Merrimack Valley Dentistry

144 Arlington Street Dracut, MA 01826
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1140%$114
Dental Cleaning - Child$850%$85
Dental Exam - Comprehensive$880%$88
Dental Exam - Periodic, Established Patient$640%$64
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1750%$175
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2900%$290
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2400%$240
Dental Filling - White (Resin): One Surface, Anterior$1940%$194
Dental Filling - White (Resin): One Surface, Posterior$2210%$221
Dental Filling - White (Resin): Three Surfaces, Posterior$3180%$318
Dental Filling - White (Resin): Two Surfaces, Anterior$2280%$228
Dental Filling - White (Resin): Two Surfaces, Posterior$2400%$240
Fluoride - Topical Application$540%$54
Maintenance Therapy - Periodontal$1700%$170
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2550%$255
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1010%$101
Root Canal - Anterior Tooth$1,0920%$1,092
Root Canal - Molar$1,4880%$1,488
Sealant - Placed on Tooth Surface to Prevent Decay$700%$70
Tooth Extraction - Elevation and/or Forceps Removal$2040%$204
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$280%$28
X-Ray - Complete Intraoral Series$1610%$161
X-Ray - Four Images, Bitewings$840%$84
X-Ray - Intraoral, Periapical Radiographic Image$380%$38
X-Ray - Two Images, Bitewings$560%$56
X-Ray - Whole Mouth from Outside Mouth$1380%$138