Perfect Dental

65 Drum Hill Road Chelmsford, MA 01824
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1190%$119
Dental Cleaning - Child$910%$91
Dental Exam - Comprehensive$1040%$104
Dental Exam - Periodic, Established Patient$550%$55
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1850%$185
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3710%$371
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2590%$259
Dental Filling - White (Resin): One Surface, Anterior$1990%$199
Dental Filling - White (Resin): One Surface, Posterior$2050%$205
Dental Filling - White (Resin): Three Surfaces, Posterior$3710%$371
Dental Filling - White (Resin): Two Surfaces, Anterior$2080%$208
Dental Filling - White (Resin): Two Surfaces, Posterior$2860%$286
Flouride - Topical Varnish Application$500%$50
Fluoride - Topical Application$470%$47
Maintenance Therapy - Periodontal$1930%$193
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2990%$299
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1040%$104
Root Canal - Anterior Tooth$1,1250%$1,125
Root Canal - Bicuspid Tooth$1,2100%$1,210
Root Canal - Molar$1,1100%$1,110
Sealant - Placed on Tooth Surface to Prevent Decay$700%$70
Tooth Extraction - Elevation and/or Forceps Removal$1560%$156
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$280%$28
X-Ray - Complete Intraoral Series$1580%$158
X-Ray - Four Images, Bitewings$790%$79
X-Ray - Intraoral, Periapical Radiographic Image$370%$37
X-Ray - Two Images, Bitewings$560%$56
X-Ray - Whole Mouth from Outside Mouth$1610%$161