Sharon E Johnson, DMD
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $117 | 0% | $117 | Medium |
| Dental Exam - Periodic, Established Patient | $62 | 0% | $62 | Medium |
| Maintenance Therapy - Periodontal | $179 | 0% | $179 | Medium |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $320 | 0% | $320 | Medium |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $105 | 0% | $105 | Medium |
| Tooth Extraction - Elevation and/or Forceps Removal | $377 | 0% | $377 | Medium |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $33 | 0% | $33 | Medium |
| X-Ray - Complete Intraoral Series | $172 | 0% | $172 | Medium |
| X-Ray - Four Images, Bitewings | $84 | 0% | $84 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $40 | 0% | $40 | Medium |
