Norma Colletta

45 Streetorey Avenue Newburyport, MA 01950
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1260%$126 Medium
Dental Cleaning - Child$1050%$105 Medium
Dental Exam - Comprehensive$1070%$107 Medium
Dental Exam - Periodic, Established Patient$790%$79 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1810%$181 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2890%$289 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2010%$201 Medium
Dental Filling - White (Resin): One Surface, Anterior$1650%$165 Medium
Dental Filling - White (Resin): One Surface, Posterior$1910%$191 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$2990%$299 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2110%$211 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2430%$243 Medium
Fluoride - Topical Application$750%$75 Medium
Maintenance Therapy - Periodontal$1830%$183 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3100%$310 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1030%$103 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$840%$84 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$530%$53 Medium
X-Ray - Complete Intraoral Series$2000%$200 Medium
X-Ray - Four Images, Bitewings$860%$86 Medium
X-Ray - Intraoral, Periapical Radiographic Image$580%$58 Medium
X-Ray - Two Images, Bitewings$760%$76 Medium
X-Ray - Whole Mouth from Outside Mouth$1540%$154 Medium