Dental Procedures
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My Health Insurance:

  • I do not have dental insurance

Preventive Care

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Adult Dental Cleaning$1070%$107 Medium
Child Dental Cleaning$1000%$100 Medium
Fluoride - Topical Application$540%$54 Medium
Plaque and tartar removal from around teeth and gums-per quadrant$3150%$315 Medium
Sealant placed on the tooth surface to prevent decay$680%$68 Medium

Diagnostic Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Comprehensive Dental Exam$1160%$116 Medium
Periodic dental exam - established patient$510%$51 Medium
Problem focused evaluation limited to a specific oral health problem or complaint$940%$94 Medium
X-Ray Dental - Complete intraoral series$1970%$197 Medium
X-Ray Dental - Four images - bitewings$780%$78 Medium
X-Ray Dental - Intraoral - periapical radiographic image$340%$34 Medium
X-Ray Dental - Two images - bitewings$530%$53 Medium

Other Dental Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Maintenance Therapy - Periodontal$1490%$149 Medium
Tooth Extraction (Elevation and/or forceps removal)$2210%$221 Medium