Andover Cosmetic Dental Group

305 North Main Street Andover, MA 01810
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1280%$128 Medium
Dental Cleaning - Child$1050%$105 Medium
Dental Exam - Comprehensive$1350%$135 Medium
Dental Exam - Periodic, Established Patient$690%$69 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2810%$281 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$4190%$419 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2700%$270 Medium
Dental Filling - White (Resin): One Surface, Anterior$2770%$277 Medium
Dental Filling - White (Resin): One Surface, Posterior$2370%$237 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4190%$419 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$3290%$329 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3350%$335 Medium
Flouride - Topical Varnish Application$440%$44 Medium
Fluoride - Topical Application$470%$47 Medium
Maintenance Therapy - Periodontal$1790%$179 Medium
Orthodontic Treatment - Periodic Visit, Part of a Contract$1070%$107 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3920%$392 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1100%$110 Medium
Root Canal - Anterior Tooth$8910%$891 Medium
Root Canal - Bicuspid Tooth$8910%$891 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$720%$72 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1620%$162 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$480%$48 Medium
X-Ray - Complete Intraoral Series$2040%$204 Medium
X-Ray - Four Images, Bitewings$1040%$104 Medium
X-Ray - Intraoral, Periapical Radiographic Image$460%$46 Medium
X-Ray - Two Images, Bitewings$710%$71 Medium
X-Ray - Whole Mouth from Outside Mouth$2140%$214 Medium