Katherine Wilson, DMD
74 State Road Kittery, ME 03904
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $171 | 0% | $171 |
| Dental Exam - Periodic, Established Patient | $63 | 0% | $63 |
| Maintenance Therapy - Periodontal | $181 | 0% | $181 |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $330 | 0% | $330 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $142 | 0% | $142 |
| Tooth Extraction - Elevation and/or Forceps Removal | $218 | 0% | $218 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $43 | 0% | $43 |
| X-Ray - Complete Intraoral Series | $219 | 0% | $219 |
| X-Ray - Intraoral, Periapical Radiographic Image | $47 | 0% | $47 |
| X-Ray - Whole Mouth from Outside Mouth | $268 | 0% | $268 |