Lee Richheimer, DDS
Dental Procedures
| Procedure | Estimate of Total Cost | Number of Visits | What You Will Pay Uninsured Discount: 0% |
|---|---|---|---|
| Dental Cleaning - Adult | $99 | N/A | $99 |
| Dental Cleaning - Child | $73 | N/A | $73 |
| Dental Exam - Comprehensive | $103 | N/A | $103 |
| Dental Exam - Periodic, Established Patient | $47 | N/A | $47 |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $213 | N/A | $213 |
| Dental Filling - White (Resin): One Surface, Anterior | $155 | N/A | $155 |
| Dental Filling - White (Resin): One Surface, Posterior | $210 | N/A | $210 |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $318 | N/A | $318 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $252 | N/A | $252 |
| Flouride - Topical Varnish Application | $41 | N/A | $41 |
| Tooth Extraction - Elevation and/or Forceps Removal | $161 | N/A | $161 |
| X-Ray - Complete Intraoral Series | $142 | N/A | $142 |
| X-Ray - Four Images, Bitewings | $69 | N/A | $69 |
| X-Ray - Two Images, Bitewings | $47 | N/A | $47 |