Stephen S Lu, DMD
Dental Procedures
| Procedure | Estimate of Total Cost | Number of Visits | What You Will Pay Uninsured Discount: 0% |
|---|---|---|---|
| Dental Cleaning - Adult | $89 | N/A | $89 |
| Dental Exam - Periodic, Established Patient | $42 | N/A | $42 |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $185 | N/A | $185 |
| Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent | $290 | N/A | $290 |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $227 | N/A | $227 |
| Dental Filling - White (Resin): One Surface, Posterior | $173 | N/A | $173 |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $225 | N/A | $225 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $207 | N/A | $207 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $101 | N/A | $101 |
| Tooth Extraction - Elevation and/or Forceps Removal | $190 | N/A | $190 |
| X-Ray - Complete Intraoral Series | $131 | N/A | $131 |
| X-Ray - Four Images, Bitewings | $84 | N/A | $84 |
| X-Ray - Intraoral, Periapical Radiographic Image | $21 | N/A | $21 |
| X-Ray - Whole Mouth from Outside Mouth | $131 | N/A | $131 |