David N Bardwell, DMD
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $137 | 0% | $137 |
| Dental Cleaning - Child | $104 | 0% | $104 |
| Dental Exam - Periodic, Established Patient | $70 | 0% | $70 |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $351 | 0% | $351 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $273 | 0% | $273 |
| Flouride - Topical Varnish Application | $65 | 0% | $65 |
| Maintenance Therapy - Periodontal | $166 | 0% | $166 |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $315 | 0% | $315 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $111 | 0% | $111 |
| Sealant - Placed on Tooth Surface to Prevent Decay | $91 | 0% | $91 |
| X-Ray - Complete Intraoral Series | $196 | 0% | $196 |
| X-Ray - Four Images, Bitewings | $108 | 0% | $108 |
| X-Ray - Intraoral, Periapical Radiographic Image | $49 | 0% | $49 |
| X-Ray - Two Images, Bitewings | $61 | 0% | $61 |
| X-Ray - Whole Mouth from Outside Mouth | $170 | 0% | $170 |