David Harrison, DDS
1 Essex Avenue Gloucester, MA 01930
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $121 | 0% | $121 | Medium |
| Dental Exam - Periodic, Established Patient | $47 | 0% | $47 | Medium |
| Dental Filling - White (Resin): One Surface, Anterior | $152 | 0% | $152 | Medium |
| Dental Filling - White (Resin): One Surface, Posterior | $152 | 0% | $152 | Medium |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $307 | 0% | $307 | Medium |
| X-Ray - Four Images, Bitewings | $79 | 0% | $79 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $32 | 0% | $32 | Medium |
