Kangaroo Smiles
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Child | $118 | 0% | $118 | Medium |
| Dental Exam - Comprehensive | $153 | 0% | $153 | Medium |
| Dental Exam - Periodic, Established Patient | $81 | 0% | $81 | Medium |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $336 | 0% | $336 | Medium |
| Flouride - Topical Varnish Application | $86 | 0% | $86 | Medium |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $160 | 0% | $160 | Medium |
| Sealant - Placed on Tooth Surface to Prevent Decay | $100 | 0% | $100 | Medium |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $61 | 0% | $61 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $61 | 0% | $61 | Medium |
| X-Ray - Two Images, Bitewings | $84 | 0% | $84 | Medium |
