Problem Focused Evaluation, Limited to a Specific Oral Health Problem or Complaint

CPT Code: D0140

An evaluation limited to a specific oral health problem or complaint, and may require interpretation of information from additional diagnostic procedures. This evaluation is typically used for dental emergencies, trauma, and acute infections, and may require additional procedures on the same date as the evaluation. Additional procedures are not included in this estimate.

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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.
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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 $105
LRGHealthcare
Laconia, NH
$86 40% $51
Robert Munson, DDS
Bradford, VT
$66 0% $66
$68 0% $68
Gutgsell & Phipps, DDS
New London, NH
$68 0% $68
Easterseals New Hampshire
Manchester, NH
$68 0% $68
Memorial Hospital
North Conway, NH
$105 33% $70
Leslie Ann Elston
Windham, ME
$71 0% $71
$72 0% $72
$72 0% $72
3 Stone Dental
Manchester, NH
$74 0% $74
Charles D. White, DMD
Atkinson, NH
$74 0% $74
Brian Seth Spigel, DDS
Springfield, VT
$74 0% $74
$74 0% $74
Mark Asadourian, DDS
Manchester, NH
$75 0% $75
$75 0% $75
$75 0% $75
Harvey Family Dentistry
Portsmouth, NH
$75 0% $75
$76 0% $76
Douglas E Duval, DDS
Manchester, NH
$77 0% $77
$79 0% $79
North Woods Dental
Colebrook, NH
$79 0% $79
$79 0% $79
Dentcare
Danvers, MA
$79 0% $79
Philip J Larkin, DDS
Springfield, VT
$79 0% $79
$79 0% $79
Robert R Feudo, DMD
Danvers, MA
$79 0% $79
Mountain View Dental
Whitefield, NH
$79 0% $79
$79 0% $79
Richard Kozlowski, DDS
St. Johnsbury, VT
$80 0% $80
Pamela Lynn Weitzel, DMD
Contoocook, NH
$80 0% $80
Hearty Smiles
Manchester, NH
$80 0% $80
Frank J Benenati, DDS
Newport, NH
$80 0% $80
$80 0% $80
$80 0% $80
$80 0% $80
$80 0% $80
Jonathan C Palazzo, DMD
Manchester, NH
$81 0% $81
Sinclair DMD & Mayott DDS
Springfield, VT
$83 0% $83
$83 0% $83
Atlantic Family Dental
Portsmouth, NH
$84 0% $84
Peter P Devlin, DMD
North Andover, MA
$84 0% $84
$85 0% $85
$85 0% $85
$85 0% $85
David M. Heydenreich, DMD
Bellows Falls, VT
$86 0% $86
$86 0% $86
$86 0% $86
Carol M Haddad, DMD
Manchester, NH
$86 0% $86
$86 0% $86
Bruce J Trivellini, DDS
Contoocook, NH
$86 0% $86
$87 0% $87
Thomas J Bara, DMD
Hillsbororo, NH
$87 0% $87
$88 0% $88
Wayne Lariviere, DMD
Waterboro, ME
$88 0% $88
Northern Counties Health Care
St. Johnsbury, VT
$88 0% $88
$88 0% $88
Dunning Dental Practice
Claremont, NH
$88 0% $88
Barton Street Dental
Bradford, VT
$88 0% $88
Beaudoin Dental
Sanford, ME
$88 0% $88
Joan H. Kimball, DMD
Plaistow, NH
$88 0% $88
$89 0% $89
$89 0% $89
Kingston Family Dental
Kingston, NH
$89 0% $89
$89 0% $89
$89 0% $89
Lebanon Dental Center
Lebanon, NH
$89 0% $89
Troy Schrupp, DDS
Gilford, NH
$89 0% $89
$89 0% $89
David L Patten, DDS
Hampstead, NH
$89 0% $89
