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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Actual driving distances may vary
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
Uninsured Discount Uninsured Discount
The minimum discount rate that the health care provider gives to the New Hampshire Insurance Department. The actual discount depends on your financial status and the health care provider’s charity care policy.
Sort by Uninsured Discount
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 $182
LRGHealthcare
Laconia, NH
$152 67% $50
$129 0% $129
Richard J. Neal Jr., DMD
Wolfeboro, NH
$129 0% $129
$131 0% $131
$131 0% $131
Easterseals New Hampshire
Manchester, NH
$132 0% $132
Mark Asadourian, DDS
Manchester, NH
$132 0% $132
$132 0% $132
$132 0% $132
Frank J Benenati, DDS
Newport, NH
$133 0% $133
Frank Benenati, DDS
Newport, NH
$137 0% $137
Highland Family Dental
Plaistow, NH
$139 0% $139
Singh Family Dental
Gilford, NH
$139 0% $139
$141 0% $141
David A Bloom, DMD
Salem, NH
$142 0% $142
$142 0% $142
$142 0% $142
Mark Wirant, DDS
Keene, NH
$143 0% $143
Richard Kozlowski, DDS
St. Johnsbury, VT
$144 0% $144
$145 0% $145
$147 0% $147
$147 0% $147
Mountain View Dental
Whitefield, NH
$147 0% $147
Evelyn M Bryan, DMD
Manchester, NH
$147 0% $147
$147 0% $147
Andover Dental
Andover, MA
$149 0% $149
Thomas J Bara, DMD
Hillsbororo, NH
$149 0% $149
$149 0% $149
Barton Street Dental
Bradford, VT
$150 0% $150
Northern Counties Health Care
St. Johnsbury, VT
$150 0% $150
Roger Lamontagne, DMD
Manchester, NH
$150 0% $150
$152 0% $152
$152 0% $152
$152 0% $152
$152 0% $152
$152 0% $152
$152 0% $152
$152 0% $152
3 Stone Dental
Manchester, NH
$152 0% $152
$153 0% $153
Rose L Wang, PsyD
Nashua, NH
$153 0% $153
$153 0% $153
Gutgsell & Phipps, DDS
New London, NH
$153 0% $153
Troy Schrupp, DDS
Gilford, NH
$153 0% $153
Joseph Downing, DMD
Gilford, NH
$153 0% $153
Leo T Abbott, DDS
Claremont, NH
$153 0% $153
$153 0% $153
$153 0% $153
White Park Dental
Concord, NH
$153 0% $153
$153 0% $153
Keystone Dental Arts
Somersworth, NH
$153 0% $153
Leslie Bouvier, DMD
Somersworth, NH
$153 0% $153
$153 0% $153
$154 0% $154
$154 0% $154
$154 0% $154
$154 0% $154
$154 0% $154
Lebanon Dental Center
Lebanon, NH
$154 0% $154
Oasis Dental
Manchester, NH
$154 0% $154
$154 0% $154
Raymond R Farland, DDS
Chichester, NH
$154 0% $154
Lamprey Family Dental
Raymond, NH
$154 0% $154
Natalie Accomando, DMD
Manchester, NH
$154 0% $154
$154 0% $154
$154 0% $154
Harvey Family Dentistry
Portsmouth, NH
$154 0% $154
David L Patten, DDS
Hampstead, NH
$154 0% $154
$154 0% $154
Jonathan Terhune, DMD
Franklin, NH
$154 0% $154
$156 0% $156
$156 0% $156
Rolf O Knudson, DMD
Bradford, NH
$156 0% $156
$156 0% $156
Marina E Becker, DMD
Manchester, NH
$156 0% $156
$157 0% $157
$158 0% $158
$158 0% $158
$158 0% $158
$158 0% $158
Jean R Chagnon, DDS
Bedford, NH
$158 0% $158
Windham Dental Center
Windham, NH
$158 0% $158
Greatview Dental
Exeter, NH
$158 0% $158
3D Dental
North Andover, MA
$158 0% $158
Daniel King, DMD
Wilmington, MA
$158 0% $158
$158 0% $158
$158 0% $158
Silva Family Dentistry
Wolfeboro, NH
$158 0% $158
$158 0% $158
Leonard Attisano, DMD
