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