Pemi Baker Family Dental
Dental Procedures
| Procedure | Estimate of Total Cost | Number of Visits | What You Will Pay Uninsured Discount: 0% |
|---|---|---|---|
| Dental Cleaning - Adult | $212 | N/A | $212 |
| Dental Cleaning - Child | $158 | N/A | $158 |
| Dental Exam - Periodic, Established Patient | $113 | N/A | $113 |
| Fluoride - Topical Application | $88 | N/A | $88 |
| Tooth Extraction - Elevation and/or Forceps Removal | $242 | N/A | $242 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $65 | N/A | $65 |
| X-Ray - Four Images, Bitewings | $137 | N/A | $137 |
| X-Ray - Intraoral, Periapical Radiographic Image | $65 | N/A | $65 |
| X-Ray - Two Images, Bitewings | $99 | N/A | $99 |