Cabot Dental Associates
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $121 | 0% | $121 | Medium |
| Dental Cleaning - Child | $168 | 0% | $168 | Medium |
| Dental Exam - Periodic, Established Patient | $53 | 0% | $53 | Medium |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $275 | 0% | $275 | Medium |
| Dental Filling - White (Resin): One Surface, Posterior | $217 | 0% | $217 | Medium |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $244 | 0% | $244 | Medium |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $275 | 0% | $275 | Medium |
| Maintenance Therapy - Periodontal | $294 | 0% | $294 | Medium |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $91 | 0% | $91 | Medium |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $23 | 0% | $23 | Medium |
| X-Ray - Complete Intraoral Series | $179 | 0% | $179 | Medium |
| X-Ray - Four Images, Bitewings | $63 | 0% | $63 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $29 | 0% | $29 | Medium |
