Anthony Lee Friedman, DMD
21 Streetorey Avenue Newburyport, MA 01950
Dental Procedures
| Procedure | Estimate of Total Cost | Number of Visits | What You Will Pay Uninsured Discount: 0% |
|---|---|---|---|
| Dental Cleaning - Adult | $114 | N/A | $114 |
| Dental Cleaning - Child | $174 | N/A | $174 |
| Dental Exam - Comprehensive | $95 | N/A | $95 |
| Dental Exam - Periodic, Established Patient | $103 | N/A | $103 |
| Dental Filling - White (Resin): One Surface, Posterior | $418 | N/A | $418 |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $653 | N/A | $653 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $540 | N/A | $540 |
| Flouride - Topical Varnish Application | $54 | N/A | $54 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $189 | N/A | $189 |
| Tooth Extraction - Elevation and/or Forceps Removal | $186 | N/A | $186 |
| X-Ray - Four Images, Bitewings | $86 | N/A | $86 |
| X-Ray - Intraoral, Periapical Radiographic Image | $74 | N/A | $74 |
| X-Ray - Two Images, Bitewings | $107 | N/A | $107 |
| X-Ray - Whole Mouth from Outside Mouth | $148 | N/A | $148 |