Lancaster Dental Care
Lancaster, NH
$89 0% $89
Marina E Becker, DMD
Manchester, NH
$89 0% $89
$89 0% $89
$89 0% $89
Suncook Dental
Suncook, NH
$89 0% $89
$89 0% $89
Vernon & French, DMD
Chelmsford, MA
$89 0% $89
Middleton Family Dental
Middleton, MA
$89 0% $89
$89 0% $89
Daniel Jeong, DDS
Tewksbury, MA
$89 0% $89
White Mountain Dental
North Conway, NH
$89 0% $89
Rolf O Knudson, DMD
Bradford, NH
$89 0% $89
$89 0% $89
$89 0% $89
Bracken Godfrey, DDS
Somersworth, NH
$89 0% $89
$89 0% $89
$89 0% $89
Michael Stevener, DDS
Raymond, NH
$89 0% $89
Lancaster Dental Care
Lancaster, NH
$89 0% $89
Mark Wirant, DDS
Keene, NH
$89 0% $89
$89 0% $89
$89 0% $89
Kevin Glen Fallon, DDS
Peterborough, NH
$89 0% $89
$89 0% $89
Thomas Borbotsina, DDS
Manchester, NH
$90 0% $90
$90 0% $90
Interlakes Family Dental Center
Moultonborough, NH
$90 0% $90
Yelena Popkova, DDS
Merrimack, NH
$90 0% $90
$90 0% $90
$90 0% $90
Richard M. Farina, DMD
Rochester, NH
$90 0% $90
$91 0% $91
Darren Boles, DDS
Laconia, NH
$91 0% $91
$91 0% $91
Silver Lake Dental
Wilmington, MA
$91 0% $91
Singh Family Dental
Gilford, NH
$91 0% $91
$91 0% $91
$92 0% $92
$92 0% $92
$92 0% $92
$92 0% $92
$92 0% $92
$92 0% $92
$92 0% $92
$92 0% $92
$92 0% $92
$92 0% $92
Nick Pappas, DDS
Dracut, MA
$93 0% $93
Carla Dukas, DMD
Manchester, NH
$93 0% $93
Wolfeboro Family Dental
Wolfeboro, NH
$93 0% $93
$93 0% $93
Exeter Dental
Exeter, NH
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
Circle Dental
Meredith, NH
$95 0% $95
Ocean Shades Dental
Portsmouth, NH
$95 0% $95
$95 0% $95
Frank Benenati, DDS
Newport, NH
$95 0% $95
Cyrilla Ann Lombardi, DMD
Londonderry, NH
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
Gentle Dental
Chelmsford, MA
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
Keystone Dental Arts
Somersworth, NH
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
Leslie Bouvier, DMD
Somersworth, NH
$95 0% $95
$95 0% $95
Natalie Accomando, DMD
Manchester, NH
$95 0% $95
EZ Dental Group
North Andover, MA
$95 0% $95
Boyd/Steiner, DMD
Bedford, NH
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
White Park Dental
Concord, NH
$95 0% $95
Bassam Jamous, DMD
Methuen, MA
$95 0% $95
$95 0% $95
U & I Dental
Concord, NH
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
Soheila Degieux, DDS
Penacook, NH
$95 0% $95
Joseph Downing, DMD
Gilford, NH
$95 0% $95
Thomas P Torrisi, DDS
Methuen, MA
$95 0% $95
Daniel P. Keenan, DDS
Portsmouth, nh
$95 0% $95
$95 0% $95
Jonathan Terhune, DMD
Franklin, NH
$95 0% $95
Rothwangl Dental Care
Bedford, NH
$95 0% $95
$95 0% $95
Jean R Chagnon, DDS
Bedford, NH
$95 0% $95
Nick I Fleury, DMD
Meredith, NH
$95 0% $95
Donald M. Dumais, DDS
Manchester, NH
$95 0% $95
$95 0% $95
$95 0% $95
James S. Fishbein, DDS
Portsmouth, NH
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
Leonard Attisano, DMD
Manchester, NH
$95 0% $95
