Charles Kokinos, DDS
54 Church Street Lowell, MA 01852
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $145 | 0% | $145 | Medium |
| Dental Cleaning - Child | $118 | 0% | $118 | Medium |
| Dental Exam - Periodic, Established Patient | $58 | 0% | $58 | Medium |
| Dental Filling - White (Resin): One Surface, Anterior | $152 | 0% | $152 | Medium |
| Fluoride - Topical Application | $71 | 0% | $71 | Medium |
| Maintenance Therapy - Periodontal | $193 | 0% | $193 | Medium |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $242 | 0% | $242 | Medium |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $34 | 0% | $34 | Medium |
| X-Ray - Complete Intraoral Series | $197 | 0% | $197 | Medium |
| X-Ray - Four Images, Bitewings | $84 | 0% | $84 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $32 | 0% | $32 | Medium |
| X-Ray - Two Images, Bitewings | $63 | 0% | $63 | Medium |
