Athanasoulas & Pappey Associates In Dentistry
115 Market Street Lowell, MA 01852
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $124 | 0% | $124 | Medium |
| Child Dental Cleaning | $134 | 0% | $134 | Medium |
| Topical fluoride varnish application | $42 | 0% | $42 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $82 | 0% | $82 | Medium |
| Periodic dental exam - established patient | $41 | 0% | $41 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $131 | 0% | $131 | Medium |
| X-Ray Dental - Complete intraoral series | $176 | 0% | $176 | Medium |
| X-Ray Dental - Four images - bitewings | $74 | 0% | $74 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $40 | 0% | $40 | Medium |
| X-Ray Dental - Two images - bitewings | $62 | 0% | $62 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $22 | 0% | $22 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - One surface, primary or permanent | $185 | 0% | $185 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $185 | 0% | $185 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $231 | 0% | $231 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $172 | 0% | $172 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $234 | 0% | $234 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $207 | 0% | $207 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Tooth Extraction (Elevation and/or forceps removal) | $242 | 0% | $242 | Medium |