Thomas P Torrisi, DDS
380 Merrimack Street, #3c Methuen, MA 01844
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $123 | 0% | $123 | Medium |
| Child Dental Cleaning | $118 | 0% | $118 | Medium |
| Fluoride - Topical Application | $70 | 0% | $70 | Medium |
| Plaque and tartar removal from around teeth and gums-per quadrant | $257 | 0% | $257 | Medium |
| Sealant placed on the tooth surface to prevent decay | $74 | 0% | $74 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $109 | 0% | $109 | Medium |
| Periodic dental exam - established patient | $51 | 0% | $51 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $103 | 0% | $103 | Medium |
| X-Ray Dental - Complete intraoral series | $171 | 0% | $171 | Medium |
| X-Ray Dental - Four images - bitewings | $84 | 0% | $84 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $48 | 0% | $48 | 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 | $41 | 0% | $41 | Medium |
| X-Ray Dental - Whole mouth, from outside mouth | $193 | 0% | $193 | 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 | $208 | 0% | $208 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $291 | 0% | $291 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $290 | 0% | $290 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $214 | 0% | $214 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $299 | 0% | $299 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $196 | 0% | $196 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $405 | 0% | $405 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $269 | 0% | $269 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $193 | 0% | $193 | Medium |
| Tooth Extraction (Elevation and/or forceps removal) | $191 | 0% | $191 | Medium |