Manchester, NH
$158 0% $158
Boyd/Steiner, DMD
Bedford, NH
$158 0% $158
$158 0% $158
U & I Dental
Concord, NH
$158 0% $158
$158 0% $158
$158 0% $158
$158 0% $158
Bruce M. Feldstein, DDS
West Lebanon, NH
$158 0% $158
$158 0% $158
$158 0% $158
$158 0% $158
$158 0% $158
$159 0% $159
Suncook Dental
Suncook, NH
$159 0% $159
Hearty Smiles
Manchester, NH
$159 0% $159
$159 0% $159
Deborah K Varney, DMD
Pittsfield, NH
$160 0% $160
$161 0% $161
Bracken Godfrey, DDS
Somersworth, NH
$162 0% $162
$162 0% $162
$162 0% $162
$162 0% $162
$162 0% $162
$163 0% $163
Stephen Ananian, DDS
Portsmouth, NH
$163 0% $163
Danvers Dental Care
Danvers, MA
$163 0% $163
Joan H. Kimball, DMD
Plaistow, NH
$163 0% $163
$163 0% $163
$163 0% $163
$163 0% $163
Winnipesaukee Dental
Wolfeboro, NH
$164 0% $164
$164 0% $164
$164 0% $164
$164 0% $164
$164 0% $164
Ronald C Brenner, DDS
New Boston, NH
$164 0% $164
$164 0% $164
$165 0% $165
$165 0% $165
Hamilton Dentistry
South Hamilton, MA
$166 0% $166
$166 0% $166
David N Bardwell, DMD
North Andover, MA
$166 0% $166
John Scott Grisham, DDS
Littleton, NH
$166 0% $166
Scott Goldberg, DMD
Billerica, MA
$166 0% $166
Anthony J LaDDS, DDS
Concord, NH
$166 0% $166
$166 0% $166
$167 0% $167
Jana T Beati, DMD
Londonderry, NH
$167 0% $167
$167 0% $167
Sinclair DMD & Mayott DDS
Springfield, VT
$167 0% $167
$168 0% $168
Emerson Dental
Westford, MA
$168 0% $168
$168 0% $168
Peter Wojtkun, DMD
Andover, MA
$168 0% $168
$168 0% $168
Richard M. Farina, DMD
Rochester, NH
$168 0% $168
Ian M Turner, DDS
North Andover, MA
$168 0% $168
Yelena Popkova, DDS
Merrimack, NH
$168 0% $168
Edward J Detolla, DDS
Meredith, NH
$169 0% $169
Kingston Family Dental
Kingston, NH
$169 0% $169
$170 0% $170
$170 0% $170
$170 0% $170
$170 0% $170
$171 0% $171
Gilford Dental
Gilford, NH
$171 0% $171
Boes & Springwater
Methuen, MA
$171 0% $171
$172 0% $172
Maplewood Dental
Nashua, NH
$172 0% $172
$173 0% $173
$173 0% $173
$173 0% $173
White Mountain Dental
North Conway, NH
$173 0% $173
$173 0% $173
Alliance for Dental Care
Rochester, NH
$173 0% $173
$173 0% $173
Edgar T Hastings, DDS
Swanzey, NH
$173 0% $173
Darren Boles, DDS
Laconia, NH
$173 0% $173
$173 0% $173
$174 0% $174
Nick I Fleury, DMD
Meredith, NH
$174 0% $174
Albert J Sandler, DMD
Methuen, MA
$174 0% $174
Circle Dental
Meredith, NH
$174 0% $174
James S. Fishbein, DDS
Portsmouth, NH
$175 0% $175
Nick Pappas, DDS
Dracut, MA
$175 0% $175
Carla Dukas, DMD
Manchester, NH
$175 0% $175
Vitali Bondar, DDS
Portsmouth, NH
$176 0% $176
Gregg T. Hillery, DMD
Concord, NH
$176 0% $176
Greenwood Dental
Nashua, NH
$176 0% $176
Hoertdoerfer Dentistry
Manchester, NH
$176 0% $176
Mondovi Dental
Chelmsford, MA
$176 0% $176
Wolfeboro Family Dental
Wolfeboro, NH
$176 0% $176
$176 0% $176
$177 0% $177
Manchester Dental
Manchester, NH
$177 0% $177
Goodwin Community Health
Somersworth, NH
$177 0% $177
Abenaki Dental Care
Exeter, NH
$177 0% $177
Marc J Auderer, DMD
North Chelmsford, MA
$179 0% $179
$179 0% $179
Ernani S Domingo, DMD
Manchester, NH
$179 0% $179
$179 0% $179
$179 0% $179
$180 0% $180
$180 0% $180
$180 0% $180
$181 0% $181
$181 0% $181
$181 0% $181
Dibona Dental Group
Exeter, NH
