Marc J Auderer, DMD
73 Princeton Street, Suite 204 North Chelmsford, MA 01863
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 | $89 | 0% | $89 | Medium |
| Fluoride - Topical Application | $63 | 0% | $63 | Medium |
| Sealant placed on the tooth surface to prevent decay | $76 | 0% | $76 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $110 | 0% | $110 | Medium |
| Periodic dental exam - established patient | $53 | 0% | $53 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $95 | 0% | $95 | Medium |
| X-Ray Dental - Complete intraoral series | $163 | 0% | $163 | Medium |
| X-Ray Dental - Four images - bitewings | $89 | 0% | $89 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $46 | 0% | $46 | Medium |
| X-Ray Dental - Two images - bitewings | $74 | 0% | $74 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $47 | 0% | $47 | 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 | $173 | 0% | $173 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $158 | 0% | $158 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $310 | 0% | $310 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $254 | 0% | $254 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $344 | 0% | $344 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $158 | 0% | $158 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $424 | 0% | $424 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $309 | 0% | $309 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $193 | 0% | $193 | Medium |
| Tooth Extraction (Elevation and/or forceps removal) | $173 | 0% | $173 | Medium |