Carolyn A Madison, DMD
3 Cherry Street Newburyport, MA 01950
Dental Procedures
| Procedure | Estimate of Total Cost | Number of Visits | What You Will Pay Uninsured Discount: 0% |
|---|---|---|---|
| Dental Cleaning - Adult | $133 | N/A | $133 |
| Dental Cleaning - Child | $200 | N/A | $200 |
| Dental Exam - Comprehensive | $107 | N/A | $107 |
| Dental Exam - Periodic, Established Patient | $71 | N/A | $71 |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $195 | N/A | $195 |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $268 | N/A | $268 |
| Dental Filling - White (Resin): One Surface, Anterior | $205 | N/A | $205 |
| Dental Filling - White (Resin): One Surface, Posterior | $391 | N/A | $391 |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $204 | N/A | $204 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $263 | N/A | $263 |
| Flouride - Topical Varnish Application | $57 | N/A | $57 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $122 | N/A | $122 |
| X-Ray - Complete Intraoral Series | $181 | N/A | $181 |
| X-Ray - Four Images, Bitewings | $90 | N/A | $90 |
| X-Ray - Intraoral, Periapical Radiographic Image | $50 | N/A | $50 |