Kangaroo Smiles
Dental Procedures
| Procedure | Estimate of Total Cost | Number of Visits | What You Will Pay Uninsured Discount: 0% |
|---|---|---|---|
| Dental Cleaning - Child | $147 | N/A | $147 |
| Dental Exam - Comprehensive | $165 | N/A | $165 |
| Dental Exam - Periodic, Established Patient | $81 | N/A | $81 |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $281 | N/A | $281 |
| Dental Filling - White (Resin): One Surface, Posterior | $363 | N/A | $363 |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $569 | N/A | $569 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $449 | N/A | $449 |
| Flouride - Topical Varnish Application | $86 | N/A | $86 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $160 | N/A | $160 |
| Sealant - Placed on Tooth Surface to Prevent Decay | $100 | N/A | $100 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $57 | N/A | $57 |
| X-Ray - Complete Intraoral Series | $294 | N/A | $294 |
| X-Ray - Intraoral, Periapical Radiographic Image | $65 | N/A | $65 |
| X-Ray - Two Images, Bitewings | $84 | N/A | $84 |
| X-Ray - Whole Mouth from Outside Mouth | $210 | N/A | $210 |