Andover Smiles
Dental Procedures
| Procedure | Estimate of Total Cost | Number of Visits | What You Will Pay Uninsured Discount: 0% |
|---|---|---|---|
| Dental Cleaning - Adult | $156 | N/A | $156 |
| Dental Exam - Periodic, Established Patient | $98 | N/A | $98 |
| Dental Filling - White (Resin): One Surface, Posterior | $310 | N/A | $310 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $107 | N/A | $107 |
| X-Ray - Complete Intraoral Series | $331 | N/A | $331 |
| X-Ray - Intraoral, Periapical Radiographic Image | $60 | N/A | $60 |