Dental Partners of Newburyport
194 High Street Newburyport, MA 01950
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $116 | 0% | $116 | Medium |
| Child Dental Cleaning | $89 | 0% | $89 | Medium |
| Fluoride - Topical Application | $47 | 0% | $47 | Medium |
| Topical fluoride varnish application | $95 | 0% | $95 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Periodic dental exam - established patient | $58 | 0% | $58 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $95 | 0% | $95 | Medium |
| X-Ray Dental - Complete intraoral series | $163 | 0% | $163 | Medium |
| X-Ray Dental - Four images - bitewings | $79 | 0% | $79 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $74 | 0% | $74 | Medium |
| X-Ray Dental - Two images - bitewings | $58 | 0% | $58 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $63 | 0% | $63 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $231 | 0% | $231 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $273 | 0% | $273 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $242 | 0% | $242 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $289 | 0% | $289 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $221 | 0% | $221 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $357 | 0% | $357 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $171 | 0% | $171 | Medium |