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
Dental Cleaning - Adult$1190%$119
Dental Cleaning - Child$920%$92
Dental Exam - Comprehensive$1060%$106
Dental Exam - Periodic, Established Patient$680%$68
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2210%$221
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3150%$315
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2770%$277
Dental Filling - White (Resin): One Surface, Anterior$2000%$200
Dental Filling - White (Resin): One Surface, Posterior$2170%$217
Dental Filling - White (Resin): Three Surfaces, Posterior$3830%$383
Dental Filling - White (Resin): Two Surfaces, Anterior$2440%$244
Dental Filling - White (Resin): Two Surfaces, Posterior$2770%$277
Fluoride - Topical Application$710%$71
Maintenance Therapy - Periodontal$1750%$175
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3060%$306
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$950%$95
Root Canal - Bicuspid Tooth$1,4950%$1,495
Sealant - Placed on Tooth Surface to Prevent Decay$820%$82
Tooth Extraction - Elevation and/or Forceps Removal$1960%$196
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$320%$32
X-Ray - Complete Intraoral Series$1650%$165
X-Ray - Four Images, Bitewings$790%$79
X-Ray - Intraoral, Periapical Radiographic Image$360%$36
X-Ray - Two Images, Bitewings$780%$78
X-Ray - Whole Mouth from Outside Mouth$1680%$168