Danvers Dental Associates
Dental Procedures
| Procedure | Estimate of Total Cost | Number of Visits | What You Will Pay Uninsured Discount: 0% |
|---|---|---|---|
| Dental Cleaning - Adult | $119 | N/A | $119 |
| Dental Cleaning - Child | $81 | N/A | $81 |
| Dental Exam - Periodic, Established Patient | $65 | N/A | $65 |
| Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent | $390 | N/A | $390 |
| Dental Filling - White (Resin): One Surface, Anterior | $232 | N/A | $232 |
| Dental Filling - White (Resin): One Surface, Posterior | $244 | N/A | $244 |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $390 | N/A | $390 |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $287 | N/A | $287 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $309 | N/A | $309 |
| Flouride - Topical Varnish Application | $45 | N/A | $45 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $113 | N/A | $113 |
| X-Ray - Complete Intraoral Series | $201 | N/A | $201 |
| X-Ray - Four Images, Bitewings | $92 | N/A | $92 |
| X-Ray - Intraoral, Periapical Radiographic Image | $41 | N/A | $41 |
| X-Ray - Two Images, Bitewings | $68 | N/A | $68 |