Gentle Dental

22 Alpine Lane Chelmsford, MA 01824
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1070%$107
Dental Cleaning - Child$860%$86
Dental Exam - Comprehensive$910%$91
Dental Exam - Periodic, Established Patient$500%$50
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1490%$149
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2280%$228
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1870%$187
Dental Filling - White (Resin): One Surface, Anterior$1940%$194
Dental Filling - White (Resin): One Surface, Posterior$3210%$321
Dental Filling - White (Resin): Three Surfaces, Posterior$5630%$563
Dental Filling - White (Resin): Two Surfaces, Anterior$2440%$244
Dental Filling - White (Resin): Two Surfaces, Posterior$4390%$439
Flouride - Topical Varnish Application$430%$43
Fluoride - Topical Application$430%$43
Maintenance Therapy - Periodontal$2160%$216
Orthodontic Treatment - Periodic Visit, Part of a Contract$1070%$107
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$5060%$506
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$910%$91
Root Canal - Anterior Tooth$8770%$877
Root Canal - Bicuspid Tooth$9790%$979
Root Canal - Molar$1,6250%$1,625
Sealant - Placed on Tooth Surface to Prevent Decay$590%$59
Tooth Extraction - Elevation and/or Forceps Removal$1860%$186
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$280%$28
X-Ray - Complete Intraoral Series$2520%$252
X-Ray - Four Images, Bitewings$720%$72
X-Ray - Intraoral, Periapical Radiographic Image$380%$38
X-Ray - Two Images, Bitewings$510%$51
X-Ray - Whole Mouth from Outside Mouth$1310%$131