Richard Hopgood, DMD FAGD
296 Lowell Street Andover, MA 01810
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $116 | 0% | $116 | Medium |
| Child Dental Cleaning | $183 | 0% | $183 | Medium |
| Plaque and tartar removal from around teeth and gums-per quadrant | $321 | 0% | $321 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $116 | 0% | $116 | Medium |
| Periodic dental exam - established patient | $106 | 0% | $106 | Medium |
| X-Ray Dental - Complete intraoral series | $173 | 0% | $173 | Medium |
| X-Ray Dental - Four images - bitewings | $89 | 0% | $89 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $33 | 0% | $33 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $28 | 0% | $28 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $348 | 0% | $348 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $224 | 0% | $224 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $546 | 0% | $546 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $359 | 0% | $359 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $696 | 0% | $696 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $316 | 0% | $316 | Medium |