Brand & Sawicki, DDS

13 Town West Road Plymouth, NH 03264
Dental Procedures
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My Health Insurance:

  • I do not have dental insurance
ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1050%$105 Medium
Dental Cleaning - Child$740%$74 Medium
Dental Exam - Comprehensive$1680%$168 Medium
Dental Exam - Periodic, Established Patient$440%$44 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1970%$197 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$4150%$415 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2840%$284 Medium
Dental Filling - White (Resin): One Surface, Anterior$1970%$197 Medium
Dental Filling - White (Resin): One Surface, Posterior$1970%$197 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4150%$415 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2520%$252 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2840%$284 Medium
Flouride - Topical Varnish Application$380%$38 Medium
Orthodontic Treatment - Periodic Visit, Part of a Contract$1430%$143 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2000%$200 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$890%$89 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$470%$47 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$220%$22 Medium
X-Ray - Complete Intraoral Series$1750%$175 Medium
X-Ray - Four Images, Bitewings$1090%$109 Medium
X-Ray - Intraoral, Periapical Radiographic Image$260%$26 Medium
X-Ray - Two Images, Bitewings$400%$40 Medium
X-Ray - Whole Mouth from Outside Mouth$1210%$121 Medium