |
| Sealant placed on the tooth surface to prevent decay | $100 | 0% | $100 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Periodic dental exam - established patient | $69 | 0% | $69 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $101 | 0% | $101 | Medium |
| X-Ray Dental - Four images - bitewings | $84 | 0% | $84 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $38 | 0% | $38 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - One surface, primary or permanent | $202 | 0% | $202 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $268 | 0% | $268 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $333 | 0% | $333 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $221 | 0% | $221 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $208 | 0% | $208 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $193 | 0% | $193 | Medium |