Downeast Center For Restorative Dentistry

12 Newmarch Street Kittery, ME 03904
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1120%$112 Medium
Dental Cleaning - Child$870%$87 Medium
Dental Exam - Comprehensive$1110%$111 Medium
Dental Exam - Periodic, Established Patient$580%$58 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2250%$225 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2640%$264 Medium
Dental Filling - White (Resin): One Surface, Anterior$2050%$205 Medium
Dental Filling - White (Resin): One Surface, Posterior$2250%$225 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$6470%$647 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2590%$259 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2820%$282 Medium
Maintenance Therapy - Periodontal$1390%$139 Medium
Orthodontic Treatment - Periodic Visit, Part of a Contract$760%$76 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3020%$302 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$920%$92 Medium
Root Canal - Anterior Tooth$1,0280%$1,028 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$610%$61 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2170%$217 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$370%$37 Medium
X-Ray - Complete Intraoral Series$1610%$161 Medium
X-Ray - Four Images, Bitewings$790%$79 Medium
X-Ray - Intraoral, Periapical Radiographic Image$370%$37 Medium
X-Ray - Two Images, Bitewings$420%$42 Medium