Fred Joseph Giaimo, DMD
670 Turnpike Road New Ipswich, NH 03071
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $102 | 0% | $102 |
| Dental Cleaning - Child | $82 | 0% | $82 |
| Dental Exam - Comprehensive | $132 | 0% | $132 |
| Dental Exam - Periodic, Established Patient | $48 | 0% | $48 |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $142 | 0% | $142 |
| Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent | $210 | 0% | $210 |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $173 | 0% | $173 |
| Dental Filling - White (Resin): One Surface, Anterior | $158 | 0% | $158 |
| Dental Filling - White (Resin): One Surface, Posterior | $179 | 0% | $179 |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $189 | 0% | $189 |
| Fluoride - Topical Application | $42 | 0% | $42 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $86 | 0% | $86 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $26 | 0% | $26 |
| X-Ray - Intraoral, Periapical Radiographic Image | $33 | 0% | $33 |
| X-Ray - Two Images, Bitewings | $49 | 0% | $49 |