Gutgsell & Phipps, DDS

299 Mian Street New London, NH 03257
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1040%$104 Medium
Dental Cleaning - Child$790%$79 Medium
Dental Exam - Comprehensive$900%$90 Medium
Dental Exam - Periodic, Established Patient$490%$49 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1440%$144 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2210%$221 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1810%$181 Medium
Dental Filling - White (Resin): One Surface, Anterior$1640%$164 Medium
Dental Filling - White (Resin): One Surface, Posterior$1880%$188 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3150%$315 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2010%$201 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2610%$261 Medium
Flouride - Topical Varnish Application$410%$41 Medium
Fluoride - Topical Application$400%$40 Medium
Maintenance Therapy - Periodontal$1500%$150 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2750%$275 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$630%$63 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$570%$57 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1800%$180 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$270%$27 Medium
X-Ray - Complete Intraoral Series$1830%$183 Medium
X-Ray - Four Images, Bitewings$710%$71 Medium
X-Ray - Intraoral, Periapical Radiographic Image$340%$34 Medium
X-Ray - Two Images, Bitewings$500%$50 Medium
X-Ray - Whole Mouth from Outside Mouth$1280%$128 Medium