Christopher Allen Fauver, DDS
2 Chester Road Springfield, VT 05156
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Child Dental Cleaning | $64 | 0% | $64 | Medium |
| Sealant placed on the tooth surface to prevent decay | $47 | 0% | $47 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $71 | 0% | $71 | Medium |
| Periodic dental exam - established patient | $40 | 0% | $40 | Medium |
| X-Ray Dental - Complete intraoral series | $142 | 0% | $142 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $26 | 0% | $26 | Medium |
| X-Ray Dental - Two images - bitewings | $41 | 0% | $41 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $21 | 0% | $21 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - One surface, primary or permanent | $142 | 0% | $142 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $194 | 0% | $194 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $228 | 0% | $228 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $142 | 0% | $142 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $194 | 0% | $194 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $142 | 0% | $142 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $273 | 0% | $273 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $194 | 0% | $194 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Tooth Extraction (Elevation and/or forceps removal) | $158 | 0% | $158 | Medium |