Atlantic Family Dental
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent | $320 | 0% | $320 |
| Dental Filling - White (Resin): One Surface, Anterior | $163 | 0% | $163 |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $320 | 0% | $320 |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $194 | 0% | $194 |
| Flouride - Topical Varnish Application | $41 | 0% | $41 |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $268 | 0% | $268 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $84 | 0% | $84 |
| Sealant - Placed on Tooth Surface to Prevent Decay | $55 | 0% | $55 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $26 | 0% | $26 |