Hassey Dental Associates
100 Milk Street, Suite 120 Methuen, MA 01844
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $138 | 0% | $138 | Medium |
| Child Dental Cleaning | $96 | 0% | $96 | Medium |
| Fluoride - Topical Application | $61 | 0% | $61 | Medium |
| Plaque and tartar removal from around teeth and gums-per quadrant | $348 | 0% | $348 | Medium |
| Sealant placed on the tooth surface to prevent decay | $86 | 0% | $86 | Medium |
| Topical fluoride varnish application | $62 | 0% | $62 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $153 | 0% | $153 | Medium |
| Periodic dental exam - established patient | $64 | 0% | $64 | Medium |
| X-Ray Dental - Complete intraoral series | $208 | 0% | $208 | Medium |
| X-Ray Dental - Four images - bitewings | $105 | 0% | $105 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $50 | 0% | $50 | Medium |
| X-Ray Dental - Two images - bitewings | $74 | 0% | $74 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $44 | 0% | $44 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - One surface, primary or permanent | $230 | 0% | $230 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $305 | 0% | $305 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $383 | 0% | $383 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $284 | 0% | $284 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $402 | 0% | $402 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $272 | 0% | $272 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $491 | 0% | $491 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $372 | 0% | $372 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $166 | 0% | $166 | Medium |
| Tooth Extraction (Elevation and/or forceps removal) | $266 | 0% | $266 | Medium |