Saving People's Smile Dental Center
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $89 | 0% | $89 | Medium |
| Dental Exam - Periodic, Established Patient | $42 | 0% | $42 | Medium |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $158 | 0% | $158 | Medium |
| Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent | $236 | 0% | $236 | Medium |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $184 | 0% | $184 | Medium |
| Dental Filling - White (Resin): One Surface, Anterior | $137 | 0% | $137 | Medium |
| Dental Filling - White (Resin): One Surface, Posterior | $158 | 0% | $158 | Medium |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $163 | 0% | $163 | Medium |
| Maintenance Therapy - Periodontal | $127 | 0% | $127 | Medium |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $68 | 0% | $68 | Medium |
| Sealant - Placed on Tooth Surface to Prevent Decay | $47 | 0% | $47 | Medium |
| X-Ray - Four Images, Bitewings | $63 | 0% | $63 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $26 | 0% | $26 | Medium |
