Sharon E Johnson, DMD
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $179 | 0% | $179 |
| Dental Exam - Comprehensive | $112 | 0% | $112 |
| Dental Exam - Periodic, Established Patient | $65 | 0% | $65 |
| Maintenance Therapy - Periodontal | $181 | 0% | $181 |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $325 | 0% | $325 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $105 | 0% | $105 |
| Tooth Extraction - Elevation and/or Forceps Removal | $248 | 0% | $248 |
| X-Ray - Complete Intraoral Series | $179 | 0% | $179 |
| X-Ray - Four Images, Bitewings | $88 | 0% | $88 |
| X-Ray - Intraoral, Periapical Radiographic Image | $40 | 0% | $40 |