Lowell Tooth Docs
59 Lowes Way, Suite 202 Lowell, MA 01851
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $116 | 0% | $116 | Medium |
| Child Dental Cleaning | $168 | 0% | $168 | Medium |
| Fluoride - Topical Application | $47 | 0% | $47 | Medium |
| Plaque and tartar removal from around teeth and gums-per quadrant | $298 | 0% | $298 | Medium |
| Sealant placed on the tooth surface to prevent decay | $74 | 0% | $74 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $112 | 0% | $112 | Medium |
| Periodic dental exam - established patient | $61 | 0% | $61 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $142 | 0% | $142 | Medium |
| X-Ray Dental - Complete intraoral series | $179 | 0% | $179 | Medium |
| X-Ray Dental - Four images - bitewings | $84 | 0% | $84 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $42 | 0% | $42 | Medium |
| X-Ray Dental - Two images - bitewings | $63 | 0% | $63 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $32 | 0% | $32 | Medium |
| X-Ray Dental - Whole mouth, from outside mouth | $168 | 0% | $168 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - One surface, primary or permanent | $203 | 0% | $203 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $255 | 0% | $255 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $315 | 0% | $315 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $203 | 0% | $203 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $255 | 0% | $255 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $187 | 0% | $187 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $315 | 0% | $315 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $239 | 0% | $239 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $179 | 0% | $179 | Medium |