Leclair Dental
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $110 | 0% | $110 |
| Dental Cleaning - Child | $84 | 0% | $84 |
| Dental Exam - Periodic, Established Patient | $53 | 0% | $53 |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $176 | 0% | $176 |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $246 | 0% | $246 |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $200 | 0% | $200 |
| Flouride - Topical Varnish Application | $46 | 0% | $46 |
| X-Ray - Complete Intraoral Series | $192 | 0% | $192 |
| X-Ray - Four Images, Bitewings | $77 | 0% | $77 |
| X-Ray - Intraoral, Periapical Radiographic Image | $35 | 0% | $35 |
| X-Ray - Whole Mouth from Outside Mouth | $140 | 0% | $140 |