Pemi Baker Family Dental
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $212 | 0% | $212 |
| Dental Cleaning - Child | $158 | 0% | $158 |
| Dental Exam - Periodic, Established Patient | $113 | 0% | $113 |
| Sealant - Placed on Tooth Surface to Prevent Decay | $116 | 0% | $116 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $65 | 0% | $65 |
| X-Ray - Complete Intraoral Series | $286 | 0% | $286 |
| X-Ray - Four Images, Bitewings | $137 | 0% | $137 |
| X-Ray - Intraoral, Periapical Radiographic Image | $65 | 0% | $65 |
| X-Ray - Two Images, Bitewings | $99 | 0% | $99 |