Dental Partners of Newburyport
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $126 | 0% | $126 |
| Dental Cleaning - Child | $97 | 0% | $97 |
| Dental Exam - Comprehensive | $116 | 0% | $116 |
| Dental Exam - Periodic, Established Patient | $63 | 0% | $63 |
| Dental Filling - White (Resin): One Surface, Posterior | $242 | 0% | $242 |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $357 | 0% | $357 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $289 | 0% | $289 |
| Flouride - Topical Varnish Application | $47 | 0% | $47 |
| Maintenance Therapy - Periodontal | $189 | 0% | $189 |
| Tooth Extraction - Elevation and/or Forceps Removal | $305 | 0% | $305 |
| X-Ray - Complete Intraoral Series | $179 | 0% | $179 |
| X-Ray - Four Images, Bitewings | $95 | 0% | $95 |
| X-Ray - Intraoral, Periapical Radiographic Image | $37 | 0% | $37 |
| X-Ray - Two Images, Bitewings | $63 | 0% | $63 |