$96 0% $96
$96 0% $96
Deep Harbpinder, DMD
Gloucester, MA
$96 0% $96
Meyer Family Dentistry
Northwood, NH
$96 0% $96
Dibona Dental Group
Exeter, NH
$96 0% $96
Marc A. Greer, DMD
Portsmouth, NH
$97 0% $97
$97 0% $97
$97 0% $97
$97 0% $97
$97 0% $97
Jana T Beati, DMD
Londonderry, NH
$97 0% $97
Coastal Dental Associates
Portsmouth, NH
$97 0% $97
Highland Family Dental
Plaistow, NH
$97 0% $97
Ronald C Brenner, DDS
New Boston, NH
$97 0% $97
Goodwin Community Health
Somersworth, NH
$98 0% $98
Bruce M. Feldstein, DDS
West Lebanon, NH
$98 0% $98
$98 0% $98
Alliance for Dental Care
Rochester, NH
$99 0% $99
$99 0% $99
Jd Howard Dental
Dover, NH
$99 0% $99
$99 0% $99
Charles A Nickou, DMD
Newburyport, MA
$99 0% $99
$99 0% $99
$100 0% $100
$100 0% $100
$100 0% $100
Mondovi Dental
Chelmsford, MA
$100 0% $100
Rose L Wang, PsyD
Nashua, NH
$100 0% $100
$100 0% $100
$100 0% $100
Maplewood Dental
Nashua, NH
$100 0% $100
Marc J Auderer, DMD
North Chelmsford, MA
$100 0% $100
$100 0% $100
$100 0% $100
$100 0% $100
$100 0% $100
$100 0% $100
$100 0% $100
Greenwood Dental
Nashua, NH
$100 0% $100
Edgar T Hastings, DDS
Swanzey, NH
$100 0% $100
Yan Lu, DDS
Wilmington, MA
$101 0% $101
P.M.Gangi, DMD
Methuen, MA
$101 0% $101
Vitali Bondar, DDS
Portsmouth, NH
$101 0% $101
Joseph Leon Wingate, DDS
Londonderry, NH
$101 0% $101
Plaistow Dental
Plaistow, NH
$101 0% $101
Alan M. Gonick, DDS
Haverhill, MA
$101 0% $101
Dental Bright
Lawrence, MA
$101 0% $101
Sarah Yoon, DMD
Haverhill, MA
$101 0% $101
$101 0% $101
$101 0% $101
Friendly Dental Center
Chelmsford, MA
$101 0% $101
$101 0% $101
$101 0% $101
Amoskeag Family Dentistry
Manchester, NH
$101 0% $101
Drum Hill Dental
Chelmsford, MA
$101 0% $101
Shawsheen Family Dental
Tewksbury, MA
$101 0% $101
$101 0% $101
Roger A Phillips, DMD
Hanover, NH
$101 0% $101
Gary C Demetriou, DMD
North Andover, MA
$101 0% $101
$102 0% $102
Tyngsboro Dental Care
Tyngsborough, MA
$102 0% $102
$102 0% $102
James G Yankowskas, DDS
Tyngsboro, MA
$102 0% $102
$102 0% $102
$102 0% $102
Gregg T. Hillery, DMD
Concord, NH
$103 0% $103
$103 0% $103
Hoertdoerfer Dentistry
Manchester, NH
$103 0% $103
Sai Dental
Pepperell, MA
$103 0% $103
$103 0% $103
Gilford Dental
Gilford, NH
$103 0% $103
Danvers Dental Care
Danvers, MA
$103 0% $103
Portside Family Dental
Newburyport, MA
$103 0% $103
$103 0% $103
$103 0% $103
$103 0% $103
Linda M Blaschke, DMD
Pepperell, MA
$103 0% $103
$103 0% $103
$103 0% $103
Silva Family Dentistry
Wolfeboro, NH
$104 0% $104
Jo-Anne Johnson, DMD
Bedford, NH
$104 0% $104
$104 0% $104
Scott Goldberg, DMD
Billerica, MA
$104 0% $104
$104 0% $104
$104 0% $104
Siddhi Mehta, DMD
Manchester, NH
$104 0% $104
$104 0% $104
Abenaki Dental Care
Exeter, NH
$104 0% $104
$104 0% $104
$104 0% $104
$104 0% $104
Greene & Torio Omfs
Nashua, NH
$105 0% $105
$105 0% $105
$105 0% $105
Garret K Taoka, DDS
Lincoln, NH
