Andover Smiles
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $144 | 0% | $144 | Medium |
| Dental Exam - Periodic, Established Patient | $98 | 0% | $98 | Medium |
| Dental Filling - White (Resin): One Surface, Anterior | $310 | 0% | $310 | Medium |
| Dental Filling - White (Resin): One Surface, Posterior | $310 | 0% | $310 | Medium |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $107 | 0% | $107 | Medium |
| X-Ray - Four Images, Bitewings | $131 | 0% | $131 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $60 | 0% | $60 | Medium |
