Cedric H Dustin, DDS

47 Main Street Pittsfield, NH 03263
Dental Procedures
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My Health Insurance:

  • I do not have dental insurance

Preventive Care

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Adult Dental Cleaning$1640%$164 Medium
Child Dental Cleaning$630%$63 Medium
Sealant placed on the tooth surface to prevent decay$800%$80 Medium
Topical fluoride varnish application$320%$32 Medium

Diagnostic Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Periodic dental exam - established patient$420%$42 Medium
X-Ray Dental - Complete intraoral series$2000%$200 Medium
X-Ray Dental - Intraoral - periapical radiographic image$190%$19 Medium
X-Ray Dental - Two images - bitewings$630%$63 Medium
X-Ray Dental - Additional image of tooth from crown to root, from inside mouth$130%$13 Medium

Other Dental Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Maintenance Therapy - Periodontal$1790%$179 Medium
Tooth Extraction (Elevation and/or forceps removal)$1420%$142 Medium