North Manchester Oral & Maxillofacial Surgery
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Child | $126 | 0% | $126 | Medium |
| Dental Exam - Periodic, Established Patient | $79 | 0% | $79 | Medium |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $105 | 0% | $105 | Medium |
| Tooth Extraction - Elevation and/or Forceps Removal | $315 | 0% | $315 | Medium |
