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

CDT 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
Easterseals New Hampshire
Manchester, NH
$68 0% $68
Gutgsell & Phipps, DDS
New London, 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
$74 0% $74
3 Stone Dental
Manchester, NH
$74 0% $74
$74 0% $74
Charles D. White, DMD
Atkinson, NH
$74 0% $74
Brian Seth Spigel, DDS
Springfield, VT
$74 0% $74
$75 0% $75
Mark Asadourian, DDS
Manchester, NH
$77 0% $77
Douglas E Duval, DDS
Manchester, NH
$77 0% $77
Mountain View Dental
Whitefield, NH
$79 0% $79
Robert R Feudo, DMD
Danvers, MA
$79 0% $79
$79 0% $79
North Woods Dental
Colebrook, NH
$79 0% $79
$79 0% $79
$79 0% $79
$79 0% $79
$79 0% $79
Harvey Family Dentistry
Portsmouth, NH
$80 0% $80
Pamela Lynn Weitzel, DMD
Contoocook, NH
$80 0% $80
Frank J Benenati, DDS
Newport, NH
$80 0% $80
Richard Kozlowski, DDS
St. Johnsbury, VT
$80 0% $80
$80 0% $80
$80 0% $80
Hearty Smiles
Manchester, NH
$80 0% $80
$80 0% $80
$80 0% $80
$80 0% $80
Jonathan C Palazzo, DMD
Manchester, NH
$81 0% $81
$83 0% $83
Sinclair DMD & Mayott DDS
Springfield, VT
$83 0% $83
Peter P Devlin, DMD
North Andover, MA
$84 0% $84
Atlantic Family Dental
Portsmouth, NH
$84 0% $84
$85 0% $85
Vitali Bondar, DDS
Portsmouth, NH
$85 0% $85
$85 0% $85
$85 0% $85
$86 0% $86
David M. Heydenreich, DMD
Bellows Falls, VT
$86 0% $86
Rose L Wang, PsyD
Nashua, NH
$86 0% $86
Rose Dental
Nashua, NH
$86 0% $86
$86 0% $86
Carol M Haddad, DMD
Manchester, NH
$86 0% $86
$87 0% $87
$87 0% $87
Thomas J Bara, DMD
Hillsbororo, NH
$87 0% $87
Beaudoin Dental
Sanford, ME
$88 0% $88
Lewis Family Dental
Chelmsford, MA
$88 0% $88
Barton Street Dental
Bradford, VT
$88 0% $88
Bruce J Trivellini, DDS
Contoocook, NH
$88 0% $88
Joan H. Kimball, DMD
Plaistow, NH
$88 0% $88
Dunning Dental Practice
Claremont, NH
$88 0% $88
Philip J Larkin, DDS
Springfield, VT
$88 0% $88
Wayne Lariviere, DMD
Waterboro, ME
$88 0% $88
$88 0% $88
Northern Counties Health Care
St. Johnsbury, VT
$88 0% $88
$88 0% $88
$89 0% $89
$89 0% $89
Vernon & French, DMD
Chelmsford, MA
$89 0% $89
Daniel Jeong, DDS
Tewksbury, MA
$89 0% $89
Bracken Godfrey, DDS
Somersworth, NH
$89 0% $89
Lancaster Dental Care
Lancaster, NH
$89 0% $89
$89 0% $89
$89 0% $89
$89 0% $89
$89 0% $89
Troy Schrupp, DDS
Gilford, NH
$89 0% $89
$89 0% $89
Mark Wirant, DDS
Keene, NH
$89 0% $89
$89 0% $89
Lancaster Dental Care
Lancaster, NH
$89 0% $89
$89 0% $89
Marina E Becker, DMD
Manchester, NH
$89 0% $89
$89 0% $89
Suncook Dental
Suncook, NH
$89 0% $89
$89 0% $89
Middleton Family Dental
Middleton, MA
$89 0% $89
$89 0% $89
$89 0% $89
$89 0% $89
$89 0% $89
Kevin Glen Fallon, DDS
