Andrew Zale, DDS
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $116 | 0% | $116 | Medium |
| Dental Exam - Periodic, Established Patient | $63 | 0% | $63 | Medium |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $200 | 0% | $200 | Medium |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $236 | 0% | $236 | Medium |
| Dental Filling - White (Resin): One Surface, Posterior | $200 | 0% | $200 | Medium |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $504 | 0% | $504 | Medium |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $105 | 0% | $105 | Medium |
| X-Ray - Complete Intraoral Series | $315 | 0% | $315 | Medium |
| X-Ray - Four Images, Bitewings | $79 | 0% | $79 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $37 | 0% | $37 | Medium |
| X-Ray - Two Images, Bitewings | $53 | 0% | $53 | Medium |
