Mark Paul Jones, DDS
289 Main Street Salem, NH 03079
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $89 | 0% | $89 | Medium |
| Dental Exam - Comprehensive | $158 | 0% | $158 | Medium |
| Dental Exam - Periodic, Established Patient | $58 | 0% | $58 | Medium |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $205 | 0% | $205 | Medium |
| Dental Filling - White (Resin): One Surface, Anterior | $184 | 0% | $184 | Medium |
| Dental Filling - White (Resin): One Surface, Posterior | $184 | 0% | $184 | Medium |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $205 | 0% | $205 | Medium |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $205 | 0% | $205 | Medium |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $521 | 0% | $521 | Medium |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $37 | 0% | $37 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $32 | 0% | $32 | Medium |
| X-Ray - Two Images, Bitewings | $47 | 0% | $47 | Medium |