$105 0% $105
$105 0% $105
$105 0% $105
$105 0% $105
D & K Dental
Nashua, NH
$105 0% $105
$105 0% $105
$105 0% $105
Stephen Ananian, DDS
Portsmouth, NH
$105 0% $105
Louis F. Clarizio, DDS
Portsmouth, NH
$105 0% $105
$105 0% $105
Windham Dental Center
Windham, NH
$105 0% $105
Paul Decker, DDS
Hanover, NH
$105 0% $105
William M Auffinger, DDS
Pepperell, MA
$105 0% $105
Stephen C. Ura, DDS
Nashua, NH
$105 0% $105
Viena Posada, DMD
Portsmouth, NH
$105 0% $105
$105 0% $105
My Dentist
Londonderry, NH
$105 0% $105
$105 0% $105
$105 0% $105
$105 0% $105
Jose Alberto Ramos, DMD
Greenland, NH
$105 0% $105
Granite Dental Group
Barrington, NH
$105 0% $105
Gerber Dental Group
Portsmouth, NH
$106 0% $106
Marion C Wachnicki, DMD
North Conway, NH
$106 0% $106
$106 0% $106
Herold Family Dentistry
Portsmouth, NH
$106 0% $106
$106 0% $106
Min Liu Simmons, DMD
Claremont, NH
$106 0% $106
Montshire Endodontics
Lebanon, NH
$106 0% $106
Robert A Alvarenga, DMD
West Lebanon, NH
$106 0% $106
Advanced Endodontics
Bedford, NH
$106 0% $106
Core Physicians
Exeter, NH
$106 0% $106
Exeter Endontics
Exeter, NH
$106 0% $106
$106 0% $106
James Dale Spivey, DDS
Portsmouth, NH
$106 0% $106
Brian McPartland, DMD
North Chelmsford, MA
$106 0% $106
$106 0% $106
$106 0% $106
$106 0% $106
$106 0% $106
$106 0% $106
$106 0% $106
$106 0% $106
$107 0% $107
Murali R. Ravel, DMD
Bedford, NH
$107 0% $107
$107 0% $107
$107 0% $107
$107 0% $107
$107 0% $107
$108 0% $108
Hudson Endodontics
Hudson, NH
$108 0% $108
Deborah K Varney, DMD
Pittsfield, NH
$108 0% $108
Edward J Detolla, DDS
Meredith, NH
$108 0% $108
Joseph E. Sheehan, DDS
Manchester, NH
$109 0% $109
$109 0% $109
$109 0% $109
Gordon Francis Geick, DMD
Londonderry, NH
$109 0% $109
Newmarket Dental
Newmarket, NH
$109 0% $109
Debra M. Dunn, DDS
Bedford, NH
$109 0% $109
$109 0% $109
Evelyn M Bryan, DMD
Manchester, NH
$110 0% $110
$110 0% $110
$110 0% $110
$110 0% $110
Better Smiles Dental Care
Portsmouth, NH
$110 0% $110
Norma Colletta
Newburyport, MA
$110 0% $110
$110 0% $110
Crosspoint Dental
Lowell, MA
$110 0% $110
Crown Dental
Nashua, NH
$110 0% $110
$110 0% $110
$110 0% $110
$110 0% $110
$110 0% $110
$110 0% $110
William J Devaney, DMD
Portsmouth, NH
$110 0% $110
$110 0% $110
Lowell Tooth Docs
Lowell, MA
$110 0% $110
$110 0% $110
$111 0% $111
$111 0% $111
$111 0% $111
Laurie A. Rosato, DMD
Concord, NH
$112 0% $112
$112 0% $112
Bowman Dental
Haverhill, MA
$112 0% $112
Peter L Bowman, DDS
Walpole, NH
$112 0% $112
Lamprey Family Dental
Raymond, NH
$113 0% $113
Lyme Road Dental
Hanover, NH
$113 0% $113
$113 0% $113
$113 0% $113
Cochecho Dental
Dover, NH
$113 0% $113
York Hospital
York, ME
$113 0% $113
$113 0% $113
Dr. Dental
Nashua, NH
$113 0% $113
$113 0% $113
Bedford Dental Care
Bedford, NH
$113 0% $113
Rose Dental
Nashua, NH
$113 0% $113
$113 0% $113
$113 0% $113
$113 0% $113