$181 0% $181
Robert A Alvarenga, DMD
West Lebanon, NH
$181 0% $181
Coastal Dental Associates
Portsmouth, NH
$181 0% $181
$182 0% $182
Katherine Wilson, DMD
Kittery, ME
$182 0% $182
Gerber Dental Group
Portsmouth, NH
$182 0% $182
$182 0% $182
Jd Howard Dental
Dover, NH
$182 0% $182
$182 0% $182
$182 0% $182
Murali R. Ravel, DMD
Bedford, NH
$182 0% $182
James Dale Spivey, DDS
Portsmouth, NH
$182 0% $182
Marc A. Greer, DMD
Portsmouth, NH
$182 0% $182
$182 0% $182
Deep Harbpinder, DMD
Gloucester, MA
$182 0% $182
$182 0% $182
$183 0% $183
$183 0% $183
Roger A Phillips, DMD
Hanover, NH
$183 0% $183
David C. Frost, DMD
Concord, NH
$183 0% $183
My Dentist
Londonderry, NH
$184 0% $184
$184 0% $184
$184 0% $184
$184 0% $184
$184 0% $184
D & K Dental
Nashua, NH
$184 0% $184
Soheila Degieux, DDS
Penacook, NH
$184 0% $184
Perfect Dental
Chelmsford, MA
$184 0% $184
$184 0% $184
$185 0% $185
Perionorth
Newburyport, MA
$185 0% $185
Shaun Janvier, DMD
Sanford, ME
$185 0% $185
Bowman Dental
Haverhill, MA
$185 0% $185
$185 0% $185
$186 0% $186
$186 0% $186
Hooksett Family Dental
Hooksett, NH
$186 0% $186
Welnak Dental
Keene, NH
$186 0% $186
$186 0% $186
Cochecho Dental
Dover, NH
$186 0% $186
Interlakes Family Dental Center
Moultonborough, NH
$186 0% $186
$186 0% $186
Herold Family Dentistry
Portsmouth, NH
$187 0% $187
Newburyport Dental Team
Newburyport, MA
$187 0% $187
$188 0% $188
$188 0% $188
$188 0% $188
Laurie A. Rosato, DMD
Concord, NH
$188 0% $188
$188 0% $188
Neal Wallace Dental
Hanover, NH
$189 0% $189
$189 0% $189
$189 0% $189
The Dentist Collaborative
North Andover, MA
$189 0% $189
Dental Bright
Lawrence, MA
$189 0% $189
Bassam Jamous, DMD
Methuen, MA
$189 0% $189
Granite Dental Group
Barrington, NH
$190 0% $190
Portside Family Dental
Newburyport, MA
$190 0% $190
Joseph E. Sheehan, DDS
Manchester, NH
$190 0% $190
Plaistow Dental
Plaistow, NH
$190 0% $190
$190 0% $190
Hampstead Family Dental
Hampstead, NH
$190 0% $190
$191 0% $191
$192 0% $192
Min Liu Simmons, DMD
Claremont, NH
$192 0% $192
$192 0% $192
Sarah Yoon, DMD
Haverhill, MA
$193 0% $193
Jo-Anne Johnson, DMD
Bedford, NH
$193 0% $193
Alan M. Gonick, DDS
Haverhill, MA
$193 0% $193
Gary C Demetriou, DMD
North Andover, MA
$193 0% $193
James Drew, DMD
Lawrence, MA
$193 0% $193
Raynor Dental
Keene, NH
$193 0% $193
Thomas P Torrisi, DDS
Methuen, MA
$193 0% $193
Sharon E Johnson, DMD
Belmont, NH
$193 0% $193
Drum Hill Dental
Chelmsford, MA
$193 0% $193
Shawsheen Family Dental
Tewksbury, MA
$193 0% $193
Wilmington Family Dental
Wilmington, MA
$193 0% $193
$193 0% $193
Sajini Shetty, DMD
Merrimack, NH
$194 0% $194
Lowell Tooth Docs
Lowell, MA
$194 0% $194
Sevak Abrahamian, DDS
Wilmington, MA
$194 0% $194
Howard M. Zolot, DMD
North Andover, MA
$194 0% $194
$194 0% $194
Brian S. Millett, DMD
Methuen, MA
$194 0% $194
$194 0% $194
$194 0% $194
Nanarao Krothapalli, DMD
Londonderry, NH
$194 0% $194
$194 0% $194
$195 0% $195
$195 0% $195
$195 0% $195
Dental Health Concepts
North Reading, MA
$196 0% $196
$196 0% $196
Sai Dental
Pepperell, MA
$197 0% $197
Paul Gamber, DMD
Danvers, MA
$197 0% $197
$197 0% $197
Lyme Road Dental
Hanover, NH
$197 0% $197
Ramya Suresh, DMD
