Jason Lawrence Burak, DMD
56 Dodge Street Beverly, MA 01915
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Filling - White (Resin): One Surface, Anterior | $315 | 0% | $315 |
| Maintenance Therapy - Periodontal | $163 | 0% | $163 |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $383 | 0% | $383 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $100 | 0% | $100 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $21 | 0% | $21 |
| X-Ray - Four Images, Bitewings | $92 | 0% | $92 |
| X-Ray - Intraoral, Periapical Radiographic Image | $21 | 0% | $21 |