David Cormier, DDS
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $108 | 0% | $108 | Medium |
| Dental Cleaning - Child | $82 | 0% | $82 | Medium |
| Dental Exam - Comprehensive | $189 | 0% | $189 | Medium |
| Dental Exam - Periodic, Established Patient | $53 | 0% | $53 | Medium |
| Flouride - Topical Varnish Application | $48 | 0% | $48 | Medium |
| Fluoride - Topical Application | $48 | 0% | $48 | Medium |
| Maintenance Therapy - Periodontal | $179 | 0% | $179 | Medium |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $315 | 0% | $315 | Medium |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $25 | 0% | $25 | Medium |
| X-Ray - Complete Intraoral Series | $298 | 0% | $298 | Medium |
| X-Ray - Four Images, Bitewings | $75 | 0% | $75 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $40 | 0% | $40 | Medium |
| X-Ray - Two Images, Bitewings | $50 | 0% | $50 | Medium |
