Robert L Soper, DDS
Dental Procedures
| Procedure | Estimate of Total Cost | Number of Visits | What You Will Pay Uninsured Discount: 0% |
|---|---|---|---|
| Dental Cleaning - Adult | $160 | N/A | $160 |
| Dental Cleaning - Child | $113 | N/A | $113 |
| Dental Exam - Comprehensive | $153 | N/A | $153 |
| Dental Exam - Periodic, Established Patient | $55 | N/A | $55 |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $356 | N/A | $356 |
| Dental Filling - White (Resin): One Surface, Posterior | $261 | N/A | $261 |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $506 | N/A | $506 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $356 | N/A | $356 |
| Flouride - Topical Varnish Application | $64 | N/A | $64 |
| Maintenance Therapy - Periodontal | $211 | N/A | $211 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $40 | N/A | $40 |
| X-Ray - Four Images, Bitewings | $113 | N/A | $113 |
| X-Ray - Intraoral, Periapical Radiographic Image | $41 | N/A | $41 |
| X-Ray - Two Images, Bitewings | $88 | N/A | $88 |
| X-Ray - Whole Mouth from Outside Mouth | $203 | N/A | $203 |