David P Reczek, DDS
Dental Procedures
| Procedure | Estimate of Total Cost | Number of Visits | What You Will Pay Uninsured Discount: 0% |
|---|---|---|---|
| Dental Cleaning - Adult | $124 | N/A | $124 |
| Dental Cleaning - Child | $191 | N/A | $191 |
| Dental Exam - Periodic, Established Patient | $71 | N/A | $71 |
| Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent | $368 | N/A | $368 |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $299 | N/A | $299 |
| Dental Filling - White (Resin): One Surface, Anterior | $232 | N/A | $232 |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $287 | N/A | $287 |
| Flouride - Topical Varnish Application | $59 | N/A | $59 |
| Maintenance Therapy - Periodontal | $172 | N/A | $172 |
| Root Canal - Bicuspid Tooth | $1,196 | N/A | $1,196 |
| Root Canal - Molar | $1,489 | N/A | $1,489 |
| Tooth Extraction - Elevation and/or Forceps Removal | $265 | N/A | $265 |
| X-Ray - Complete Intraoral Series | $182 | N/A | $182 |
| X-Ray - Four Images, Bitewings | $88 | N/A | $88 |
| X-Ray - Intraoral, Periapical Radiographic Image | $42 | N/A | $42 |
| X-Ray - Whole Mouth from Outside Mouth | $160 | N/A | $160 |