St. Johnsbury Dental Associates

1 Place Notre Dame, Suite 1 St. Johnsbury, VT 05819
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$910%$91 Medium
Dental Cleaning - Child$670%$67 Medium
Dental Exam - Comprehensive$800%$80 Medium
Dental Exam - Periodic, Established Patient$400%$40 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1420%$142 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2300%$230 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1910%$191 Medium
Dental Filling - White (Resin): One Surface, Anterior$1450%$145 Medium
Dental Filling - White (Resin): One Surface, Posterior$1430%$143 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$2750%$275 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$1810%$181 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2210%$221 Medium
Flouride - Topical Varnish Application$450%$45 Medium
Maintenance Therapy - Periodontal$1320%$132 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$680%$68 Medium
Root Canal - Anterior Tooth$6970%$697 Medium
Root Canal - Bicuspid Tooth$9240%$924 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$480%$48 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1720%$172 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$210%$21 Medium
X-Ray - Complete Intraoral Series$1590%$159 Medium
X-Ray - Intraoral, Periapical Radiographic Image$300%$30 Medium
X-Ray - Two Images, Bitewings$430%$43 Medium
X-Ray - Whole Mouth from Outside Mouth$1180%$118 Medium