Howard W Smith DDS Joseph P Beninato, DMD
60 East Street, #3100 Methuen, MA 01844
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $125 | 0% | $125 | Medium |
| Child Dental Cleaning | $118 | 0% | $118 | Medium |
| Plaque and tartar removal from around teeth and gums-per quadrant | $352 | 0% | $352 | Medium |
| Sealant placed on the tooth surface to prevent decay | $67 | 0% | $67 | Medium |
| Topical fluoride varnish application | $45 | 0% | $45 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $109 | 0% | $109 | Medium |
| Periodic dental exam - established patient | $68 | 0% | $68 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $95 | 0% | $95 | Medium |
| X-Ray Dental - Complete intraoral series | $179 | 0% | $179 | Medium |
| X-Ray Dental - Four images - bitewings | $89 | 0% | $89 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $45 | 0% | $45 | Medium |
| X-Ray Dental - Two images - bitewings | $63 | 0% | $63 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $40 | 0% | $40 | Medium |
| X-Ray Dental - Whole mouth, from outside mouth | $153 | 0% | $153 | 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 | $185 | 0% | $185 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $322 | 0% | $322 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $290 | 0% | $290 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $252 | 0% | $252 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $322 | 0% | $322 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $208 | 0% | $208 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $395 | 0% | $395 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $269 | 0% | $269 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $172 | 0% | $172 | Medium |