Kangaroo Smiles
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Child | $147 | 0% | $147 |
| Dental Exam - Comprehensive | $165 | 0% | $165 |
| Dental Exam - Periodic, Established Patient | $81 | 0% | $81 |
| Dental Filling - White (Resin): One Surface, Posterior | $363 | 0% | $363 |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $569 | 0% | $569 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $449 | 0% | $449 |
| Flouride - Topical Varnish Application | $86 | 0% | $86 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $181 | 0% | $181 |
| Sealant - Placed on Tooth Surface to Prevent Decay | $100 | 0% | $100 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $57 | 0% | $57 |
| X-Ray - Intraoral, Periapical Radiographic Image | $63 | 0% | $63 |
| X-Ray - Two Images, Bitewings | $84 | 0% | $84 |
| X-Ray - Whole Mouth from Outside Mouth | $198 | 0% | $198 |