Pailin Dental Center
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $147 | 0% | $147 | Medium |
| Dental Cleaning - Child | $126 | 0% | $126 | Medium |
| Dental Exam - Comprehensive | $147 | 0% | $147 | Medium |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $315 | 0% | $315 | Medium |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $420 | 0% | $420 | Medium |
| Dental Filling - White (Resin): One Surface, Posterior | $263 | 0% | $263 | Medium |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $315 | 0% | $315 | Medium |
| Fluoride - Topical Application | $63 | 0% | $63 | Medium |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $368 | 0% | $368 | Medium |
| Root Canal - Molar | $1,575 | 0% | $1,575 | Medium |
| Tooth Extraction - Elevation and/or Forceps Removal | $210 | 0% | $210 | Medium |
| X-Ray - Two Images, Bitewings | $63 | 0% | $63 | Medium |
| X-Ray - Whole Mouth from Outside Mouth | $210 | 0% | $210 | Medium |
