John Spero, DMD
1060 Us Route 1 York, ME 03909
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $112 | 0% | $112 | Medium |
| Child Dental Cleaning | $79 | 0% | $79 | Medium |
| Plaque and tartar removal from around teeth and gums-per quadrant | $313 | 0% | $313 | Medium |
| Sealant placed on the tooth surface to prevent decay | $68 | 0% | $68 | Medium |
| Topical fluoride varnish application | $58 | 0% | $58 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $100 | 0% | $100 | Medium |
| Periodic dental exam - established patient | $62 | 0% | $62 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $91 | 0% | $91 | Medium |
| X-Ray Dental - Complete intraoral series | $163 | 0% | $163 | Medium |
| X-Ray Dental - Four images - bitewings | $72 | 0% | $72 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $33 | 0% | $33 | Medium |
| X-Ray Dental - Two images - bitewings | $58 | 0% | $58 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $29 | 0% | $29 | Medium |
| X-Ray Dental - Whole mouth, from outside mouth | $143 | 0% | $143 | 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 | $186 | 0% | $186 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $256 | 0% | $256 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $273 | 0% | $273 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $207 | 0% | $207 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $256 | 0% | $256 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $184 | 0% | $184 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $357 | 0% | $357 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $221 | 0% | $221 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Tooth Extraction (Elevation and/or forceps removal) | $215 | 0% | $215 | Medium |