|
|
Procedure |
 |
Fees as high as |
|
DDP Fee |
|
Savings |
|
Initial Cleaning, Exam, & Fluoride |
|
$135.00 |
|
$16.00 |
|
$119.00 |
|
Bitewing X-Rays, 2 |
|
$47.00 |
|
$12.00 |
|
$35.00 |
|
Total |
|
$182.00 |
|
$28.00 |
|
$154.00 |
|
Procedure |
|
Fees as high as |
|
DDP Fee |
|
Savings |
|
1 surface perm filling |
|
$118.00 |
|
$44.00 |
|
$74.00 |
|
Root canal, anterior |
|
$659.00 |
|
$245.00 |
|
$414.00 |
|
Total |
|
$777.00 |
|
$289.00 |
|
$488.00 |
|
|
