Maintenance Therapy

CDT Code D4910

A periodic periodontal therapy to remove the bacterial plaque and calculus from supragingival and subgingival regions, site specific scaling and root planing where indicated, and polishing the teeth. If new or recurring periodontal disease appears, additional diagnostic and treatment procedures must be considered.

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Provider NameSort by Provider Name Estimate of Procedure Cost Estimate of Procedure Cost
This is an estimate of the total charge for the health care service before any discounts provided to the uninsured.
Sort by Estimate of Procedure Cost
What You Will Pay What You Will Pay
The estimated charge amount minus the uninsured discount (when available).
Sort by What You Will Pay
Statewide Averages $188
$166 $63
Catholic Medical Center
Manchester, NH
$206 $68
LRGHealthcare
Laconia, NH
$152 $91
$132 $132
Easterseals New Hampshire
Manchester, NH
$132 $132
$132 $132
Jonathan C Palazzo, DMD
Manchester, NH
$132 $132
Richard J. Neal Jr., DMD
Wolfeboro, NH
$132 $132
$132 $132
Hearty Smiles
Manchester, NH
$132 $132
$132 $132
Core Physicians
Exeter, NH
$132 $132
Eastern Slope Dental
North Conway, NH
$132 $132
Mark Asadourian, DDS
Manchester, NH
$132 $132
$132 $132
$133 $133
$137 $137
Frank Benenati, DDS
Newport, NH
$137 $137
Singh Family Dental
Gilford, NH
$139 $139
Frank J Benenati, DDS
Newport, NH
$141 $141
$142 $142
David A Bloom, DMD
Salem, NH
$142 $142
Mark Wirant, DDS
Keene, NH
$143 $143
Highland Family Dental
Plaistow, NH
$143 $143
Hampden Family Dental
Hampden, ME
$145 $145
$147 $147
$147 $147
Lowell Dental Arts
Lowell, MA
$147 $147
Mountain View Dental
Whitefield, NH
$147 $147
Lowel Dental Arts
Lowell, MA
$147 $147
$147 $147
$148 $148
Richard Kozlowski, DDS
St. Johnsbury, VT
$148 $148
Andover Dental
Andover, MA
$149 $149
$152 $152
$152 $152
$152 $152
$152 $152
Garret K Taoka, DDS
Lincoln, NH
$152 $152
$153 $153
Troy Schrupp, DDS
Gilford, NH
$153 $153
$153 $153
White Park Dental
Concord, NH
$153 $153
Leo T Abbott, DDS
Claremont, NH
$153 $153
Smiles by the Sea
Hampton, NH
$153 $153
$153 $153
Keystone Dental Arts
Somersworth, NH
$153 $153
Leslie Bouvier, DMD
Somersworth, NH
$153 $153
$154 $154
Barton Street Dental
Bradford, VT
$154 $154
Oasis Dental
Manchester, NH
$154 $154
Dental Dreams
Lowell, MA
$154 $154
Raymond R Farland, DDS
Chichester, NH
$154 $154
Harvey Family Dentistry
Portsmouth, NH
$154 $154
$154 $154
Northern Counties Health Care
St. Johnsbury, VT
$155 $155
Marina E Becker, DMD
Manchester, NH
$156 $156
$158 $158
Leonard Attisano, DMD
Manchester, NH
$158 $158
$158 $158
$158 $158
Greatview Dental
Exeter, NH
$158 $158
Jean R Chagnon, DDS
Bedford, NH
$158 $158
$158 $158
$158 $158
Silva Family Dentistry
Wolfeboro, NH
$158 $158
$158 $158
$158 $158
$158 $158
Boyd/Steiner, DMD
Bedford, NH
$158 $158
$158 $158
Lebanon Dental Center
Lebanon, NH
$158 $158
$158 $158
Joseph Downing, DMD
Gilford, NH
$158 $158
$158 $158
Bruce M. Feldstein, DDS
West Lebanon, NH
$158 $158
$158 $158
$158 $158
$158 $158
$158 $158
$158 $158
$158 $158
$158 $158
$158 $158
$158 $158
$158 $158
$158 $158
$158 $158
$158 $158
Windham Dental Center
Windham, NH
$158 $158
Jonathan Terhune, DMD
Franklin, NH
