Derek R Blackwelder, DMD

944 Laconia Road Tilton, NH 03276
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$1080%$108 Medium
Dental Cleaning - Child$850%$85 Medium
Dental Exam - Comprehensive$910%$91 Medium
Dental Exam - Periodic, Established Patient$600%$60 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1920%$192 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3450%$345 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2650%$265 Medium
Dental Filling - White (Resin): One Surface, Anterior$1760%$176 Medium
Dental Filling - White (Resin): One Surface, Posterior$1920%$192 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3450%$345 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2160%$216 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2650%$265 Medium
Flouride - Topical Varnish Application$460%$46 Medium
Fluoride - Topical Application$430%$43 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$890%$89 Medium
Root Canal - Anterior Tooth$8610%$861 Medium
Root Canal - Bicuspid Tooth$9770%$977 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$590%$59 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1940%$194 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$280%$28 Medium
X-Ray - Complete Intraoral Series$1790%$179 Medium
X-Ray - Four Images, Bitewings$740%$74 Medium
X-Ray - Intraoral, Periapical Radiographic Image$350%$35 Medium
X-Ray - Two Images, Bitewings$540%$54 Medium
X-Ray - Whole Mouth from Outside Mouth$1280%$128 Medium