Jedidiah L Janisse DMD & Associates

21710 Maxham Meadow Way Woodstock, VT 05091
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1370%$137 Medium
Dental Cleaning - Child$860%$86 Medium
Dental Exam - Comprehensive$1620%$162 Medium
Dental Exam - Periodic, Established Patient$680%$68 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2630%$263 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$4200%$420 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$3470%$347 Medium
Dental Filling - White (Resin): One Surface, Anterior$2100%$210 Medium
Dental Filling - White (Resin): One Surface, Posterior$2160%$216 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4200%$420 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2530%$253 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3470%$347 Medium
Flouride - Topical Varnish Application$550%$55 Medium
Fluoride - Topical Application$650%$65 Medium
Maintenance Therapy - Periodontal$1690%$169 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1010%$101 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$790%$79 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2630%$263 Medium
X-Ray - Complete Intraoral Series$2590%$259 Medium
X-Ray - Four Images, Bitewings$790%$79 Medium
X-Ray - Intraoral, Periapical Radiographic Image$490%$49 Medium
X-Ray - Two Images, Bitewings$550%$55 Medium
X-Ray - Whole Mouth from Outside Mouth$1420%$142 Medium