Hanover Road Dental Health

367 Route 120 Lebanon, NH 03766
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1090%$109 Medium
Dental Cleaning - Child$870%$87 Medium
Dental Exam - Comprehensive$900%$90 Medium
Dental Exam - Periodic, Established Patient$490%$49 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1940%$194 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3400%$340 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2610%$261 Medium
Dental Filling - White (Resin): One Surface, Anterior$1600%$160 Medium
Dental Filling - White (Resin): One Surface, Posterior$1940%$194 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3400%$340 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2060%$206 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2610%$261 Medium
Flouride - Topical Varnish Application$410%$41 Medium
Fluoride - Topical Application$360%$36 Medium
Maintenance Therapy - Periodontal$1510%$151 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2960%$296 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1180%$118 Medium
Root Canal - Anterior Tooth$8760%$876 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$620%$62 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1770%$177 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$260%$26 Medium
X-Ray - Complete Intraoral Series$2150%$215 Medium
X-Ray - Four Images, Bitewings$720%$72 Medium
X-Ray - Intraoral, Periapical Radiographic Image$370%$37 Medium
X-Ray - Two Images, Bitewings$550%$55 Medium
X-Ray - Whole Mouth from Outside Mouth$1430%$143 Medium