Arno Topp, DMD
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $105 | 0% | $105 | Medium |
| Dental Cleaning - Child | $118 | 0% | $118 | Medium |
| Dental Exam - Comprehensive | $91 | 0% | $91 | Medium |
| Dental Exam - Periodic, Established Patient | $53 | 0% | $53 | Medium |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $158 | 0% | $158 | Medium |
| Dental Filling - White (Resin): One Surface, Posterior | $158 | 0% | $158 | Medium |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $236 | 0% | $236 | Medium |
| Flouride - Topical Varnish Application | $63 | 0% | $63 | Medium |
| Maintenance Therapy - Periodontal | $126 | 0% | $126 | Medium |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $231 | 0% | $231 | Medium |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $63 | 0% | $63 | Medium |
| X-Ray - Complete Intraoral Series | $126 | 0% | $126 | Medium |
| X-Ray - Four Images, Bitewings | $79 | 0% | $79 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $29 | 0% | $29 | Medium |
