The Dentist Collaborative
57 High Street North Andover, MA 01845
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $155 | 0% | $155 | Medium |
| Child Dental Cleaning | $86 | 0% | $86 | Medium |
| Fluoride - Topical Application | $61 | 0% | $61 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $161 | 0% | $161 | Medium |
| Periodic dental exam - established patient | $74 | 0% | $74 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $105 | 0% | $105 | Medium |
| X-Ray Dental - Complete intraoral series | $203 | 0% | $203 | Medium |
| X-Ray Dental - Four images - bitewings | $86 | 0% | $86 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $42 | 0% | $42 | Medium |
| X-Ray Dental - Two images - bitewings | $63 | 0% | $63 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $42 | 0% | $42 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - One surface, primary or permanent | $194 | 0% | $194 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $257 | 0% | $257 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $200 | 0% | $200 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $257 | 0% | $257 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $235 | 0% | $235 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $315 | 0% | $315 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $295 | 0% | $295 | Medium |