Crosspoint Dental
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $119 | 0% | $119 |
| Dental Exam - Comprehensive | $120 | 0% | $120 |
| Dental Exam - Periodic, Established Patient | $63 | 0% | $63 |
| Dental Filling - White (Resin): One Surface, Anterior | $210 | 0% | $210 |
| Dental Filling - White (Resin): One Surface, Posterior | $250 | 0% | $250 |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $398 | 0% | $398 |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $267 | 0% | $267 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $318 | 0% | $318 |
| Maintenance Therapy - Periodontal | $353 | 0% | $353 |
| Orthodontic Treatment - Periodic Visit, Part of a Contract | $158 | 0% | $158 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $108 | 0% | $108 |
| X-Ray - Complete Intraoral Series | $182 | 0% | $182 |
| X-Ray - Four Images, Bitewings | $98 | 0% | $98 |
| X-Ray - Intraoral, Periapical Radiographic Image | $44 | 0% | $44 |