Philip J Larkin, DDS
148 Main Street Springfield, VT 05156
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $95 | 0% | $95 | Medium |
| Child Dental Cleaning | $64 | 0% | $64 | Medium |
| Sealant placed on the tooth surface to prevent decay | $48 | 0% | $48 | Medium |
| Topical fluoride varnish application | $40 | 0% | $40 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $71 | 0% | $71 | Medium |
| Periodic dental exam - established patient | $40 | 0% | $40 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $68 | 0% | $68 | Medium |
| X-Ray Dental - Four images - bitewings | $64 | 0% | $64 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $26 | 0% | $26 | Medium |
| X-Ray Dental - Two images - bitewings | $41 | 0% | $41 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $21 | 0% | $21 | Medium |
| X-Ray Dental - Whole mouth, from outside mouth | $111 | 0% | $111 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - One surface, primary or permanent | $141 | 0% | $141 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $189 | 0% | $189 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $236 | 0% | $236 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $189 | 0% | $189 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $177 | 0% | $177 | Medium |