$158 $158
Rolf O Knudson, DMD
Bradford, NH
$158 $158
U & I Dental
Concord, NH
$158 $158
$158 $158
$158 $158
$158 $158
$159 $159
Deborah K Varney, DMD
Pittsfield, NH
$160 $160
$160 $160
$160 $160
Rose L Wang, PsyD
Nashua, NH
$160 $160
$162 $162
$162 $162
$162 $162
3 Stone Dental
Manchester, NH
$162 $162
$162 $162
$163 $163
$163 $163
Evelyn M Bryan, DMD
Manchester, NH
$163 $163
Joan H. Kimball, DMD
Plaistow, NH
$163 $163
$163 $163
$163 $163
$164 $164
$164 $164
$164 $164
$164 $164
Suncook Dental
Suncook, NH
$164 $164
$165 $165
$165 $165
$166 $166
$166 $166
$166 $166
Hamilton Dentistry
South Hamilton, MA
$166 $166
Sai Dental
Pepperell, MA
$166 $166
Scott Goldberg, DMD
Billerica, MA
$166 $166
John Scott Grisham, DDS
Littleton, NH
$166 $166
$166 $166
Gutgsell & Phipps, DDS
New London, NH
$167 $167
Sinclair DMD & Mayott DDS
Springfield, VT
$167 $167
$167 $167
$167 $167
Jana T Beati, DMD
Londonderry, NH
$167 $167
$168 $168
$168 $168
Yelena Popkova, DDS
Merrimack, NH
$168 $168
Peter Wojtkun, DMD
Andover, MA
$168 $168
Ian M Turner, DDS
North Andover, MA
$168 $168
Stephen Ananian, DDS
Portsmouth, NH
$168 $168
$168 $168
$168 $168
Edward J Detolla, DDS
Meredith, NH
$169 $169
Kingston Family Dental
Kingston, NH
$169 $169
$170 $170
$171 $171
Boes & Springwater
Methuen, MA
$171 $171
$172 $172
$173 $173
$173 $173
$173 $173
$173 $173
$173 $173
$173 $173
$173 $173
White Mountain Dental
North Conway, NH
$173 $173
$173 $173
Darren Boles, DDS
Laconia, NH
$173 $173
$173 $173
Anthony J LaDDS, DDS
Concord, NH
$174 $174
Richard M. Farina, DMD
Rochester, NH
$174 $174
Charm Smile Dental
Concord, NH
$174 $174
$174 $174
$174 $174
Ronald C Brenner, DDS
New Boston, NH
$175 $175
Carla Dukas, DMD
Manchester, NH
$175 $175
Vitali Bondar, DDS
Portsmouth, NH
$176 $176
Gregg T. Hillery, DMD
Concord, NH
$176 $176
Greenwood Dental
Nashua, NH
$176 $176
$176 $176
Manchester Dental
Manchester, NH
$177 $177
Abenaki Dental Care
Exeter, NH
$177 $177
Edgar T Hastings, DDS
Swanzey, NH
$177 $177
Goodwin Community Health
Somersworth, NH
$177 $177
$177 $177
Summer Street Dental
Haverhill, MA
$179 $179
Marc J Auderer, DMD
North Chelmsford, MA
$179 $179
$179 $179
$179 $179
Thomas J Bara, DMD
Hillsbororo, NH
$179 $179
$179 $179
$180 $180
$180 $180
Albert J Sandler, DMD
Methuen, MA
$180 $180
$180 $180
$180 $180
$180 $180
Marc A. Greer, DMD
Portsmouth, NH
$180 $180
Chasity Trybulski
Claremont, NH
$180 $180
$180 $180
$181 $181
$181 $181
Winnipesaukee Dental
Wolfeboro, NH
$181 $181
$181 $181
JD Howard Dental
Dover, NH
$182 $182
$182 $182
Katherine Wilson, DMD
Kittery, ME
$182 $182
$182 $182
$182 $182
$182 $182
Murali R. Ravel, DMD
Bedford, NH
$182 $182
Gerber Dental Group
Portsmouth, NH
$182 $182
James Dale Spivey, DDS
Portsmouth, NH
$182 $182
Deep Harbpinder, DMD
Gloucester, MA
$182 $182
Robert A Alvarenga, DMD
West Lebanon, NH
$182 $182
$182 $182
$182 $182
David C. Frost, DMD
Concord, NH
$183 $183
$183 $183
Natalie Accomando, DMD
Manchester, NH
$183 $183
My Dentist
Londonderry, NH
$184 $184
$184 $184
Ernani S Domingo, DMD
Manchester, NH
$184 $184
$184 $184
$184 $184
$184 $184
$184 $184
Perfect Dental
Chelmsford, MA
$184 $184
Soheila Degieux, DDS
Penacook, NH
$184 $184
$184 $184
D & K Dental
Nashua, NH
$184 $184
