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.
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 $110
$93 62% $36
Catholic Medical Center
Manchester, NH
$117 67% $38
LRGHealthcare
Laconia, NH
$87 40% $52
$63 0% $63
Yan Lu, DDS
Wilmington, MA
$65 0% $65
Robert Munson, DDS
Bradford, VT
$66 0% $66
Evergreen Dental Care
Newington, NH
$69 0% $69
$72 0% $72
Charles D. White, DMD
Atkinson, NH
$74 0% $74
Brian Seth Spigel, DDS
Springfield, VT
$76 0% $76
$78 0% $78
$78 0% $78
Gutgsell & Phipps, DDS
New London, NH
$79 0% $79
$79 0% $79
$79 0% $79
North Woods Dental
Colebrook, NH
$79 0% $79
$79 0% $79
Charles A Nickou, DMD
Newburyport, MA
$79 0% $79
Mountain View Dental
Whitefield, NH
$79 0% $79
$79 0% $79
$79 0% $79
$79 0% $79
Paul Demarco, DDS
Lawrence, MA
$79 0% $79
Growing Roots
Plymouth, NH
$80 0% $80
$81 0% $81
Hearty Smiles
Manchester, NH
$81 0% $81
$81 0% $81
Core Physicians
Exeter, NH
$81 0% $81
Mark Asadourian, DDS
Manchester, NH
$81 0% $81
Dentcare
Danvers, MA
$81 0% $81
Eastern Slope Dental
North Conway, NH
$81 0% $81
3 Stone Dental
Manchester, NH
$81 0% $81
$81 0% $81
Richard J. Neal Jr., DMD
Wolfeboro, NH
$81 0% $81
Jonathan C Palazzo, DMD
Manchester, NH
$81 0% $81
$81 0% $81
Douglas E Duval, DDS
Manchester, NH
$81 0% $81
Easterseals New Hampshire
Manchester, NH
$81 0% $81
$81 0% $81
$81 0% $81
Pamela Lynn Weitzel, DMD
Contoocook, NH
$81 0% $81
Tyngsboro Dental Care
Tyngsborough, MA
$82 0% $82
Keystone Dental Arts
Somersworth, NH
$82 0% $82
Summer Street Dental
Haverhill, MA
$83 0% $83
$83 0% $83
Frank J Benenati, DDS
Newport, NH
$84 0% $84
Atlantic Family Dental
Portsmouth, NH
$84 0% $84
Richard Kozlowski, DDS
St. Johnsbury, VT
$84 0% $84
$87 0% $87
Hampden Family Dental
Hampden, ME
$87 0% $87
$88 0% $88
Wayne Lariviere, DMD
Waterboro, ME
$88 0% $88
Lewis Family Dental
Chelmsford, MA
$88 0% $88
Philip J Larkin, DDS
Springfield, VT
$88 0% $88
Dunning Dental Practice
Claremont, NH
$88 0% $88
Marina E Becker, DMD
Manchester, NH
$89 0% $89
$89 0% $89
Smiles by the Sea
Hampton, NH
$89 0% $89
Kadambari Colaco, DDS
Chelmsford, MA
$89 0% $89
$89 0% $89
Mark Wirant, DDS
Keene, NH
$89 0% $89
Peter P Devlin, DMD
North Andover, MA
$89 0% $89
Lois Lombardo, DMD
Andover, MA
$89 0% $89
Lowell Dental Arts
Lowell, MA
$89 0% $89
$89 0% $89
Gillian Weeks, DMD
Nashua, NH
$89 0% $89
$89 0% $89
$89 0% $89
$89 0% $89
$90 0% $90
David M. Heydenreich, DMD
Bellows Falls, VT
$90 0% $90
$90 0% $90
$90 0% $90
$90 0% $90
Northern Counties Health Care
St. Johnsbury, VT
$90 0% $90
Greatview Dental
Exeter, NH
$90 0% $90
Yelena Popkova, DDS
Merrimack, NH
$90 0% $90
$90 0% $90
Barton Street Dental
Bradford, VT
$90 0% $90
Michael Powers, DDS
Gloucester, MA
$90 0% $90
$90 0% $90
Inna Ivanova, DMD
York Harbor, ME
