James F Reynolds, DMD
15 Central Street Andover, MA 01810
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $95 | 0% | $95 | Medium |
| Child Dental Cleaning | $68 | 0% | $68 | Medium |
| Fluoride - Topical Application | $39 | 0% | $39 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $97 | 0% | $97 | Medium |
| Periodic dental exam - established patient | $49 | 0% | $49 | Medium |
| X-Ray Dental - Complete intraoral series | $137 | 0% | $137 | Medium |
| X-Ray Dental - Four images - bitewings | $61 | 0% | $61 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $28 | 0% | $28 | Medium |
| X-Ray Dental - Two images - bitewings | $40 | 0% | $40 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $18 | 0% | $18 | 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 | $124 | 0% | $124 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $152 | 0% | $152 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $245 | 0% | $245 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $154 | 0% | $154 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $192 | 0% | $192 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $174 | 0% | $174 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $176 | 0% | $176 | Medium |