Dental Dreams
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $152 | 0% | $152 |
| Dental Cleaning - Child | $86 | 0% | $86 |
| Dental Exam - Periodic, Established Patient | $60 | 0% | $60 |
| Flouride - Topical Varnish Application | $55 | 0% | $55 |
| Sealant - Placed on Tooth Surface to Prevent Decay | $89 | 0% | $89 |
| X-Ray - Complete Intraoral Series | $253 | 0% | $253 |
| X-Ray - Intraoral, Periapical Radiographic Image | $44 | 0% | $44 |
| X-Ray - Two Images, Bitewings | $88 | 0% | $88 |