St. Johnsbury Dental Associates

1 Place Notre Dame, Suite 1 St. Johnsbury, VT 05819
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1000%$100 Medium
Dental Cleaning - Child$740%$74 Medium
Dental Exam - Comprehensive$890%$89 Medium
Dental Exam - Periodic, Established Patient$530%$53 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1660%$166 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2580%$258 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2130%$213 Medium
Dental Filling - White (Resin): One Surface, Anterior$1670%$167 Medium
Dental Filling - White (Resin): One Surface, Posterior$1660%$166 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3150%$315 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$1810%$181 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2360%$236 Medium
Flouride - Topical Varnish Application$420%$42 Medium
Fluoride - Topical Application$840%$84 Medium
Maintenance Therapy - Periodontal$1420%$142 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$790%$79 Medium
Root Canal - Anterior Tooth$6970%$697 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$550%$55 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1790%$179 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$260%$26 Medium
X-Ray - Complete Intraoral Series$1840%$184 Medium
X-Ray - Four Images, Bitewings$680%$68 Medium
X-Ray - Intraoral, Periapical Radiographic Image$320%$32 Medium
X-Ray - Two Images, Bitewings$500%$50 Medium
X-Ray - Whole Mouth from Outside Mouth$1260%$126 Medium