Daniel H De Tolla, MD DDS

200 Griffin Road, Suite 8 Portsmouth, NH 03801
Dental Procedures
Edit My Insurance Details

My Health Insurance:

  • I do not have dental insurance
ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Exam - Comprehensive$1390%$139 Medium
Dental Exam - Periodic, Established Patient$1070%$107 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1130%$113 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2180%$218 Medium
X-Ray - Whole Mouth from Outside Mouth$1500%$150 Medium