Bedford Center For Prosthodontics
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $125 | 0% | $125 |
| Dental Exam - Comprehensive | $131 | 0% | $131 |
| Dental Exam - Periodic, Established Patient | $62 | 0% | $62 |
| Dental Filling - White (Resin): One Surface, Anterior | $200 | 0% | $200 |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $240 | 0% | $240 |
| Flouride - Topical Varnish Application | $51 | 0% | $51 |
| Maintenance Therapy - Periodontal | $268 | 0% | $268 |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $630 | 0% | $630 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $108 | 0% | $108 |
| Tooth Extraction - Elevation and/or Forceps Removal | $289 | 0% | $289 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $69 | 0% | $69 |
| X-Ray - Complete Intraoral Series | $184 | 0% | $184 |
| X-Ray - Four Images, Bitewings | $86 | 0% | $86 |
| X-Ray - Intraoral, Periapical Radiographic Image | $42 | 0% | $42 |