Peterborough, NH
$89 0% $89
Lois Lombardo, DMD
Andover, MA
$89 0% $89
$90 0% $90
$90 0% $90
Richard M. Farina, DMD
Rochester, NH
$90 0% $90
Interlakes Family Dental Center
Moultonborough, NH
$90 0% $90
$90 0% $90
Yelena Popkova, DDS
Merrimack, NH
$90 0% $90
$91 0% $91
$91 0% $91
Darren Boles, DDS
Laconia, NH
$91 0% $91
Singh Family Dental
Gilford, NH
$91 0% $91
Silver Lake Dental
Wilmington, MA
$91 0% $91
$92 0% $92
$92 0% $92
$92 0% $92
$92 0% $92
$92 0% $92
$92 0% $92
Cochecho Dental
Dover, NH
$92 0% $92
$92 0% $92
$92 0% $92
Wolfeboro Family Dental
Wolfeboro, NH
$93 0% $93
$93 0% $93
Nick Pappas, DDS
Dracut, MA
$93 0% $93
Carla Dukas, DMD
Manchester, NH
$93 0% $93
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
Rothwangl Dental Care
Bedford, NH
$95 0% $95
$95 0% $95
Leonard Attisano, DMD
Manchester, NH
$95 0% $95
Jonathan Terhune, DMD
Franklin, NH
$95 0% $95
$95 0% $95
$95 0% $95
James S. Fishbein, DDS
Portsmouth, NH
$95 0% $95
Circle Dental
Meredith, NH
$95 0% $95
Exeter Dental
Exeter, NH
$95 0% $95
Charles A Nickou, DMD
Newburyport, MA
$95 0% $95
$95 0% $95
Jean R Chagnon, DDS
Bedford, NH
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
Frank Benenati, DDS
Newport, 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
David L Patten, DDS
Hampstead, NH
$95 0% $95
Keystone Dental Arts
Somersworth, NH
$95 0% $95
$95 0% $95
$95 0% $95
Natalie Accomando, DMD
Manchester, NH
$95 0% $95
Cyrilla Ann Lombardi, DMD
Londonderry, NH
$95 0% $95
Boyd/Steiner, DMD
Bedford, NH
$95 0% $95
$95 0% $95
$95 0% $95
Lebanon Dental Center
Lebanon, NH
$95 0% $95
$95 0% $95
$95 0% $95
EZ Dental Group
North Andover, MA
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
Ocean Shades Dental
Portsmouth, NH
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
Bassam Jamous, DMD
Methuen, MA
$95 0% $95
Thomas P Torrisi, DDS
Methuen, MA
$95 0% $95
U & I Dental
Concord, NH
$95 0% $95
White Park Dental
Concord, NH
$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
$95 0% $95
$95 0% $95
$95 0% $95
Leslie Bouvier, DMD
Somersworth, NH
$95 0% $95
Rolf O Knudson, DMD
Bradford, NH
$95 0% $95
Donald M. Dumais, DDS
Manchester, NH
$95 0% $95
$95 0% $95
$95 0% $95
Nick I Fleury, DMD
Meredith, NH
$95 0% $95
Daniel P. Keenan, DDS
Portsmouth, nh
$95 0% $95
$96 0% $96
Deep Harbpinder, DMD
Gloucester, MA
$96 0% $96
$96 0% $96
Meyer Family Dentistry
Northwood, NH
$96 0% $96
Ronald C Brenner, DDS
New Boston, NH
$97 0% $97
Coastal Dental Associates
Portsmouth, NH
$97 0% $97
Marc A. Greer, DMD
Portsmouth, NH
$97 0% $97
$97 0% $97
Jana T Beati, DMD
Londonderry, NH
$97 0% $97
$97 0% $97
$97 0% $97
Highland Family Dental
