Summer Street Dental

234 Summer Street Haverhill, MA 01830
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1260%$126 Medium
Dental Cleaning - Child$1100%$110 Medium
Dental Exam - Comprehensive$840%$84 Medium
Dental Exam - Periodic, Established Patient$530%$53 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1790%$179 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2210%$221 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2000%$200 Medium
Dental Filling - White (Resin): One Surface, Anterior$2610%$261 Medium
Dental Filling - White (Resin): One Surface, Posterior$1790%$179 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4410%$441 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2000%$200 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2000%$200 Medium
Fluoride - Topical Application$370%$37 Medium
Maintenance Therapy - Periodontal$1730%$173 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$1740%$174 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$770%$77 Medium
Root Canal - Anterior Tooth$8400%$840 Medium
Root Canal - Bicuspid Tooth$1,0500%$1,050 Medium
Root Canal - Molar$1,3340%$1,334 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$560%$56 Medium
Tooth Extraction - Elevation and/or Forceps Removal$3050%$305 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$240%$24 Medium
X-Ray - Complete Intraoral Series$1390%$139 Medium
X-Ray - Four Images, Bitewings$650%$65 Medium
X-Ray - Intraoral, Periapical Radiographic Image$320%$32 Medium
X-Ray - Two Images, Bitewings$460%$46 Medium
X-Ray - Whole Mouth from Outside Mouth$2420%$242 Medium