Eugene M Kruysman, DDS

301 Pleasant Street Berlin, NH 03570
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Child$680%$68
Dental Exam - Comprehensive$890%$89
Dental Exam - Periodic, Established Patient$470%$47
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1450%$145
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2100%$210
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1790%$179
Dental Filling - White (Resin): One Surface, Anterior$1630%$163
Dental Filling - White (Resin): One Surface, Posterior$1840%$184
Dental Filling - White (Resin): Three Surfaces, Posterior$2890%$289
Dental Filling - White (Resin): Two Surfaces, Anterior$1940%$194
Dental Filling - White (Resin): Two Surfaces, Posterior$2360%$236
Fluoride - Topical Application$320%$32
Maintenance Therapy - Periodontal$1310%$131
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2360%$236
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$790%$79
Root Canal - Anterior Tooth$8400%$840
Root Canal - Bicuspid Tooth$9450%$945
Root Canal - Molar$1,2080%$1,208
Sealant - Placed on Tooth Surface to Prevent Decay$470%$47
Tooth Extraction - Elevation and/or Forceps Removal$1840%$184
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$160%$16
X-Ray - Complete Intraoral Series$1420%$142
X-Ray - Four Images, Bitewings$630%$63
X-Ray - Intraoral, Periapical Radiographic Image$320%$32
X-Ray - Two Images, Bitewings$470%$47
X-Ray - Whole Mouth from Outside Mouth$1260%$126