Drum Hill Dental
117 Drum Hill Road Chelmsford, MA 01824
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $107 | 0% | $107 | Medium |
| Child Dental Cleaning | $100 | 0% | $100 | Medium |
| Fluoride - Topical Application | $54 | 0% | $54 | Medium |
| Plaque and tartar removal from around teeth and gums-per quadrant | $315 | 0% | $315 | Medium |
| Sealant placed on the tooth surface to prevent decay | $68 | 0% | $68 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $116 | 0% | $116 | Medium |
| Periodic dental exam - established patient | $51 | 0% | $51 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $94 | 0% | $94 | Medium |
| X-Ray Dental - Complete intraoral series | $197 | 0% | $197 | Medium |
| X-Ray Dental - Four images - bitewings | $78 | 0% | $78 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $34 | 0% | $34 | Medium |
| X-Ray Dental - Two images - bitewings | $53 | 0% | $53 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - One surface, primary or permanent | $185 | 0% | $185 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $227 | 0% | $227 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $290 | 0% | $290 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $188 | 0% | $188 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $300 | 0% | $300 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $188 | 0% | $188 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $370 | 0% | $370 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $269 | 0% | $269 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $149 | 0% | $149 | Medium |
| Tooth Extraction (Elevation and/or forceps removal) | $221 | 0% | $221 | Medium |