Charles A. Burrows, DDS

211 High Street Somersworth, NH 03878
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$1020%$102 Medium
Dental Cleaning - Child$790%$79 Medium
Dental Exam - Comprehensive$920%$92 Medium
Dental Exam - Periodic, Established Patient$490%$49 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2940%$294 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2260%$226 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1840%$184 Medium
Dental Filling - White (Resin): One Surface, Anterior$3680%$368 Medium
Dental Filling - White (Resin): One Surface, Posterior$1840%$184 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2100%$210 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2890%$289 Medium
Fluoride - Topical Application$480%$48 Medium
Maintenance Therapy - Periodontal$1680%$168 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2780%$278 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$840%$84 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$580%$58 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2630%$263 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$320%$32 Medium
X-Ray - Complete Intraoral Series$1470%$147 Medium
X-Ray - Four Images, Bitewings$800%$80 Medium
X-Ray - Intraoral, Periapical Radiographic Image$340%$34 Medium
X-Ray - Two Images, Bitewings$530%$53 Medium
X-Ray - Whole Mouth from Outside Mouth$1470%$147 Medium