Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1070%$107 Medium
Dental Cleaning - Child$860%$86 Medium
Dental Exam - Comprehensive$950%$95 Medium
Dental Exam - Periodic, Established Patient$510%$51 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2310%$231 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2580%$258 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2910%$291 Medium
Dental Filling - White (Resin): One Surface, Anterior$2140%$214 Medium
Dental Filling - White (Resin): One Surface, Posterior$2380%$238 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3750%$375 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2580%$258 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2990%$299 Medium
Flouride - Topical Varnish Application$500%$50 Medium
Fluoride - Topical Application$490%$49 Medium
Maintenance Therapy - Periodontal$1540%$154 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2840%$284 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$920%$92 Medium
Root Canal - Bicuspid Tooth$1,0700%$1,070 Medium
Root Canal - Molar$1,3390%$1,339 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$630%$63 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$300%$30 Medium
X-Ray - Complete Intraoral Series$1670%$167 Medium
X-Ray - Four Images, Bitewings$790%$79 Medium
X-Ray - Intraoral, Periapical Radiographic Image$400%$40 Medium
X-Ray - Two Images, Bitewings$580%$58 Medium