Newburyport Dental Associates

375 Forrester Street Newburyport, MA 01950
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1200%$120 Medium
Dental Cleaning - Child$960%$96 Medium
Dental Exam - Comprehensive$1050%$105 Medium
Dental Exam - Periodic, Established Patient$570%$57 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2080%$208 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3610%$361 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2890%$289 Medium
Dental Filling - White (Resin): One Surface, Anterior$2120%$212 Medium
Dental Filling - White (Resin): One Surface, Posterior$2080%$208 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4280%$428 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2890%$289 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3100%$310 Medium
Fluoride - Topical Application$450%$45 Medium
Maintenance Therapy - Periodontal$2010%$201 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2810%$281 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1030%$103 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$780%$78 Medium
Tooth Extraction - Elevation and/or Forceps Removal$4280%$428 Medium
X-Ray - Complete Intraoral Series$1760%$176 Medium
X-Ray - Four Images, Bitewings$1000%$100 Medium
X-Ray - Intraoral, Periapical Radiographic Image$390%$39 Medium
X-Ray - Two Images, Bitewings$600%$60 Medium
X-Ray - Whole Mouth from Outside Mouth$1820%$182 Medium