Stephen S Lu, DMD
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $89 | 0% | $89 | Medium |
| Dental Exam - Periodic, Established Patient | $42 | 0% | $42 | Medium |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $185 | 0% | $185 | Medium |
| Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent | $290 | 0% | $290 | Medium |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $227 | 0% | $227 | Medium |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $181 | 0% | $181 | Medium |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $207 | 0% | $207 | Medium |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $101 | 0% | $101 | Medium |
| Tooth Extraction - Elevation and/or Forceps Removal | $191 | 0% | $191 | Medium |
| X-Ray - Complete Intraoral Series | $197 | 0% | $197 | Medium |
| X-Ray - Four Images, Bitewings | $84 | 0% | $84 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $38 | 0% | $38 | Medium |
| X-Ray - Whole Mouth from Outside Mouth | $151 | 0% | $151 | Medium |
