Gentle Dental

22 Alpine Lane Chelmsford, MA 01824
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1050%$105 Medium
Dental Cleaning - Child$850%$85 Medium
Dental Exam - Comprehensive$900%$90 Medium
Dental Exam - Periodic, Established Patient$490%$49 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1450%$145 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2220%$222 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1820%$182 Medium
Dental Filling - White (Resin): One Surface, Anterior$1680%$168 Medium
Dental Filling - White (Resin): One Surface, Posterior$3210%$321 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$5630%$563 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2020%$202 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$4390%$439 Medium
Flouride - Topical Varnish Application$410%$41 Medium
Fluoride - Topical Application$490%$49 Medium
Maintenance Therapy - Periodontal$2160%$216 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$5060%$506 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$880%$88 Medium
Root Canal - Anterior Tooth$1,6440%$1,644 Medium
Root Canal - Bicuspid Tooth$1,7810%$1,781 Medium
Root Canal - Molar$2,2070%$2,207 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$580%$58 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1830%$183 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$270%$27 Medium
X-Ray - Complete Intraoral Series$2370%$237 Medium
X-Ray - Four Images, Bitewings$710%$71 Medium
X-Ray - Intraoral, Periapical Radiographic Image$340%$34 Medium
X-Ray - Two Images, Bitewings$500%$50 Medium
X-Ray - Whole Mouth from Outside Mouth$1290%$129 Medium