Bedford Commons Periodontics
Dental Procedures
Preventive Care
Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
---|---|---|---|---|
Adult Dental Cleaning | $181 | 0% | $181 | Medium |
Plaque and tartar removal from around teeth and gums-per quadrant | $177 | 0% | $177 | Medium |
Topical fluoride varnish application | $49 | 0% | $49 | Medium |
Diagnostic Services
Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
---|---|---|---|---|
Periodic dental exam - established patient | $59 | 0% | $59 | Medium |
Problem focused evaluation limited to a specific oral health problem or complaint | $106 | 0% | $106 | Medium |
X-Ray Dental - Complete intraoral series | $174 | 0% | $174 | Medium |
X-Ray Dental - Four images - bitewings | $86 | 0% | $86 | Medium |
X-Ray Dental - Intraoral - periapical radiographic image | $40 | 0% | $40 | Medium |
Other Dental Services
Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
---|---|---|---|---|
Maintenance Therapy - Periodontal | $181 | 0% | $181 | Medium |