$91 0% $91
$91 0% $91
Hanley Dental
Sanford, ME
$91 0% $91
Singh Family Dental
Gilford, NH
$91 0% $91
$92 0% $92
$92 0% $92
$92 0% $92
$92 0% $92
$92 0% $92
Rose Dental
Nashua, NH
$92 0% $92
$92 0% $92
Neal Wallace Dental
Hanover, NH
$92 0% $92
$92 0% $92
Carla Dukas, DMD
Manchester, NH
$93 0% $93
Thomas J Bara, DMD
Hillsbororo, NH
$93 0% $93
Beaudoin Dental
Sanford, ME
$93 0% $93
$93 0% $93
Ocean Shades Dental
Portsmouth, NH
$95 0% $95
Bruce J Trivellini, DDS
Contoocook, NH
$95 0% $95
Soheila Degieux, DDS
Penacook, NH
$95 0% $95
$95 0% $95
$95 0% $95
Lancaster Dental Care
Lancaster, NH
$95 0% $95
Leslie Bouvier, DMD
Somersworth, NH
$95 0% $95
$95 0% $95
$95 0% $95
$95 0% $95
EZ Dental Group
North Andover, MA
$95 0% $95
Carol M Haddad, DMD
Manchester, NH
$95 0% $95
$95 0% $95
Rolf O Knudson, DMD
Bradford, NH
$95 0% $95
$95 0% $95
$95 0% $95
$96 0% $96
Sinclair DMD & Mayott DDS
Springfield, VT
$96 0% $96
$97 0% $97
$97 0% $97
$97 0% $97
Charm Smile Dental
Concord, NH
$97 0% $97
$97 0% $97
Raymond R Farland, DDS
Chichester, NH
$97 0% $97
$97 0% $97
$97 0% $97
$97 0% $97
$97 0% $97
$97 0% $97
$97 0% $97
$97 0% $97
$97 0% $97
$97 0% $97
$97 0% $97
U & I Dental
Concord, NH
$97 0% $97
Troy Schrupp, DDS
Gilford, NH
$97 0% $97
$97 0% $97
Frank Benenati, DDS
Newport, NH
$97 0% $97
$97 0% $97
Joseph Downing, DMD
Gilford, NH
$97 0% $97
$97 0% $97
$97 0% $97
Goodwin Community Health
Somersworth, NH
$97 0% $97
$97 0% $97
$97 0% $97
$97 0% $97
Dental Dreams
Lowell, MA
$97 0% $97
Jonathan Terhune, DMD
Franklin, NH
$97 0% $97
Jana T Beati, DMD
Londonderry, NH
$97 0% $97
Boyd/Steiner, DMD
Bedford, NH
$97 0% $97
Thomas P Torrisi, DDS
Methuen, MA
$97 0% $97
Jean R Chagnon, DDS
Bedford, NH
$97 0% $97
$97 0% $97
Kevin Glen Fallon, DDS
Peterborough, NH
$97 0% $97
$97 0% $97
$97 0% $97
$97 0% $97
Exeter Dental
Exeter, NH
$97 0% $97
$97 0% $97
$97 0% $97
Amoskeag Family Dentistry
Manchester, NH
$97 0% $97
$97 0% $97
Michael Stevener, DDS
Raymond, NH
$97 0% $97
Laconia Family Dental
Laconia, NH
$97 0% $97
$97 0% $97
Richard M. Farina, DMD
Rochester, NH
$97 0% $97
$97 0% $97
Leonard Attisano, DMD
Manchester, NH
$97 0% $97
$97 0% $97
$97 0% $97
$97 0% $97
Cyrilla Ann Lombardi, DMD
Londonderry, NH
$97 0% $97
$97 0% $97
$97 0% $97
Lebanon Dental Center
Lebanon, NH
$97 0% $97
Daniel P. Keenan, DDS
Portsmouth, nh
$97 0% $97
$97 0% $97
Natalie Accomando, DMD
Manchester, NH
$97 0% $97
Bassam Jamous, DMD
Methuen, MA
$98 0% $98
Bruce M. Feldstein, DDS
West Lebanon, NH
$98 0% $98
$98 0% $98
$98 0% $98
$98 0% $98
Suncook Dental
Suncook, NH
$99 0% $99
Kingston Family Dental
Kingston, NH
$99 0% $99
$99 0% $99
Sai Dental
Pepperell, MA
$99 0% $99
$99 0% $99
White Park Dental
Concord, NH
$99 0% $99
Marc A. Greer, DMD
Portsmouth, NH
$100 0% $100
