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
Dental Cleaning - Adult$1120%$112
Dental Cleaning - Child$890%$89
Dental Exam - Comprehensive$1010%$101
Dental Exam - Periodic, Established Patient$590%$59
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2020%$202
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3520%$352
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2730%$273
Dental Filling - White (Resin): One Surface, Anterior$1890%$189
Dental Filling - White (Resin): One Surface, Posterior$2020%$202
Dental Filling - White (Resin): Three Surfaces, Posterior$3520%$352
Dental Filling - White (Resin): Two Surfaces, Anterior$2260%$226
Dental Filling - White (Resin): Two Surfaces, Posterior$2730%$273
Flouride - Topical Varnish Application$440%$44
Maintenance Therapy - Periodontal$1550%$155
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$5990%$599
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$960%$96
Root Canal - Anterior Tooth$8870%$887
Root Canal - Bicuspid Tooth$1,0190%$1,019
Root Canal - Molar$1,2570%$1,257
Sealant - Placed on Tooth Surface to Prevent Decay$600%$60
Tooth Extraction - Elevation and/or Forceps Removal$2520%$252
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$320%$32
X-Ray - Complete Intraoral Series$2230%$223
X-Ray - Four Images, Bitewings$790%$79
X-Ray - Intraoral, Periapical Radiographic Image$410%$41
X-Ray - Two Images, Bitewings$580%$58
X-Ray - Whole Mouth from Outside Mouth$1440%$144