Sharon E Johnson, DMD
Belmont, NH
$113 0% $113
Harrison Dental Arts
Portsmouth, NH
$113 0% $113
$114 0% $114
Roland R Bryan, DMD
Manchester, NH
$114 0% $114
Raynor Dental
Keene, NH
$116 0% $116
$116 0% $116
Emma Wu, DMD
Danvers, MA
$116 0% $116
$116 0% $116
$116 0% $116
$116 0% $116
Nanarao Krothapalli, DMD
Londonderry, NH
$116 0% $116
Alicia Joy Willette, DDS
East Thetford, VT
$116 0% $116
$116 0% $116
$116 0% $116
Manchester Dental
Manchester, NH
$116 0% $116
O'Neill Dentistry
Salem, NH
$116 0% $116
Chestnut Family Dental
Manchester, NH
$116 0% $116
Andover Dental
Andover, MA
$116 0% $116
$116 0% $116
Dracut Dental Group
Dracut, MA
$116 0% $116
Windham Family Dental
Windham, NH
$116 0% $116
$116 0% $116
Sajini Shetty, DMD
Merrimack, NH
$117 0% $117
$117 0% $117
$117 0% $117
Thomas R Carroll, DMD
Topsfield, MA
$117 0% $117
$117 0% $117
Anthony J LaDDS, DDS
Concord, NH
$117 0% $117
$118 0% $118
$118 0% $118
Robert L Soper, DDS
Wilmington, MA
$118 0% $118
Bay Breeze Dentistry
Portsmouth, NH
$119 0% $119
Hanover Oral Surgery
Lebanon, NH
$119 0% $119
Hampstead Family Dental
Hampstead, NH
$119 0% $119
Ernani S Domingo, DMD
Manchester, NH
$119 0% $119
$119 0% $119
$119 0% $119
Welnak Dental
Keene, NH
$120 0% $120
$121 0% $121
3D Dental
North Andover, MA
$121 0% $121
$121 0% $121
Brian S. Millett, DMD
Methuen, MA
$121 0% $121
$121 0% $121
$121 0% $121
Hampton Family Dental
Hampton, NH
$121 0% $121
Hooksett Family Dental
Hooksett, NH
$122 0% $122
$122 0% $122
$122 0% $122
$123 0% $123
Hiltunen Nash & Maguire
North Hampton, NH
$123 0% $123
Carolyn A Madison, DMD
Newburyport, MA
$124 0% $124
Wilmington Family Dental
Wilmington, MA
$124 0% $124
$124 0% $124
Daniel H De Tolla, MD DDS
Portsmouth, NH
$124 0% $124
Harmony Dental Center
Concord, NH
$124 0% $124
$124 0% $124
Hugh's Dental
Littleton, NH
$125 0% $125
Richard Y Liu, DMD
Newington, NH
$126 0% $126
Harvey Weener, DDS
Nashua, NH
$126 0% $126
Evergreen Dental Care
Newington, NH
$126 0% $126
$126 0% $126
Calvin Dental Associates
Londonderry, NH
$126 0% $126
$126 0% $126
Newburyport Dental Team
Newburyport, MA
$127 0% $127
$128 0% $128
$128 0% $128
$128 0% $128
Peter Skeirik, DDS
Georgetown, MA
$130 0% $130
John R Herrin, DDS MS
Bedford, NH
$130 0% $130
$130 0% $130
$130 0% $130
$131 0% $131
Donald Welsh Jr., DMD
Portsmouth, NH
$131 0% $131
Lisa B. Schulman, DDS
Portsmouth, NH
$131 0% $131
$131 0% $131
Cathleen Wallent, DMD
Lawrence, MA
$131 0% $131
Russell Dean Mann, DDS
Manchester, NH
$131 0% $131
$132 0% $132
$133 0% $133
Andover Family Dental
Andover, MA
$133 0% $133
$133 0% $133
$134 0% $134
Merrimack Smiles
Merrimack, NH
$134 0% $134
$134 0% $134
$134 0% $134
Upper Valley Oral Surgery
West Lebanon, NH
$134 0% $134
$137 0% $137
Neal Wallace Dental
Hanover, NH
$137 0% $137
Gerald A Smith, DMD
Concord, NH
$137 0% $137
Zhiquiang Huang, DMD
Chelmsford, MA
$137