Dental Associates of Lowell

163 Pine Street Lowell, MA 01851
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1160%$116 Medium
Dental Cleaning - Child$840%$84 Medium
Dental Exam - Comprehensive$790%$79 Medium
Dental Exam - Periodic, Established Patient$530%$53 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1890%$189 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2050%$205 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1940%$194 Medium
Dental Filling - White (Resin): One Surface, Anterior$1790%$179 Medium
Dental Filling - White (Resin): One Surface, Posterior$1890%$189 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2050%$205 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2080%$208 Medium
Fluoride - Topical Application$420%$42 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2890%$289 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$840%$84 Medium
Root Canal - Anterior Tooth$7610%$761 Medium
Root Canal - Bicuspid Tooth$9350%$935 Medium
Root Canal - Molar$1,1290%$1,129 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$740%$74 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2050%$205 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$220%$22 Medium
X-Ray - Complete Intraoral Series$2030%$203 Medium
X-Ray - Four Images, Bitewings$710%$71 Medium
X-Ray - Intraoral, Periapical Radiographic Image$260%$26 Medium
X-Ray - Two Images, Bitewings$530%$53 Medium
X-Ray - Whole Mouth from Outside Mouth$1310%$131 Medium