Alliance for Dental Care
Rochester, NH
$184 $184
$184 $184
Perionorth
Newburyport, MA
$185 $185
$185 $185
Peter Katz, DDS
Peterborough, NH
$185 $185
Shaun Janvier, DMD
Sanford, ME
$185 $185
$185 $185
Lamprey Family Dental
Raymond, NH
$185 $185
$185 $185
$185 $185
Interlakes Family Dental Center
Moultonborough, NH
$186 $186
Roger A Phillips, DMD
Hanover, NH
$186 $186
Welnak Dental
Keene, NH
$186 $186
Hooksett Family Dental
Hooksett, NH
$186 $186
Coastal Dental Associates
Portsmouth, NH
$186 $186
$186 $186
Newburyport Dental Team
Newburyport, MA
$187 $187
Bracken Godfrey, DDS
Somersworth, NH
$188 $188
$188 $188
$188 $188
Nick Pappas, DDS
Dracut, MA
$188 $188
$188 $188
Laurie A. Rosato, DMD
Concord, NH
$188 $188
$188 $188
Robert Mandell, DMD MMSc
Tyngsborough, MA
$189 $189
The Dentist Collaborative
North Andover, MA
$189 $189
$189 $189
Bassam Jamous, DMD
Methuen, MA
$189 $189
Dental Bright
Lawrence, MA
$189 $189
North Country Eye Care
West Lebanon, NH
$190 $190
Joseph E. Sheehan, DDS
Manchester, NH
$190 $190
Plaistow Dental
Plaistow, NH
$190 $190
Nick I Fleury, DMD
Meredith, NH
$190 $190
Circle Dental
Meredith, NH
$190 $190
$190 $190
Alyssa Riuli, DDS
Chelmsford, MA
$190 $190
$190 $190
Portside Family Dental
Newburyport, MA
$190 $190
$191 $191
Maplewood Dental
Nashua, NH
$191 $191
$191 $191
Min Liu Simmons, DMD
Claremont, NH
$192 $192
$192 $192
$192 $192
$192 $192
Thomas P Torrisi, DDS
Methuen, MA
$193 $193
Dibona Dental Group
Exeter, NH
$193 $193
Wilmington Family Dental
Wilmington, MA
$193 $193
Sarah Yoon, DMD
Haverhill, MA
$193 $193
Gary C Demetriou, DMD
North Andover, MA
$193 $193
$193 $193
$193 $193
Jo-Anne Johnson, DMD
Bedford, NH
$193 $193
David N Bardwell, DMD
North Andover, MA
$193 $193
Herold Family Dentistry
Portsmouth, NH
$193 $193
James Drew, DMD
Lawrence, MA
$193 $193
Alan M. Gonick, DDS
Haverhill, MA
$193 $193
Drum Hill Dental
Chelmsford, MA
$193 $193
Sajini Shetty, DMD
Merrimack, NH
$194 $194
Howard M. Zolot, DMD
North Andover, MA
$194 $194
Nanarao Krothapalli, DMD
Londonderry, NH
$194 $194
Lowell Tooth Docs
Lowell, MA
$194 $194
$194 $194
$194 $194
Granite Dental Group
Barrington, NH
$194 $194
Sevak Abrahamian, DDS
Wilmington, MA
$194 $194
$194 $194
$194 $194
$194 $194
$195 $195
$195 $195
Dental Health Concepts
North Reading, MA
$196 $196
$196 $196
$197 $197
$197 $197
$197 $197
Kowalski Dental
Beverly, MA
$197 $197
Ramya Suresh, DMD
Townsend, MA
$197 $197
Wolfeboro Family Dental
Wolfeboro, NH
$197 $197
Paul Gamber, DMD
Danvers, MA
$197 $197
$198 $198
Stephen C. Ura, DDS
Nashua, NH
$198 $198
Neal Wallace Dental
Hanover, NH
$198 $198
$198 $198
Alicia Joy Willette, DDS
East Thetford, VT
$198 $198
$199 $199
Sharon E Johnson, DMD
Belmont, NH
$200 $200
$200 $200
$200 $200
Bowman Dental
Haverhill, MA
$200 $200
Better Smiles Dental Care
Portsmouth, NH
$200 $200
$200 $200
Hampstead Family Dental
Hampstead, NH
$200 $200
$200 $200
Brian S. Millett, DMD
Methuen, MA
$201 $201
Roland R Bryan, DMD
Manchester, NH
$201 $201
Mondovi Dental
Chelmsford, MA
$202 $202
$202 $202
$202 $202
$202 $202
$202 $202
$203 $203
Norma Colletta
Newburyport, MA
$204 $204
$204 $204
$204 $204
Lyme Road Dental
Hanover, NH
$204 $204
Harrison Dental Arts
Portsmouth, NH
$204 $204
Cochecho Dental
