Portside Family Dental

7 Brown Square Newburyport, MA 01950
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1160%$116 Medium
Dental Cleaning - Child$890%$89 Medium
Dental Exam - Comprehensive$1000%$100 Medium
Dental Exam - Periodic, Established Patient$630%$63 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1890%$189 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2940%$294 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2630%$263 Medium
Dental Filling - White (Resin): One Surface, Anterior$1920%$192 Medium
Dental Filling - White (Resin): One Surface, Posterior$2080%$208 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3200%$320 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2310%$231 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2630%$263 Medium
Flouride - Topical Varnish Application$510%$51 Medium
Fluoride - Topical Application$460%$46 Medium
Maintenance Therapy - Periodontal$1660%$166 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2840%$284 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$950%$95 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$690%$69 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2210%$221 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$170%$17 Medium
X-Ray - Complete Intraoral Series$1680%$168 Medium
X-Ray - Four Images, Bitewings$920%$92 Medium
X-Ray - Intraoral, Periapical Radiographic Image$400%$40 Medium
X-Ray - Two Images, Bitewings$700%$70 Medium
X-Ray - Whole Mouth from Outside Mouth$1410%$141 Medium