Herzog Aesthetic Family Dental Care
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $116 | 0% | $116 | Medium |
| Dental Cleaning - Child | $84 | 0% | $84 | Medium |
| Dental Exam - Periodic, Established Patient | $67 | 0% | $67 | Medium |
| Dental Filling - White (Resin): One Surface, Posterior | $228 | 0% | $228 | Medium |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $246 | 0% | $246 | Medium |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $300 | 0% | $300 | Medium |
| Maintenance Therapy - Periodontal | $170 | 0% | $170 | Medium |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $87 | 0% | $87 | Medium |
| X-Ray - Four Images, Bitewings | $78 | 0% | $78 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $36 | 0% | $36 | Medium |
| X-Ray - Whole Mouth from Outside Mouth | $184 | 0% | $184 | Medium |
