Wilmington Family Dental

306 Main Street Wilmington, MA 01887
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1190%$119 Medium
Dental Cleaning - Child$920%$92 Medium
Dental Exam - Comprehensive$1060%$106 Medium
Dental Exam - Periodic, Established Patient$680%$68 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2170%$217 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3340%$334 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2770%$277 Medium
Dental Filling - White (Resin): One Surface, Anterior$2000%$200 Medium
Dental Filling - White (Resin): One Surface, Posterior$2690%$269 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4520%$452 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2440%$244 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2770%$277 Medium
Fluoride - Topical Application$530%$53 Medium
Maintenance Therapy - Periodontal$1750%$175 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3060%$306 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$950%$95 Medium
Root Canal - Bicuspid Tooth$1,2990%$1,299 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$820%$82 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2010%$201 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$260%$26 Medium
X-Ray - Complete Intraoral Series$1650%$165 Medium
X-Ray - Four Images, Bitewings$790%$79 Medium
X-Ray - Intraoral, Periapical Radiographic Image$360%$36 Medium
X-Ray - Two Images, Bitewings$580%$58 Medium
X-Ray - Whole Mouth from Outside Mouth$1680%$168 Medium