Dover, NH
$204 $204
Hoertdoerfer Dentistry
Manchester, NH
$204 $204
$204 $204
Andover Periodontics
Andover, MA
$205 $205
$205 $205
$205 $205
$205 $205
$205 $205
Pamela Lynn Weitzel, DMD
Contoocook, NH
$205 $205
$205 $205
$205 $205
Russell Dean Mann, DDS
Manchester, NH
$206 $206
Bedford Dental Care
Bedford, NH
$206 $206
$206 $206
Hiltunen Nash & Maguire
North Hampton, NH
$206 $206
Lancaster Dental Care
Lancaster, NH
$206 $206
$206 $206
$206 $206
$207 $207
Raynor Dental
Keene, NH
$207 $207
Meyer Family Dentistry
Northwood, NH
$207 $207
$207 $207
Chestnut Family Dental
Manchester, NH
$208 $208
Smiles by Stylos
Chelmsford, MA
$209 $209
$209 $209
Dracut Dental Group
Dracut, MA
$209 $209
Gordon Francis Geick, DMD
Londonderry, NH
$209 $209
Harvey Weener, DDS
Nashua, NH
$209 $209
$210 $210
$210 $210
Hampton Family Dental
Hampton, NH
$210 $210
$210 $210
$210 $210
$211 $211
Newmarket Dental
Newmarket, NH
$211 $211
$211 $211
Lawrence Dental Center
Lawrence, MA
$212 $212
Amoskeag Family Dentistry
Manchester, NH
$212 $212
Convenient MD
Concord, NH
$212 $212
$212 $212
Donald M. Dumais, DDS
Manchester, NH
$212 $212
$212 $212
$212 $212
Rose Dental
Nashua, NH
$212 $212
$212 $212
$212 $212
$212 $212
Shawsheen Family Dental
Tewksbury, MA
$213 $213
Rothwangl Dental Care
Bedford, NH
$214 $214
Andover Pediatrics
Andover, MA
$215 $215
O'Neill Dentistry
Salem, NH
$215 $215
$216 $216
Robert L Soper, DDS
Wilmington, MA
$216 $216
Peter L Bowman, DDS
Walpole, NH
$217 $217
Jane Louise Cabour, PsyD
Topsfield, MA
$218 $218
Merrimack Smiles
Merrimack, NH
$218 $218
$221 $221
Bay Breeze Dentistry
Portsmouth, NH
$221 $221
EZ Dental Group
North Andover, MA
$221 $221
Paul Decker, DDS
Hanover, NH
$221 $221
Zhiquiang Huang, DMD
Chelmsford, MA
$225 $225
$226 $226
Windham Family Dental
Windham, NH
$226 $226
Harbor Homes
Nashua, NH
$226 $226
$228 $228
$228 $228
Emma Wu, DMD
Danvers, MA
$228 $228
John Crane, DDS
North Chelmsford, MA
$229 $229
Chelmsford Pediatrics
Chelmsford, MA
$229 $229
Richard Y Liu, DMD
Newington, NH
$229 $229
$229 $229
$230 $230
$231 $231
$231 $231
$232 $232
$232 $232
$233 $233
Gentle Dental
Chelmsford, MA
$234 $234
$236 $236
$237 $237
$237 $237
Brattleboro Retreat
Brattleboro, VT
$237 $237
$237 $237
$242 $242
Evergreen Dental Care
Newington, NH
$242 $242
$242 $242
Laconia Family Dental
Laconia, NH
$246 $246
$246 $246
York Hospital
York, ME
$246 $246
$247 $247
James G Yankowskas, DDS
Tyngsboro, MA
$250 $250
$252 $252
Calvin Dental Associates
Londonderry, NH
$255 $255
$256 $256
Harmony Dental Center
Concord, NH
$257 $257
John R Herrin, DDS MS
Bedford, NH
$260 $260
$261 $261
Hugh's Dental
Littleton, NH
$264 $264
Paul Walter Golas, DMD
Litchfield, NH
$265 $265
Vernon & French, DMD
Chelmsford, MA
$305 $305
Cyrilla Ann Lombardi, DMD
Londonderry, NH
$309 $309
North Reading Family Dentistry
North Reading, MA
$326 $326
Silver Lake Dental
Wilmington, MA
$336 $336
$347 $347
Ocean Shades Dental
Portsmouth, NH
$355 $355
$357 $357
Debra M. Dunn, DDS
Bedford, NH
$359 $359
Crosspoint Dental
Lowell, MA
$359 $359
$368 $368
Crown Dental
Nashua, NH
$368 $368
$368 $368
Deborah Edgerly, DMD
Wilmington, MA
$370 $370
Westford Dentistry
Westford, MA
$372 $372
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