$100 0% $100
$100 0% $100
$100 0% $100
$100 0% $100
$100 0% $100
Donald M. Dumais, DDS
Manchester, NH
$100 0% $100
Vernon & French, DMD
Chelmsford, MA
$100 0% $100
Paul Gamber, DMD
Danvers, MA
$100 0% $100
$100 0% $100
$100 0% $100
Marc J Auderer, DMD
North Chelmsford, MA
$100 0% $100
$100 0% $100
$100 0% $100
$100 0% $100
Darren Boles, DDS
Laconia, NH
$100 0% $100
Highland Family Dental
Plaistow, NH
$100 0% $100
$100 0% $100
Nick Pappas, DDS
Dracut, MA
$101 0% $101
P.M.Gangi, DMD
Methuen, MA
$101 0% $101
Drum Hill Dental
Chelmsford, MA
$101 0% $101
$101 0% $101
Peter Wojtkun, DMD
Andover, MA
$101 0% $101
Cochecho Dental
Dover, NH
$102 0% $102
JD Howard Dental
Dover, NH
$102 0% $102
$102 0% $102
$102 0% $102
Winnipesaukee Dental
Wolfeboro, NH
$102 0% $102
$102 0% $102
Deep Harbpinder, DMD
Gloucester, MA
$102 0% $102
Linda M Blaschke, DMD
Pepperell, MA
$103 0% $103
Gregg T. Hillery, DMD
Concord, NH
$103 0% $103
$103 0% $103
Townsend Dental Group
West Townsend, MA
$103 0% $103
$103 0% $103
$103 0% $103
Friendly Dental Center
Chelmsford, MA
$103 0% $103
Coastal Dental Associates
Portsmouth, NH
$103 0% $103
Portside Family Dental
Newburyport, MA
$103 0% $103
Ronald C Brenner, DDS
New Boston, NH
$103 0% $103
Interlakes Family Dental Center
Moultonborough, NH
$103 0% $103
$103 0% $103
$103 0% $103
$104 0% $104
Scott Goldberg, DMD
Billerica, MA
$104 0% $104
Jo-Anne Johnson, DMD
Bedford, NH
$104 0% $104
Siddhi Mehta, DMD
Manchester, NH
$104 0% $104
Maplewood Dental
Nashua, NH
$104 0% $104
$104 0% $104
Silva Family Dentistry
Wolfeboro, NH
$104 0% $104
$104 0% $104
Wolfeboro Family Dental
Wolfeboro, NH
$104 0% $104
$104 0% $104
Edgar T Hastings, DDS
Swanzey, NH
$104 0% $104
$105 0% $105
$105 0% $105
Nick I Fleury, DMD
Meredith, NH
$105 0% $105
$105 0% $105
D & K Dental
Nashua, NH
$105 0% $105
Garret K Taoka, DDS
Lincoln, NH
$105 0% $105
$105 0% $105
$105 0% $105
$105 0% $105
$105 0% $105
$105 0% $105
Circle Dental
Meredith, NH
$105 0% $105
Louis F. Clarizio, DDS
Portsmouth, NH
$105 0% $105
$105 0% $105
$105 0% $105
$105 0% $105
Windham Dental Center
Windham, NH
$105 0% $105
$105 0% $105
$105 0% $105
$105 0% $105
Viena Posada, DMD
Portsmouth, NH
$105 0% $105
Jose Alberto Ramos, DMD
Greenland, NH
$105 0% $105
Miles of Smiles
Londonderry, NH
$105 0% $105
Greenwood Dental
Nashua, NH
$105 0% $105
James Dale Spivey, DDS
Portsmouth, NH
$106 0% $106
$106 0% $106
Robert A Alvarenga, DMD
West Lebanon, NH
$106 0% $106
Advanced Endodontics
Bedford, NH
$106 0% $106
$106 0% $106
Memorial Hospital
North Conway, NH
$158 33% $106
$106 0% $106
Exeter Endontics
Exeter, NH
$106 0% $106
Marion C Wachnicki, DMD
North Conway, NH
$106 0% $106
Plaistow Dental
Plaistow, NH
$106 0% $106
$106 0% $106
$106 0% $106
$106 0% $106
