Middleton Dental Care
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $109 | 0% | $109 |
| Dental Cleaning - Child | $83 | 0% | $83 |
| Dental Exam - Periodic, Established Patient | $46 | 0% | $46 |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $165 | 0% | $165 |
| Dental Filling - White (Resin): One Surface, Anterior | $154 | 0% | $154 |
| Dental Filling - White (Resin): One Surface, Posterior | $165 | 0% | $165 |
| Flouride - Topical Varnish Application | $46 | 0% | $46 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $87 | 0% | $87 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $21 | 0% | $21 |
| X-Ray - Complete Intraoral Series | $135 | 0% | $135 |
| X-Ray - Four Images, Bitewings | $76 | 0% | $76 |
| X-Ray - Intraoral, Periapical Radiographic Image | $28 | 0% | $28 |