Kangaroo Smiles
33 Bartlett Street, Suite 501 Lowell, MA 01852
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Child Dental Cleaning | $118 | 0% | $118 | Medium |
| Sealant placed on the tooth surface to prevent decay | $100 | 0% | $100 | Medium |
| Topical fluoride varnish application | $86 | 0% | $86 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $165 | 0% | $165 | Medium |
| Periodic dental exam - established patient | $81 | 0% | $81 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $130 | 0% | $130 | Medium |
| X-Ray Dental - Complete intraoral series | $235 | 0% | $235 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $61 | 0% | $61 | Medium |
| X-Ray Dental - Two images - bitewings | $84 | 0% | $84 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $61 | 0% | $61 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| White (Resin) Dental Filling - One surface, posterior | $263 | 0% | $263 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $368 | 0% | $368 | 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) | $263 | 0% | $263 | Medium |