Roland R Bryan, DMD
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $103 | 0% | $103 | Medium |
| Dental Exam - Periodic, Established Patient | $99 | 0% | $99 | Medium |
| Maintenance Therapy - Periodontal | $189 | 0% | $189 | Medium |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $345 | 0% | $345 | Medium |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $105 | 0% | $105 | Medium |
| Tooth Extraction - Elevation and/or Forceps Removal | $291 | 0% | $291 | Medium |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $34 | 0% | $34 | Medium |
| X-Ray - Complete Intraoral Series | $183 | 0% | $183 | Medium |
| X-Ray - Four Images, Bitewings | $90 | 0% | $90 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $42 | 0% | $42 | Medium |
