Everett R. Johnson, DMD

200 Union Avenue Laconia, NH 03246
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1030%$103 Medium
Dental Cleaning - Child$830%$83 Medium
Dental Exam - Comprehensive$890%$89 Medium
Dental Exam - Periodic, Established Patient$490%$49 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1860%$186 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2180%$218 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1790%$179 Medium
Dental Filling - White (Resin): One Surface, Anterior$1620%$162 Medium
Dental Filling - White (Resin): One Surface, Posterior$1860%$186 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$2680%$268 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2080%$208 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2590%$259 Medium
Fluoride - Topical Application$420%$42 Medium
Maintenance Therapy - Periodontal$1470%$147 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$840%$84 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$530%$53 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1840%$184 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$260%$26 Medium
X-Ray - Complete Intraoral Series$1420%$142 Medium
X-Ray - Four Images, Bitewings$700%$70 Medium
X-Ray - Intraoral, Periapical Radiographic Image$320%$32 Medium
X-Ray - Two Images, Bitewings$500%$50 Medium
X-Ray - Whole Mouth from Outside Mouth$1270%$127 Medium