Bassam Jamous, DMD
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $131 | 0% | $131 |
| Dental Exam - Periodic, Established Patient | $58 | 0% | $58 |
| Maintenance Therapy - Periodontal | $189 | 0% | $189 |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $315 | 0% | $315 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $95 | 0% | $95 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $19 | 0% | $19 |
| X-Ray - Complete Intraoral Series | $197 | 0% | $197 |
| X-Ray - Four Images, Bitewings | $116 | 0% | $116 |
| X-Ray - Intraoral, Periapical Radiographic Image | $37 | 0% | $37 |