Groton Dental Wellness Center

493-495 Main Street Groton, MA 01450
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1600%$160 Medium
Dental Cleaning - Child$1170%$117 Medium
Dental Exam - Comprehensive$860%$86 Medium
Dental Exam - Periodic, Established Patient$660%$66 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2920%$292 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$4210%$421 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$3660%$366 Medium
Dental Filling - White (Resin): One Surface, Anterior$2500%$250 Medium
Dental Filling - White (Resin): One Surface, Posterior$2920%$292 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4210%$421 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$3000%$300 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3660%$366 Medium
Maintenance Therapy - Periodontal$1870%$187 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1190%$119 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$960%$96 Medium
Tooth Extraction - Elevation and/or Forceps Removal$3970%$397 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$410%$41 Medium
X-Ray - Complete Intraoral Series$3150%$315 Medium
X-Ray - Four Images, Bitewings$1020%$102 Medium
X-Ray - Intraoral, Periapical Radiographic Image$510%$51 Medium
X-Ray - Two Images, Bitewings$870%$87 Medium
X-Ray - Whole Mouth from Outside Mouth$2230%$223 Medium