David W Martin, DMD
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $116 | 0% | $116 |
| Dental Exam - Periodic, Established Patient | $55 | 0% | $55 |
| Dental Filling - White (Resin): One Surface, Anterior | $330 | 0% | $330 |
| Dental Filling - White (Resin): One Surface, Posterior | $384 | 0% | $384 |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $198 | 0% | $198 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $485 | 0% | $485 |
| X-Ray - Complete Intraoral Series | $148 | 0% | $148 |
| X-Ray - Four Images, Bitewings | $80 | 0% | $80 |