Westford Smiles Dental Center
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $131 | 0% | $131 |
| Dental Exam - Periodic, Established Patient | $76 | 0% | $76 |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $236 | 0% | $236 |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $324 | 0% | $324 |
| Dental Filling - White (Resin): One Surface, Posterior | $244 | 0% | $244 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $320 | 0% | $320 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $118 | 0% | $118 |
| X-Ray - Complete Intraoral Series | $189 | 0% | $189 |
| X-Ray - Four Images, Bitewings | $98 | 0% | $98 |