Barton Street Dental
21 Barton Street, Suite 2 Bradford, VT 05033
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $91 | 0% | $91 | Medium |
| Child Dental Cleaning | $74 | 0% | $74 | Medium |
| Fluoride - Topical Application | $39 | 0% | $39 | Medium |
| Sealant placed on the tooth surface to prevent decay | $61 | 0% | $61 | Medium |
| Topical fluoride varnish application | $36 | 0% | $36 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $109 | 0% | $109 | Medium |
| Periodic dental exam - established patient | $46 | 0% | $46 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $79 | 0% | $79 | Medium |
| X-Ray Dental - Complete intraoral series | $141 | 0% | $141 | Medium |
| X-Ray Dental - Four images - bitewings | $88 | 0% | $88 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $30 | 0% | $30 | Medium |
| X-Ray Dental - Two images - bitewings | $57 | 0% | $57 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $24 | 0% | $24 | Medium |
| X-Ray Dental - Whole mouth, from outside mouth | $119 | 0% | $119 | 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 | $153 | 0% | $153 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $196 | 0% | $196 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $232 | 0% | $232 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $171 | 0% | $171 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $223 | 0% | $223 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $160 | 0% | $160 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $272 | 0% | $272 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $226 | 0% | $226 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $140 | 0% | $140 | Medium |