David N Bardwell, DMD
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $130 | 0% | $130 | Medium |
| Dental Cleaning - Child | $99 | 0% | $99 | Medium |
| Dental Exam - Comprehensive | $103 | 0% | $103 | Medium |
| Dental Exam - Periodic, Established Patient | $69 | 0% | $69 | Medium |
| Dental Filling - White (Resin): One Surface, Anterior | $188 | 0% | $188 | Medium |
| Dental Filling - White (Resin): One Surface, Posterior | $184 | 0% | $184 | Medium |
| Flouride - Topical Varnish Application | $62 | 0% | $62 | Medium |
| Maintenance Therapy - Periodontal | $193 | 0% | $193 | Medium |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $266 | 0% | $266 | Medium |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $106 | 0% | $106 | Medium |
| Sealant - Placed on Tooth Surface to Prevent Decay | $87 | 0% | $87 | Medium |
| X-Ray - Complete Intraoral Series | $195 | 0% | $195 | Medium |
| X-Ray - Four Images, Bitewings | $103 | 0% | $103 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $47 | 0% | $47 | Medium |
| X-Ray - Two Images, Bitewings | $63 | 0% | $63 | Medium |
