Mandy Chan, DMD
451 Andover Street, Suite G6 North Andover, MA 01845
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $163 | 0% | $163 |
| Dental Exam - Comprehensive | $131 | 0% | $131 |
| Dental Exam - Periodic, Established Patient | $62 | 0% | $62 |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $165 | 0% | $165 |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $239 | 0% | $239 |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $263 | 0% | $263 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $239 | 0% | $239 |
| Flouride - Topical Varnish Application | $40 | 0% | $40 |
| Fluoride - Topical Application | $40 | 0% | $40 |
| X-Ray - Complete Intraoral Series | $189 | 0% | $189 |
| X-Ray - Four Images, Bitewings | $95 | 0% | $95 |
| X-Ray - Whole Mouth from Outside Mouth | $126 | 0% | $126 |