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
Dental Cleaning - Adult$1170%$117
Dental Cleaning - Child$930%$93
Dental Exam - Comprehensive$960%$96
Dental Exam - Periodic, Established Patient$490%$49
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2150%$215
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3540%$354
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2930%$293
Dental Filling - White (Resin): One Surface, Anterior$1660%$166
Dental Filling - White (Resin): One Surface, Posterior$2150%$215
Dental Filling - White (Resin): Three Surfaces, Posterior$3540%$354
Dental Filling - White (Resin): Two Surfaces, Anterior$2350%$235
Dental Filling - White (Resin): Two Surfaces, Posterior$2930%$293
Flouride - Topical Varnish Application$440%$44
Fluoride - Topical Application$440%$44
Maintenance Therapy - Periodontal$1590%$159
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3090%$309
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1230%$123
Sealant - Placed on Tooth Surface to Prevent Decay$690%$69
Tooth Extraction - Elevation and/or Forceps Removal$1770%$177
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$290%$29
X-Ray - Complete Intraoral Series$1890%$189
X-Ray - Four Images, Bitewings$770%$77
X-Ray - Intraoral, Periapical Radiographic Image$400%$40
X-Ray - Two Images, Bitewings$610%$61
X-Ray - Whole Mouth from Outside Mouth$1490%$149