$106 0% $106
$106 0% $106
Gerber Dental Group
Portsmouth, NH
$106 0% $106
Montshire Endodontics
Lebanon, NH
$106 0% $106
$107 0% $107
$107 0% $107
Murali R. Ravel, DMD
Bedford, NH
$107 0% $107
James G Yankowskas, DDS
Tyngsboro, MA
$107 0% $107
Roger A Phillips, DMD
Hanover, NH
$107 0% $107
Vitali Bondar, DDS
Portsmouth, NH
$107 0% $107
John O'Horo, DMD
North Andover, MA
$107 0% $107
$107 0% $107
Chasity Trybulski
Claremont, NH
$107 0% $107
Gentle Dental
Chelmsford, MA
$108 0% $108
North Reading Family Dentistry
North Reading, MA
$108 0% $108
Alyssa Riuli, DDS
Chelmsford, MA
$108 0% $108
$108 0% $108
Stephen C. Ura, DDS
Nashua, NH
$108 0% $108
$108 0% $108
Alliance for Dental Care
Rochester, NH
$108 0% $108
Bracken Godfrey, DDS
Somersworth, NH
$108 0% $108
$108 0% $108
$108 0% $108
$108 0% $108
$109 0% $109
James S. Fishbein, DDS
Portsmouth, NH
$109 0% $109
$109 0% $109
$109 0% $109
$109 0% $109
Harvey Family Dentistry
Portsmouth, NH
$109 0% $109
Abenaki Dental Care
Exeter, NH
$109 0% $109
$109 0% $109
$109 0% $109
$110 0% $110
$110 0% $110
$110 0% $110
Better Smiles Dental Care
Portsmouth, NH
$110 0% $110
$110 0% $110
Meyer Family Dentistry
Northwood, NH
$110 0% $110
White Mountain Dental
North Conway, NH
$110 0% $110
$110 0% $110
$110 0% $110
$110 0% $110
Crosspoint Dental
Lowell, MA
$110 0% $110
Edward J Detolla, DDS
Meredith, NH
$110 0% $110
Granite Dental Group
Barrington, NH
$110 0% $110
Crown Dental
Nashua, NH
$110 0% $110
$110 0% $110
$110 0% $110
Lowell Tooth Docs
Lowell, MA
$110 0% $110
$110 0% $110
$110 0% $110
$110 0% $110
$111 0% $111
$111 0% $111
$111 0% $111
$111 0% $111
Peter Katz, DDS
Peterborough, NH
$111 0% $111
$111 0% $111
$111 0% $111
Herold Family Dentistry
Portsmouth, NH
$112 0% $112
$112 0% $112
$112 0% $112
$112 0% $112
$112 0% $112
$112 0% $112
Laurie A. Rosato, DMD
Concord, NH
$112 0% $112
Gordon Francis Geick, DMD
Londonderry, NH
$113 0% $113
$113 0% $113
$113 0% $113
$113 0% $113
Deborah K Varney, DMD
Pittsfield, NH
$113 0% $113
$113 0% $113
$113 0% $113
$113 0% $113
$113 0% $113
$113 0% $113
3D Dental
North Andover, MA
$114 0% $114
$114 0% $114
Newmarket Dental
Newmarket, NH
$114 0% $114
Magnolia Dentistry
North Andover, MA
$114 0% $114
$115 0% $115
Brian McPartland, DMD
North Chelmsford, MA
$115 0% $115
$115 0% $115
$116 0% $116
Harrison Dental Arts
Portsmouth, NH
$116 0% $116
$116 0% $116
$116 0% $116
$116 0% $116
$116 0% $116
$116 0% $116
Nanarao Krothapalli, DMD
Londonderry, NH
$116 0% $116
$116 0% $116
$116 0% $116
$116 0% $116
Mondovi Dental
Chelmsford, MA
$116 0% $116
$116 0% $116
Gary C Demetriou, DMD
North Andover, MA
$116 0% $116
Lamprey Family Dental
Raymond, NH
$116 0% $116
$116 0% $116
My Dentist
Londonderry, NH
$116 0% $116
$116 0% $116
$116 0% $116
