Andover Oral Surgery
63 Park Street, Suite 1 Andover, MA 01810
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $163 | 0% | $163 | Medium |
| Tooth Extraction - Elevation and/or Forceps Removal | $273 | 0% | $273 | Medium |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $53 | 0% | $53 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $63 | 0% | $63 | Medium |
| X-Ray - Whole Mouth from Outside Mouth | $194 | 0% | $194 | Medium |
