Ann Marie Miller DMD
4 Love Lane Lee, NH 03824
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $104 | 0% | $104 | Medium |
| Dental Cleaning - Child | $84 | 0% | $84 | Medium |
| Dental Exam - Comprehensive | $90 | 0% | $90 | Medium |
| Dental Exam - Periodic, Established Patient | $49 | 0% | $49 | Medium |
| Dental Filling - White (Resin): One Surface, Posterior | $188 | 0% | $188 | Medium |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $261 | 0% | $261 | Medium |
| Flouride - Topical Varnish Application | $61 | 0% | $61 | Medium |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $88 | 0% | $88 | Medium |
| Sealant - Placed on Tooth Surface to Prevent Decay | $58 | 0% | $58 | Medium |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $27 | 0% | $27 | Medium |
| X-Ray - Complete Intraoral Series | $146 | 0% | $146 | Medium |
| X-Ray - Four Images, Bitewings | $71 | 0% | $71 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $34 | 0% | $34 | Medium |
| X-Ray - Two Images, Bitewings | $50 | 0% | $50 | Medium |
