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SAMPLE DENTAL FEES <br /> CHARGED PROCEDURE <br /> Exam X--Ray Fluorite Extraction Fi11in, <br /> 100 $15,00 2300 8.00 13-00 13.00 <br /> 80 12.00 18.4o 6.40 10,40 10.40 <br /> 60 9.00 13.80 4�8o 7.80 7.80 <br /> 40 6.o0 9.20 3,20 5.20 5.20 <br /> 20 3.00 4,60 1.60 2.60 2.6o <br /> 15 2.25 3,.45 1.20 1.95 1.95 <br /> Under Medicaid, patients pay a t1.00 fee no :ratter what service is rendered_ <br />