Donald P. Hudson, DMD
340 West Street Keene, NH 03431
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $102 | 0% | $102 | Medium |
| Child Dental Cleaning | $82 | 0% | $82 | Medium |
| Fluoride - Topical Application | $45 | 0% | $45 | Medium |
| Topical fluoride varnish application | $92 | 0% | $92 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $179 | 0% | $179 | Medium |
| Periodic dental exam - established patient | $60 | 0% | $60 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $86 | 0% | $86 | Medium |
| X-Ray Dental - Four images - bitewings | $69 | 0% | $69 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $33 | 0% | $33 | Medium |
| X-Ray Dental - Two images - bitewings | $74 | 0% | $74 | Medium |
| X-Ray Dental - Whole mouth, from outside mouth | $263 | 0% | $263 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - One surface, primary or permanent | $188 | 0% | $188 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $386 | 0% | $386 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $334 | 0% | $334 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $188 | 0% | $188 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $257 | 0% | $257 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $168 | 0% | $168 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $334 | 0% | $334 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $317 | 0% | $317 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $151 | 0% | $151 | Medium |