Bragdon Dugas & Rutter

10 Mathes Terrace Durham, NH 03824
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1070%$107 Medium
Dental Cleaning - Child$860%$86 Medium
Dental Exam - Comprehensive$950%$95 Medium
Dental Exam - Periodic, Established Patient$550%$55 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2100%$210 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3450%$345 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2670%$267 Medium
Dental Filling - White (Resin): One Surface, Anterior$1790%$179 Medium
Dental Filling - White (Resin): One Surface, Posterior$2100%$210 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3460%$346 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2210%$221 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2670%$267 Medium
Flouride - Topical Varnish Application$430%$43 Medium
Fluoride - Topical Application$640%$64 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$910%$91 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$610%$61 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1940%$194 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$270%$27 Medium
X-Ray - Complete Intraoral Series$1460%$146 Medium
X-Ray - Four Images, Bitewings$710%$71 Medium
X-Ray - Intraoral, Periapical Radiographic Image$360%$36 Medium
X-Ray - Two Images, Bitewings$500%$50 Medium