Plaistow, NH
$97 0% $97
Goodwin Community Health
Somersworth, NH
$98 0% $98
$98 0% $98
$98 0% $98
Bruce M. Feldstein, DDS
West Lebanon, NH
$98 0% $98
Dibona Dental Group
Exeter, NH
$99 0% $99
Kingston Family Dental
Kingston, NH
$99 0% $99
$99 0% $99
Jd Howard Dental
Dover, NH
$99 0% $99
$99 0% $99
$100 0% $100
$100 0% $100
$100 0% $100
Greenwood Dental
Nashua, NH
$100 0% $100
$100 0% $100
Edgar T Hastings, DDS
Swanzey, NH
$100 0% $100
Mondovi Dental
Chelmsford, MA
$100 0% $100
$100 0% $100
$100 0% $100
$100 0% $100
$100 0% $100
$100 0% $100
$100 0% $100
White Mountain Dental
North Conway, NH
$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
$101 0% $101
Gary C Demetriou, DMD
North Andover, MA
$101 0% $101
P.M.Gangi, DMD
Methuen, MA
$101 0% $101
Peter Wojtkun, DMD
Andover, MA
$101 0% $101
Joseph Leon Wingate, DDS
Londonderry, NH
$101 0% $101
$101 0% $101
Plaistow Dental
Plaistow, NH
$101 0% $101
Dental Bright
Lawrence, MA
$101 0% $101
$101 0% $101
$101 0% $101
Sarah Yoon, DMD
Haverhill, MA
$101 0% $101
$101 0% $101
$101 0% $101
Drum Hill Dental
Chelmsford, MA
$102 0% $102
Winnipesaukee Dental
Wolfeboro, NH
$102 0% $102
$102 0% $102
$102 0% $102
Alliance for Dental Care
Rochester, NH
$102 0% $102
$102 0% $102
Gregg T. Hillery, DMD
Concord, NH
$103 0% $103
$103 0% $103
$103 0% $103
Sai Dental
Pepperell, MA
$103 0% $103
Danvers Dental Care
Danvers, MA
$103 0% $103
$103 0% $103
$103 0% $103
Hoertdoerfer Dentistry
Manchester, NH
$103 0% $103
$103 0% $103
Gilford Dental
Gilford, NH
$103 0% $103
Townsend Dental Group
West Townsend, MA
$103 0% $103
Friendly Dental Center
Chelmsford, MA
$103 0% $103
$103 0% $103
$104 0% $104
$104 0% $104
Abenaki Dental Care
Exeter, NH
$104 0% $104
$104 0% $104
$104 0% $104
Silva Family Dentistry
Wolfeboro, NH
$104 0% $104
$104 0% $104
Gentle Dental
Chelmsford, MA
$104 0% $104
Jo-Anne Johnson, DMD
Bedford, NH
$104 0% $104
Tyngsboro Dental Care
Tyngsborough, MA
$104 0% $104
$104 0% $104
$104 0% $104
Siddhi Mehta, DMD
Manchester, NH
$104 0% $104
Scott Goldberg, DMD
Billerica, MA
$104 0% $104
$105 0% $105
Jose Alberto Ramos, DMD
Greenland, NH
$105 0% $105
Stephen C. Ura, DDS
Nashua, NH
$105 0% $105
Roger A Phillips, DMD
Hanover, NH
$105 0% $105
$105 0% $105
Garret K Taoka, DDS
Lincoln, NH
$105 0% $105
Granite Dental Group
Barrington, NH
$105 0% $105
My Dentist
Londonderry, NH
$105 0% $105
$105 0% $105
$105 0% $105
$105 0% $105
$105 0% $105
$105 0% $105
$105 0% $105
$105 0% $105
$105 0% $105
Greene & Torio Omfs
Nashua, NH
$105 0% $105
Windham Dental Center
Windham, NH
$105 0% $105
Louis F. Clarizio, DDS
Portsmouth, NH
$105 0% $105
William M Auffinger, DDS
