Donald M. Dumais, DDS

155 Dow Street, Suite 401 Manchester, NH 03101
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$107N/A$107
Dental Cleaning - Child$86N/A$86
Dental Exam - Comprehensive$109N/A$109
Dental Exam - Periodic, Established Patient$57N/A$57
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$189N/A$189
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$342N/A$342
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$263N/A$263
Dental Filling - White (Resin): One Surface, Anterior$169N/A$169
Dental Filling - White (Resin): One Surface, Posterior$189N/A$189
Dental Filling - White (Resin): Three Surfaces, Posterior$342N/A$342
Dental Filling - White (Resin): Two Surfaces, Anterior$205N/A$205
Dental Filling - White (Resin): Two Surfaces, Posterior$263N/A$263
Flouride - Topical Varnish Application$101N/A$101
Fluoride - Topical Application$43N/A$43
Maintenance Therapy - Periodontal$153N/A$153
Oral Hygiene Instructions$44N/A$44
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$287N/A$287
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$89N/A$89
Root Canal - Anterior Tooth$885N/A$885
Root Canal - Bicuspid Tooth$983N/A$983
Root Canal - Molar$1,232N/A$1,232
Sealant - Placed on Tooth Surface to Prevent Decay$63N/A$63
Tooth Extraction - Elevation and/or Forceps Removal$186N/A$186
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$32N/A$32
X-Ray - Complete Intraoral Series$149N/A$149
X-Ray - Four Images, Bitewings$75N/A$75
X-Ray - Intraoral, Periapical Radiographic Image$38N/A$38
X-Ray - Two Images, Bitewings$54N/A$54