Great Bay Oral Surgery Associates
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $120 | 0% | $120 | Medium |
| Dental Exam - Comprehensive | $126 | 0% | $126 | Medium |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $110 | 0% | $110 | Medium |
| Tooth Extraction - Elevation and/or Forceps Removal | $263 | 0% | $263 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $40 | 0% | $40 | Medium |
| X-Ray - Whole Mouth from Outside Mouth | $131 | 0% | $131 | Medium |
