Doctors Schofield Martin & Smagula

200 Littleton Road Westford, MA 01886
Dental Procedures
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My Health Insurance:

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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$1450%$145 Medium
Dental Exam - Comprehensive$1310%$131 Medium
Dental Exam - Periodic, Established Patient$540%$54 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1930%$193 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3090%$309 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2740%$274 Medium
Dental Filling - White (Resin): One Surface, Anterior$1770%$177 Medium
Dental Filling - White (Resin): One Surface, Posterior$2800%$280 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$5290%$529 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$3270%$327 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2740%$274 Medium
Fluoride - Topical Application$610%$61 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1170%$117 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$720%$72 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1950%$195 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$380%$38 Medium
X-Ray - Complete Intraoral Series$1830%$183 Medium
X-Ray - Four Images, Bitewings$720%$72 Medium
X-Ray - Intraoral, Periapical Radiographic Image$400%$40 Medium
X-Ray - Two Images, Bitewings$1010%$101 Medium
X-Ray - Whole Mouth from Outside Mouth$1700%$170 Medium