Chelmsford Dental Associates

18 North Road Chelmsford, MA 01824
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1300%$130 Medium
Dental Cleaning - Child$1010%$101 Medium
Dental Exam - Comprehensive$1370%$137 Medium
Dental Exam - Periodic, Established Patient$760%$76 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2670%$267 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$4040%$404 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$3310%$331 Medium
Dental Filling - White (Resin): One Surface, Anterior$2370%$237 Medium
Dental Filling - White (Resin): One Surface, Posterior$2670%$267 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4040%$404 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2870%$287 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3310%$331 Medium
Flouride - Topical Varnish Application$640%$64 Medium
Maintenance Therapy - Periodontal$2100%$210 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3650%$365 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1050%$105 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$810%$81 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2750%$275 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$380%$38 Medium
X-Ray - Complete Intraoral Series$1890%$189 Medium
X-Ray - Four Images, Bitewings$930%$93 Medium
X-Ray - Intraoral, Periapical Radiographic Image$450%$45 Medium
X-Ray - Two Images, Bitewings$650%$65 Medium
X-Ray - Whole Mouth from Outside Mouth$1620%$162 Medium