Sarah Yoon, DMD
118 Merrimack Street Haverhill, MA 01830
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $145 | 0% | $145 | Medium |
| Plaque and tartar removal from around teeth and gums-per quadrant | $331 | 0% | $331 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $99 | 0% | $99 | Medium |
| Periodic dental exam - established patient | $69 | 0% | $69 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $101 | 0% | $101 | Medium |
| X-Ray Dental - Complete intraoral series | $197 | 0% | $197 | Medium |
| X-Ray Dental - Four images - bitewings | $84 | 0% | $84 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $38 | 0% | $38 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $17 | 0% | $17 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - One surface, primary or permanent | $179 | 0% | $179 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $229 | 0% | $229 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $221 | 0% | $221 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $300 | 0% | $300 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $208 | 0% | $208 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $370 | 0% | $370 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $193 | 0% | $193 | Medium |