Dental Associates of Lowell

163 Pine Street Lowell, MA 01851
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1210%$121
Dental Cleaning - Child$840%$84
Dental Exam - Comprehensive$790%$79
Dental Exam - Periodic, Established Patient$530%$53
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1890%$189
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2050%$205
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1940%$194
Dental Filling - White (Resin): One Surface, Anterior$1890%$189
Dental Filling - White (Resin): One Surface, Posterior$1890%$189
Dental Filling - White (Resin): Three Surfaces, Posterior$4100%$410
Dental Filling - White (Resin): Two Surfaces, Anterior$2050%$205
Dental Filling - White (Resin): Two Surfaces, Posterior$3570%$357
Fluoride - Topical Application$420%$42
Maintenance Therapy - Periodontal$2630%$263
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$840%$84
Root Canal - Anterior Tooth$7610%$761
Root Canal - Bicuspid Tooth$9350%$935
Root Canal - Molar$1,1680%$1,168
Sealant - Placed on Tooth Surface to Prevent Decay$740%$74
Tooth Extraction - Elevation and/or Forceps Removal$2050%$205
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$220%$22
X-Ray - Complete Intraoral Series$2040%$204
X-Ray - Four Images, Bitewings$710%$71
X-Ray - Intraoral, Periapical Radiographic Image$260%$26
X-Ray - Two Images, Bitewings$530%$53
X-Ray - Whole Mouth from Outside Mouth$1390%$139