Vernon & French, DMD

2 Courthouse Lane, Suite D15 Chelmsford, MA 01824
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1680%$168 Medium
Dental Cleaning - Child$950%$95 Medium
Dental Exam - Periodic, Established Patient$950%$95 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2730%$273 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2000%$200 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1680%$168 Medium
Dental Filling - White (Resin): One Surface, Anterior$1470%$147 Medium
Dental Filling - White (Resin): One Surface, Posterior$3470%$347 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$5150%$515 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$3570%$357 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$4310%$431 Medium
Fluoride - Topical Application$420%$42 Medium
Maintenance Therapy - Periodontal$2840%$284 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2570%$257 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1180%$118 Medium
Root Canal - Bicuspid Tooth$1,8900%$1,890 Medium
Root Canal - Molar$2,3100%$2,310 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$580%$58 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2840%$284 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$210%$21 Medium
X-Ray - Four Images, Bitewings$840%$84 Medium
X-Ray - Intraoral, Periapical Radiographic Image$370%$37 Medium
X-Ray - Two Images, Bitewings$630%$63 Medium