Pepperell, MA
$105 0% $105
Viena Posada, DMD
Portsmouth, NH
$105 0% $105
$105 0% $105
$105 0% $105
D & K Dental
Nashua, NH
$105 0% $105
$105 0% $105
$105 0% $105
$106 0% $106
$106 0% $106
$106 0% $106
$106 0% $106
Marion C Wachnicki, DMD
North Conway, NH
$106 0% $106
Gerber Dental Group
Portsmouth, NH
$106 0% $106
$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
Core Physicians
Exeter, NH
$106 0% $106
Exeter Endontics
Exeter, NH
$106 0% $106
Brian McPartland, DMD
North Chelmsford, MA
$106 0% $106
Robert A Alvarenga, DMD
West Lebanon, NH
$106 0% $106
Advanced Endodontics
Bedford, NH
$106 0% $106
$106 0% $106
James Dale Spivey, DDS
Portsmouth, NH
$106 0% $106
$106 0% $106
James G Yankowskas, DDS
Tyngsboro, MA
$107 0% $107
$107 0% $107
$107 0% $107
Murali R. Ravel, DMD
Bedford, NH
$107 0% $107
$107 0% $107
Norma Colletta
Newburyport, MA
$107 0% $107
$107 0% $107
$108 0% $108
Edward J Detolla, DDS
Meredith, NH
$108 0% $108
Hudson Endodontics
Hudson, NH
$108 0% $108
Lamprey Family Dental
Raymond, NH
$108 0% $108
$108 0% $108
Gordon Francis Geick, DMD
Londonderry, NH
$109 0% $109
Newmarket Dental
Newmarket, NH
$109 0% $109
Joseph E. Sheehan, DDS
Manchester, NH
$109 0% $109
Debra M. Dunn, DDS
Bedford, NH
$109 0% $109
$109 0% $109
$110 0% $110
$110 0% $110
$110 0% $110
$110 0% $110
Evelyn M Bryan, DMD
Manchester, NH
$110 0% $110
Lowell Tooth Docs
Lowell, MA
$110 0% $110
North Reading Family Dentistry
North Reading, MA
$110 0% $110
$110 0% $110
$110 0% $110
Stephen Ananian, DDS
Portsmouth, NH
$110 0% $110
Crosspoint Dental
Lowell, MA
$110 0% $110
Better Smiles Dental Care
Portsmouth, NH
$110 0% $110
Crown Dental
Nashua, NH
$110 0% $110
$110 0% $110
$110 0% $110
$110 0% $110
William J Devaney, DMD
Portsmouth, NH
$110 0% $110
$110 0% $110
$111 0% $111
$111 0% $111
$111 0% $111
$111 0% $111
Amoskeag Family Dentistry
Manchester, NH
$111 0% $111
$112 0% $112
$112 0% $112
$112 0% $112
Laurie A. Rosato, DMD
Concord, NH
$112 0% $112
Sharon E Johnson, DMD
Belmont, NH
$112 0% $112
Bowman Dental
Haverhill, MA
$112 0% $112
Peter L Bowman, DDS
Walpole, NH
$112 0% $112
$113 0% $113
Harrison Dental Arts
Portsmouth, NH
$113 0% $113
Deborah K Varney, DMD
Pittsfield, NH
$113 0% $113
$113 0% $113
Lyme Road Dental
Hanover, NH
$113 0% $113
$113 0% $113
$113 0% $113
$113 0% $113
$113 0% $113
Bedford Dental Care
Bedford, NH
$113 0% $113
$113 0% $113
Wilmington Family Dental
Wilmington, MA
$113 0% $113
$114 0% $114
Roland R Bryan, DMD
Manchester, NH
$114 0% $114
$116 0% $116
Andover Dental
Andover, MA
$116 0% $116
$116 0% $116
$116 0% $116
Emma Wu, DMD
Danvers, MA
$116 0% $116
Nanarao Krothapalli, DMD
Londonderry, NH
