Paul Gamber, DMD
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $155 | 0% | $155 |
| Dental Cleaning - Child | $105 | 0% | $105 |
| Dental Exam - Comprehensive | $111 | 0% | $111 |
| Dental Exam - Periodic, Established Patient | $63 | 0% | $63 |
| Dental Filling - White (Resin): One Surface, Anterior | $281 | 0% | $281 |
| Dental Filling - White (Resin): One Surface, Posterior | $281 | 0% | $281 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $356 | 0% | $356 |
| Flouride - Topical Varnish Application | $43 | 0% | $43 |
| Maintenance Therapy - Periodontal | $187 | 0% | $187 |
| Tooth Extraction - Elevation and/or Forceps Removal | $368 | 0% | $368 |
| X-Ray - Complete Intraoral Series | $211 | 0% | $211 |
| X-Ray - Four Images, Bitewings | $82 | 0% | $82 |
| X-Ray - Intraoral, Periapical Radiographic Image | $39 | 0% | $39 |
| X-Ray - Two Images, Bitewings | $53 | 0% | $53 |