Sai Dental

11 Main Street Pepperell, MA 01463
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1090%$109 Medium
Dental Cleaning - Child$1130%$113 Medium
Dental Exam - Comprehensive$990%$99 Medium
Dental Exam - Periodic, Established Patient$530%$53 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2180%$218 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2470%$247 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2070%$207 Medium
Dental Filling - White (Resin): One Surface, Anterior$3260%$326 Medium
Dental Filling - White (Resin): One Surface, Posterior$3260%$326 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4680%$468 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$1890%$189 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$4150%$415 Medium
Flouride - Topical Varnish Application$530%$53 Medium
Maintenance Therapy - Periodontal$2940%$294 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$890%$89 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$850%$85 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1910%$191 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$350%$35 Medium
X-Ray - Complete Intraoral Series$1850%$185 Medium
X-Ray - Four Images, Bitewings$820%$82 Medium
X-Ray - Intraoral, Periapical Radiographic Image$390%$39 Medium
X-Ray - Two Images, Bitewings$600%$60 Medium
X-Ray - Whole Mouth from Outside Mouth$1700%$170 Medium