Robert A Blake, DDS
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $131 | 0% | $131 |
| Dental Exam - Periodic, Established Patient | $47 | 0% | $47 |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $620 | 0% | $620 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $431 | 0% | $431 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $95 | 0% | $95 |
| X-Ray - Complete Intraoral Series | $144 | 0% | $144 |
| X-Ray - Four Images, Bitewings | $79 | 0% | $79 |
| X-Ray - Intraoral, Periapical Radiographic Image | $42 | 0% | $42 |