Great Bay Oral Surgery Associates
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Exam - Comprehensive | $126 | 0% | $126 | Medium |
| Dental Exam - Periodic, Established Patient | $112 | 0% | $112 | 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 | $42 | 0% | $42 | Medium |
| X-Ray - Whole Mouth from Outside Mouth | $153 | 0% | $153 | Medium |