$116 0% $116
Joseph E. Sheehan, DDS
Manchester, NH
$116 0% $116
$116 0% $116
$116 0% $116
$116 0% $116
$116 0% $116
Emma Wu, DMD
Danvers, MA
$116 0% $116
Manchester Dental
Manchester, NH
$116 0% $116
William J Devaney, DMD
Portsmouth, NH
$116 0% $116
Roger Lamontagne, DMD
Manchester, NH
$116 0% $116
Greene & Torio Omfs
Nashua, NH
$116 0% $116
$116 0% $116
Stephen Ananian, DDS
Portsmouth, NH
$117 0% $117
Min Liu Simmons, DMD
Claremont, NH
$117 0% $117
Bedford Dental Care
Bedford, NH
$117 0% $117
$117 0% $117
$117 0% $117
Sharon E Johnson, DMD
Belmont, NH
$117 0% $117
$117 0% $117
$117 0% $117
$117 0% $117
$118 0% $118
Bowman Dental
Haverhill, MA
$118 0% $118
Peter L Bowman, DDS
Walpole, NH
$118 0% $118
$118 0% $118
Debra M. Dunn, DDS
Bedford, NH
$118 0% $118
$118 0% $118
North Country Eye Care
West Lebanon, NH
$118 0% $118
Hoertdoerfer Dentistry
Manchester, NH
$119 0% $119
$119 0% $119
$119 0% $119
$119 0% $119
Rothwangl Dental Care
Bedford, NH
$120 0% $120
$120 0% $120
Bay Breeze Dentistry
Portsmouth, NH
$120 0% $120
$120 0% $120
Norma Colletta
Newburyport, MA
$121 0% $121
Shawsheen Family Dental
Tewksbury, MA
$121 0% $121
$121 0% $121
$121 0% $121
Windham Family Dental
Windham, NH
$121 0% $121
Hampstead Family Dental
Hampstead, NH
$122 0% $122
Robert Mandell, DMD MMSc
Tyngsborough, MA
$122 0% $122
$122 0% $122
$122 0% $122
$122 0% $122
$122 0% $122
Sajini Shetty, DMD
Merrimack, NH
$123 0% $123
$123 0% $123
$123 0% $123
Lyme Road Dental
Hanover, NH
$123 0% $123
Hiltunen Nash & Maguire
North Hampton, NH
$123 0% $123
Hooksett Family Dental
Hooksett, NH
$124 0% $124
$124 0% $124
Brian S. Millett, DMD
Methuen, MA
$124 0% $124
$124 0% $124
$124 0% $124
Ernani S Domingo, DMD
Manchester, NH
$124 0% $124
Raynor Dental
Keene, NH
$124 0% $124
Anthony J LaDDS, DDS
Concord, NH
$124 0% $124
Welnak Dental
Keene, NH
$125 0% $125
$125 0% $125
$126 0% $126
$126 0% $126
$126 0% $126
$126 0% $126
Chestnut Family Dental
Manchester, NH
$126 0% $126
$126 0% $126
$126 0% $126
$126 0% $126
Newburyport Dental Team
Newburyport, MA
$127 0% $127
$127 0% $127
$127 0% $127
$127 0% $127
$127 0% $127
Exceptional Dental
Beverly, MA
$127 0% $127
Daniel H De Tolla, MD DDS
Portsmouth, NH
$128 0% $128
Harvey Weener, DDS
Nashua, NH
$128 0% $128
$129 0% $129
$129 0% $129
Zhiquiang Huang, DMD
Chelmsford, MA
$129 0% $129
Daniel King, DMD
Wilmington, MA
$129 0% $129
Convenient MD
Concord, NH
$130 0% $130
Evelyn M Bryan, DMD
Manchester, NH
$131 0% $131
Alan M. Gonick, DDS
Haverhill, MA
$131 0% $131
$131 0% $131
$131 0% $131
Shaun Janvier, DMD
Sanford, ME
$131 0% $131
Daniel Jeong, DDS
Tewksbury, MA
$131 0% $131
O'Neill Dentistry
Salem, NH
$131 0% $131
Smiles by Stylos
Chelmsford, MA
$131 0% $131
Lisa B. Schulman, DDS
Portsmouth, NH
$131 0% $131