Franklyn Liberatore, DMD
Dental Procedures
| Procedure | Estimate of Total Cost | Number of Visits | What You Will Pay Uninsured Discount: 0% |
|---|---|---|---|
| Dental Cleaning - Adult | $231 | N/A | $231 |
| Dental Exam - Comprehensive | $181 | N/A | $181 |
| Dental Exam - Periodic, Established Patient | $101 | N/A | $101 |
| Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent | $368 | N/A | $368 |
| Dental Filling - White (Resin): One Surface, Anterior | $236 | N/A | $236 |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $368 | N/A | $368 |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $289 | N/A | $289 |
| Flouride - Topical Varnish Application | $74 | N/A | $74 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $95 | N/A | $95 |
| Tooth Extraction - Elevation and/or Forceps Removal | $263 | N/A | $263 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $32 | N/A | $32 |
| X-Ray - Complete Intraoral Series | $315 | N/A | $315 |
| X-Ray - Four Images, Bitewings | $147 | N/A | $147 |
| X-Ray - Intraoral, Periapical Radiographic Image | $42 | N/A | $42 |