Donald Philip Hyde, DMD
395 Main Street Salem, NH 03079
Dental Procedures
| Procedure | Estimate of Total Cost | Number of Visits | What You Will Pay Uninsured Discount: 0% |
|---|---|---|---|
| Dental Cleaning - Adult | $117 | N/A | $117 |
| Dental Cleaning - Child | $91 | N/A | $91 |
| Dental Exam - Comprehensive | $101 | N/A | $101 |
| Dental Exam - Periodic, Established Patient | $60 | N/A | $60 |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $293 | N/A | $293 |
| Dental Filling - White (Resin): One Surface, Anterior | $204 | N/A | $204 |
| Dental Filling - White (Resin): One Surface, Posterior | $225 | N/A | $225 |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $374 | N/A | $374 |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $245 | N/A | $245 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $293 | N/A | $293 |
| Fluoride - Topical Application | $55 | N/A | $55 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $99 | N/A | $99 |
| X-Ray - Four Images, Bitewings | $92 | N/A | $92 |
| X-Ray - Intraoral, Periapical Radiographic Image | $41 | N/A | $41 |
| X-Ray - Two Images, Bitewings | $62 | N/A | $62 |