David W Martin, DMD
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $116 | 0% | $116 | Medium |
| Dental Exam - Periodic, Established Patient | $54 | 0% | $54 | Medium |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $190 | 0% | $190 | Medium |
| Dental Filling - White (Resin): One Surface, Posterior | $190 | 0% | $190 | Medium |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $363 | 0% | $363 | Medium |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $89 | 0% | $89 | Medium |
| X-Ray - Complete Intraoral Series | $219 | 0% | $219 | Medium |
| X-Ray - Four Images, Bitewings | $79 | 0% | $79 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $39 | 0% | $39 | Medium |
