Community Dentists of Lowell
Dental Procedures
| Procedure | Estimate of Total Cost | Number of Visits | What You Will Pay Uninsured Discount: 0% |
|---|---|---|---|
| Dental Cleaning - Adult | $100 | N/A | $100 |
| Dental Exam - Periodic, Established Patient | $53 | N/A | $53 |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $185 | N/A | $185 |
| Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent | $290 | N/A | $290 |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $217 | N/A | $217 |
| Dental Filling - White (Resin): One Surface, Anterior | $208 | N/A | $208 |
| Dental Filling - White (Resin): One Surface, Posterior | $184 | N/A | $184 |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $221 | N/A | $221 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $208 | N/A | $208 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $23 | N/A | $23 |
| X-Ray - Complete Intraoral Series | $126 | N/A | $126 |
| X-Ray - Four Images, Bitewings | $79 | N/A | $79 |
| X-Ray - Intraoral, Periapical Radiographic Image | $32 | N/A | $32 |
| X-Ray - Two Images, Bitewings | $42 | N/A | $42 |
| X-Ray - Whole Mouth from Outside Mouth | $121 | N/A | $121 |