Anthony Lee Friedman, DMD
21 Streetorey Avenue Newburyport, MA 01950
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $114 | 0% | $114 |
| Dental Cleaning - Child | $174 | 0% | $174 |
| Dental Exam - Comprehensive | $95 | 0% | $95 |
| Dental Exam - Periodic, Established Patient | $51 | 0% | $51 |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $327 | 0% | $327 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $540 | 0% | $540 |
| Flouride - Topical Varnish Application | $54 | 0% | $54 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $142 | 0% | $142 |
| Tooth Extraction - Elevation and/or Forceps Removal | $186 | 0% | $186 |
| X-Ray - Complete Intraoral Series | $207 | 0% | $207 |
| X-Ray - Four Images, Bitewings | $86 | 0% | $86 |
| X-Ray - Intraoral, Periapical Radiographic Image | $71 | 0% | $71 |
| X-Ray - Two Images, Bitewings | $107 | 0% | $107 |
| X-Ray - Whole Mouth from Outside Mouth | $148 | 0% | $148 |