Merrimack Valley Dentistry

144 Arlington Street Dracut, MA 01826
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1090%$109 Medium
Dental Cleaning - Child$850%$85 Medium
Dental Exam - Comprehensive$990%$99 Medium
Dental Exam - Periodic, Established Patient$560%$56 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1850%$185 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2900%$290 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2270%$227 Medium
Dental Filling - White (Resin): One Surface, Anterior$1540%$154 Medium
Dental Filling - White (Resin): One Surface, Posterior$1660%$166 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3220%$322 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2280%$228 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2850%$285 Medium
Fluoride - Topical Application$540%$54 Medium
Maintenance Therapy - Periodontal$1520%$152 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2550%$255 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$870%$87 Medium
Root Canal - Bicuspid Tooth$1,3000%$1,300 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$670%$67 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1910%$191 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$220%$22 Medium
X-Ray - Complete Intraoral Series$1970%$197 Medium
X-Ray - Four Images, Bitewings$840%$84 Medium
X-Ray - Intraoral, Periapical Radiographic Image$280%$28 Medium
X-Ray - Two Images, Bitewings$560%$56 Medium
X-Ray - Whole Mouth from Outside Mouth$1330%$133 Medium