Bruce M. Feldstein, DDS

30 Airport Road West Lebanon, NH 03784
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1110%$111 Medium
Dental Cleaning - Child$870%$87 Medium
Dental Exam - Comprehensive$1000%$100 Medium
Dental Exam - Periodic, Established Patient$580%$58 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2000%$200 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3500%$350 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2710%$271 Medium
Dental Filling - White (Resin): One Surface, Anterior$1860%$186 Medium
Dental Filling - White (Resin): One Surface, Posterior$2000%$200 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3480%$348 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2190%$219 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2690%$269 Medium
Flouride - Topical Varnish Application$420%$42 Medium
Maintenance Therapy - Periodontal$1530%$153 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2960%$296 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$950%$95 Medium
Root Canal - Anterior Tooth$8680%$868 Medium
Root Canal - Bicuspid Tooth$1,0000%$1,000 Medium
Root Canal - Molar$1,2440%$1,244 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$590%$59 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$300%$30 Medium
X-Ray - Complete Intraoral Series$2190%$219 Medium
X-Ray - Four Images, Bitewings$770%$77 Medium
X-Ray - Intraoral, Periapical Radiographic Image$400%$40 Medium
X-Ray - Two Images, Bitewings$560%$56 Medium
X-Ray - Whole Mouth from Outside Mouth$1430%$143 Medium