James G Yankowskas, DDS
15 Pondview Place Tyngsboro, MA 01879
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $144 | 0% | $144 | Medium |
| Child Dental Cleaning | $127 | 0% | $127 | Medium |
| Fluoride - Topical Application | $66 | 0% | $66 | Medium |
| Plaque and tartar removal from around teeth and gums-per quadrant | $414 | 0% | $414 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $116 | 0% | $116 | Medium |
| Periodic dental exam - established patient | $80 | 0% | $80 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $93 | 0% | $93 | Medium |
| X-Ray Dental - Complete intraoral series | $308 | 0% | $308 | Medium |
| X-Ray Dental - Four images - bitewings | $104 | 0% | $104 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $46 | 0% | $46 | Medium |
| X-Ray Dental - Two images - bitewings | $78 | 0% | $78 | 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 | $204 | 0% | $204 | 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 | $221 | 0% | $221 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $303 | 0% | $303 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $414 | 0% | $414 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $221 | 0% | $221 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $303 | 0% | $303 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $221 | 0% | $221 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $414 | 0% | $414 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $303 | 0% | $303 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $221 | 0% | $221 | Medium |
| Tooth Extraction (Elevation and/or forceps removal) | $265 | 0% | $265 | Medium |