Silver Lake Dental
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $112 | 0% | $112 |
| Dental Cleaning - Child | $81 | 0% | $81 |
| Dental Exam - Periodic, Established Patient | $51 | 0% | $51 |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $252 | 0% | $252 |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $311 | 0% | $311 |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $221 | 0% | $221 |
| X-Ray - Complete Intraoral Series | $231 | 0% | $231 |
| X-Ray - Four Images, Bitewings | $79 | 0% | $79 |
| X-Ray - Two Images, Bitewings | $54 | 0% | $54 |