Westford Smiles Dental Center
Dental Procedures
| Procedure | Estimate of Total Cost | Number of Visits | What You Will Pay Uninsured Discount: 0% |
|---|---|---|---|
| Dental Cleaning - Adult | $131 | N/A | $131 |
| Dental Exam - Comprehensive | $147 | N/A | $147 |
| Dental Exam - Periodic, Established Patient | $76 | N/A | $76 |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $324 | N/A | $324 |
| Dental Filling - White (Resin): One Surface, Posterior | $244 | N/A | $244 |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $292 | N/A | $292 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $324 | N/A | $324 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $121 | N/A | $121 |
| X-Ray - Complete Intraoral Series | $189 | N/A | $189 |
| X-Ray - Four Images, Bitewings | $98 | N/A | $98 |
| X-Ray - Intraoral, Periapical Radiographic Image | $44 | N/A | $44 |