Charles Robert Puleo, DMD

64 Myrtle Street Extenstion Hillsboro, NH 03244
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$1030%$103
Dental Cleaning - Child$740%$74
Dental Exam - Comprehensive$1010%$101
Dental Exam - Periodic, Established Patient$400%$40
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2020%$202
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2310%$231
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$3170%$317
Dental Filling - White (Resin): One Surface, Anterior$1810%$181
Dental Filling - White (Resin): One Surface, Posterior$1950%$195
Dental Filling - White (Resin): Three Surfaces, Posterior$3610%$361
Dental Filling - White (Resin): Two Surfaces, Anterior$2240%$224
Dental Filling - White (Resin): Two Surfaces, Posterior$2780%$278
Fluoride - Topical Application$450%$45
Maintenance Therapy - Periodontal$1460%$146
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2970%$297
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$930%$93
Root Canal - Anterior Tooth$8530%$853
Root Canal - Bicuspid Tooth$1,0140%$1,014
Root Canal - Molar$1,1630%$1,163
Sealant - Placed on Tooth Surface to Prevent Decay$1030%$103
Tooth Extraction - Elevation and/or Forceps Removal$2600%$260
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$350%$35
X-Ray - Complete Intraoral Series$1580%$158
X-Ray - Four Images, Bitewings$750%$75
X-Ray - Intraoral, Periapical Radiographic Image$360%$36
X-Ray - Two Images, Bitewings$530%$53