Middleton Dental Care
Dental Procedures
| Procedure | Estimate of Total Cost | Number of Visits | What You Will Pay Uninsured Discount: 0% |
|---|---|---|---|
| Dental Cleaning - Adult | $108 | N/A | $108 |
| Dental Cleaning - Child | $83 | N/A | $83 |
| Dental Exam - Periodic, Established Patient | $46 | N/A | $46 |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $165 | N/A | $165 |
| Dental Filling - White (Resin): One Surface, Anterior | $154 | N/A | $154 |
| Flouride - Topical Varnish Application | $46 | N/A | $46 |
| Orthodontic Treatment - Periodic Visit, Part of a Contract | $107 | N/A | $107 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $87 | N/A | $87 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $21 | N/A | $21 |
| X-Ray - Complete Intraoral Series | $129 | N/A | $129 |
| X-Ray - Four Images, Bitewings | $76 | N/A | $76 |
| X-Ray - Intraoral, Periapical Radiographic Image | $28 | N/A | $28 |