David N Bardwell, DMD
Dental Procedures
| Procedure | Estimate of Total Cost | Number of Visits | What You Will Pay Uninsured Discount: 0% |
|---|---|---|---|
| Dental Cleaning - Adult | $137 | N/A | $137 |
| Dental Cleaning - Child | $104 | N/A | $104 |
| Dental Exam - Periodic, Established Patient | $70 | N/A | $70 |
| Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent | $290 | N/A | $290 |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $359 | N/A | $359 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $359 | N/A | $359 |
| Flouride - Topical Varnish Application | $65 | N/A | $65 |
| Maintenance Therapy - Periodontal | $166 | N/A | $166 |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $315 | N/A | $315 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $111 | N/A | $111 |
| Sealant - Placed on Tooth Surface to Prevent Decay | $91 | N/A | $91 |
| X-Ray - Complete Intraoral Series | $201 | N/A | $201 |
| X-Ray - Four Images, Bitewings | $108 | N/A | $108 |
| X-Ray - Intraoral, Periapical Radiographic Image | $49 | N/A | $49 |
| X-Ray - Whole Mouth from Outside Mouth | $170 | N/A | $170 |