Townsend, MA
$197 0% $197
$198 0% $198
Alicia Joy Willette, DDS
East Thetford, VT
$198 0% $198
Stephen C. Ura, DDS
Nashua, NH
$198 0% $198
$198 0% $198
$200 0% $200
Better Smiles Dental Care
Portsmouth, NH
$200 0% $200
Russell Dean Mann, DDS
Manchester, NH
$200 0% $200
$200 0% $200
Bedford Dental Care
Bedford, NH
$200 0% $200
$200 0% $200
Newmarket Dental
Newmarket, NH
$200 0% $200
$200 0% $200
$200 0% $200
Roland R Bryan, DMD
Manchester, NH
$201 0% $201
Gordon Francis Geick, DMD
Londonderry, NH
$202 0% $202
$202 0% $202
$202 0% $202
$202 0% $202
$202 0% $202
$203 0% $203
$203 0% $203
Norma Colletta
Newburyport, MA
$204 0% $204
$204 0% $204
$204 0% $204
$205 0% $205
$205 0% $205
Chestnut Family Dental
Manchester, NH
$205 0% $205
$205 0% $205
Harvey Weener, DDS
Nashua, NH
$205 0% $205
$206 0% $206
Lancaster Dental Care
Lancaster, NH
$206 0% $206
$206 0% $206
$206 0% $206
Hiltunen Nash & Maguire
North Hampton, NH
$206 0% $206
$207 0% $207
Meyer Family Dentistry
Northwood, NH
$207 0% $207
Peter L Bowman, DDS
Walpole, NH
$207 0% $207
Rothwangl Dental Care
Bedford, NH
$208 0% $208
$208 0% $208
Amoskeag Family Dentistry
Manchester, NH
$209 0% $209
Dracut Dental Group
Dracut, MA
$209 0% $209
$209 0% $209
Hampton Family Dental
Hampton, NH
$210 0% $210
$210 0% $210
Paul Decker, DDS
Hanover, NH
$210 0% $210
$210 0% $210
Robert L Soper, DDS
Wilmington, MA
$211 0% $211
Windham Family Dental
Windham, NH
$211 0% $211
$211 0% $211
Donald M. Dumais, DDS
Manchester, NH
$212 0% $212
John O'Horo, DMD
North Andover, MA
$212 0% $212
Merrimack Smiles
Merrimack, NH
$212 0% $212
Emma Wu, DMD
Danvers, MA
$212 0% $212
$212 0% $212
Rose Dental
Nashua, NH
$212 0% $212
$212 0% $212
Harrison Dental Arts
Portsmouth, NH
$212 0% $212
$212 0% $212
Bay Breeze Dentistry
Portsmouth, NH
$214 0% $214
O'Neill Dentistry
Salem, NH
$215 0% $215
$216 0% $216
Zhiquiang Huang, DMD
Chelmsford, MA
$218 0% $218
$219 0% $219
John Crane, DDS
North Chelmsford, MA
$221 0% $221
EZ Dental Group
North Andover, MA
$221 0% $221
$221 0% $221
$221 0% $221
$221 0% $221
$222 0% $222
Harbor Homes
Nashua, NH
$226 0% $226
Evergreen Dental Care
Newington, NH
$229 0% $229
Gentle Dental
Chelmsford, MA
$231 0% $231
Cyrilla Ann Lombardi, DMD
Londonderry, NH
$232 0% $232
$232 0% $232
$233 0% $233
$236 0% $236
$239 0% $239
$242 0% $242
$242 0% $242
John R Herrin, DDS MS
Bedford, NH
$248 0% $248
James G Yankowskas, DDS
Tyngsboro, MA
$250 0% $250
$250 0% $250
$252 0% $252
$252 0% $252
$252 0% $252
Paul Walter Golas, DMD
Litchfield, NH
$254 0% $254
Calvin Dental Associates
Londonderry, NH
$255 0% $255
Hugh's Dental
Littleton, NH
$256 0% $256
Harmony Dental Center
Concord, NH
$257 0% $257
$261 0% $261
$286 0% $286
Vernon & French, DMD
Chelmsford, MA
$305 0% $305
$305 0% $305
North Reading Family Dentistry
North Reading, MA
$326 0% $326
Silver Lake Dental
Wilmington, MA
$326 0% $326
$343 0% $343
Ocean Shades Dental
Portsmouth, NH
$355 0% $355
Crosspoint Dental
Lowell, MA
$359 0% $359
Debra M. Dunn, DDS
Bedford, NH
$359 0% $359
$368 0% $368
Crown Dental
Nashua, NH
$368 0% $368
Westford Dentistry
Westford, MA
$372 0% $372
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