Eugene M Kruysman, DDS

301 Pleasant Street Berlin, NH 03570
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$840%$84 Medium
Dental Cleaning - Child$680%$68 Medium
Dental Exam - Comprehensive$840%$84 Medium
Dental Exam - Periodic, Established Patient$470%$47 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1420%$142 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2630%$263 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1790%$179 Medium
Dental Filling - White (Resin): One Surface, Anterior$1580%$158 Medium
Dental Filling - White (Resin): One Surface, Posterior$1790%$179 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$2630%$263 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$1840%$184 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2100%$210 Medium
Fluoride - Topical Application$260%$26 Medium
Maintenance Therapy - Periodontal$1310%$131 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2360%$236 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$790%$79 Medium
Root Canal - Anterior Tooth$8400%$840 Medium
Root Canal - Bicuspid Tooth$8400%$840 Medium
Root Canal - Molar$1,0500%$1,050 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$470%$47 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1730%$173 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$110%$11 Medium
X-Ray - Complete Intraoral Series$1370%$137 Medium
X-Ray - Four Images, Bitewings$630%$63 Medium
X-Ray - Intraoral, Periapical Radiographic Image$320%$32 Medium
X-Ray - Two Images, Bitewings$420%$42 Medium
X-Ray - Whole Mouth from Outside Mouth$1260%$126 Medium