Danvers Dental Associates
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $119 | 0% | $119 |
| Dental Cleaning - Child | $81 | 0% | $81 |
| Dental Exam - Comprehensive | $130 | 0% | $130 |
| Dental Exam - Periodic, Established Patient | $65 | 0% | $65 |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $236 | 0% | $236 |
| Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent | $347 | 0% | $347 |
| Dental Filling - White (Resin): One Surface, Anterior | $259 | 0% | $259 |
| Dental Filling - White (Resin): One Surface, Posterior | $236 | 0% | $236 |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $390 | 0% | $390 |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $287 | 0% | $287 |
| Flouride - Topical Varnish Application | $45 | 0% | $45 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $113 | 0% | $113 |
| X-Ray - Complete Intraoral Series | $201 | 0% | $201 |
| X-Ray - Four Images, Bitewings | $92 | 0% | $92 |
| X-Ray - Intraoral, Periapical Radiographic Image | $41 | 0% | $41 |
| X-Ray - Two Images, Bitewings | $68 | 0% | $68 |