Leslie Ann Elston

713 Roosevelt Trail Windham, ME 04062
Dental Procedures
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My Health Insurance:

  • I do not have dental insurance

Preventive Care

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Adult Dental Cleaning$1050%$105 Medium

Diagnostic Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Periodic dental exam - established patient$450%$45 Medium
Problem focused evaluation limited to a specific oral health problem or complaint$710%$71 Medium
X-Ray Dental - Complete intraoral series$1450%$145 Medium
X-Ray Dental - Four images - bitewings$850%$85 Medium
X-Ray Dental - Intraoral - periapical radiographic image$370%$37 Medium

Dental Fillings

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent$3160%$316 Medium
Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent$3800%$380 Medium
White (Resin) Dental Filling - One surface, posterior$2640%$264 Medium