Bedford Commons Periodontics
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $181 | 0% | $181 |
| Dental Exam - Periodic, Established Patient | $59 | 0% | $59 |
| Flouride - Topical Varnish Application | $49 | 0% | $49 |
| Maintenance Therapy - Periodontal | $181 | 0% | $181 |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $186 | 0% | $186 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $106 | 0% | $106 |
| X-Ray - Complete Intraoral Series | $174 | 0% | $174 |
| X-Ray - Four Images, Bitewings | $86 | 0% | $86 |
| X-Ray - Intraoral, Periapical Radiographic Image | $40 | 0% | $40 |