$116 0% $116
Dracut Dental Group
Dracut, MA
$116 0% $116
Raynor Dental
Keene, NH
$116 0% $116
Roger Lamontagne, DMD
Manchester, NH
$116 0% $116
Alicia Joy Willette, DDS
East Thetford, VT
$116 0% $116
$116 0% $116
$116 0% $116
$116 0% $116
$116 0% $116
Manchester Dental
Manchester, NH
$116 0% $116
O'Neill Dentistry
Salem, NH
$116 0% $116
$116 0% $116
Chestnut Family Dental
Manchester, NH
$116 0% $116
$116 0% $116
Windham Family Dental
Windham, NH
$116 0% $116
$117 0% $117
Thomas R Carroll, DMD
Topsfield, MA
$117 0% $117
$117 0% $117
Sajini Shetty, DMD
Merrimack, NH
$117 0% $117
Robert L Soper, DDS
Wilmington, MA
$118 0% $118
$118 0% $118
$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
Bay Breeze Dentistry
Portsmouth, NH
$119 0% $119
$119 0% $119
$119 0% $119
Welnak Dental
Keene, NH
$120 0% $120
$120 0% $120
$120 0% $120
Anthony J LaDDS, DDS
Concord, NH
$121 0% $121
Shawsheen Family Dental
Tewksbury, MA
$121 0% $121
$121 0% $121
$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
Hooksett Family Dental
Hooksett, NH
$122 0% $122
Hiltunen Nash & Maguire
North Hampton, NH
$123 0% $123
$123 0% $123
$124 0% $124
$124 0% $124
Harmony Dental Center
Concord, NH
$124 0% $124
Zhiquiang Huang, DMD
Chelmsford, MA
$125 0% $125
Calvin Dental Associates
Londonderry, NH
$126 0% $126
Alan M. Gonick, DDS
Haverhill, MA
$126 0% $126
Harvey Weener, DDS
Nashua, NH
$126 0% $126
Evergreen Dental Care
Newington, NH
$126 0% $126
$126 0% $126
$126 0% $126
$126 0% $126
Carolyn A Madison, DMD
Newburyport, MA
$126 0% $126
Newburyport Dental Team
Newburyport, MA
$127 0% $127
Daniel H De Tolla, MD DDS
Portsmouth, NH
$128 0% $128
$128 0% $128
$128 0% $128
Paul Decker, DDS
Hanover, NH
$129 0% $129
$130 0% $130
John R Herrin, DDS MS
Bedford, NH
$130 0% $130
Peter Skeirik, DDS
Georgetown, MA
$130 0% $130
$130 0% $130
$130 0% $130
John O'Horo, DMD
North Andover, MA
$130 0% $130
$131 0% $131
Cathleen Wallent, DMD
Lawrence, MA
$131 0% $131
$131 0% $131
Russell Dean Mann, DDS
Manchester, NH
$131 0% $131
Hugh's Dental
Littleton, NH
$131 0% $131
$131 0% $131
Lisa B. Schulman, DDS
Portsmouth, NH
$131 0% $131
$133 0% $133
Andover Family Dental
Andover, MA
$133 0% $133
$134 0% $134
Upper Valley Oral Surgery
West Lebanon, NH
$134 0% $134
$134 0% $134
$134 0% $134
$135 0% $135
David C. Frost, DMD
Concord, NH
$137 0% $137
$137 0% $137
Gerald A Smith, DMD
Concord, NH
$137 0% $137
$138 0% $138
$139 0% $139
Neal Wallace Dental
Hanover, NH
$139 0% $139
$139 0% $139
Paul Walter Golas, DMD
Litchfield, NH
$140 0% $140
Perfect Dental
Chelmsford, MA
$141 0% $141
$141 0% $141
$141 0% $141
Merrimack Smiles
Merrimack, NH
$141 0% $141