Hanover Road Dental Health

367 Route 120 Lebanon, NH 03766
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$117N/A$117
Dental Cleaning - Child$93N/A$93
Dental Exam - Comprehensive$96N/A$96
Dental Exam - Periodic, Established Patient$49N/A$49
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$215N/A$215
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$354N/A$354
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$293N/A$293
Dental Filling - White (Resin): One Surface, Anterior$189N/A$189
Dental Filling - White (Resin): One Surface, Posterior$215N/A$215
Dental Filling - White (Resin): Three Surfaces, Posterior$354N/A$354
Dental Filling - White (Resin): Two Surfaces, Anterior$235N/A$235
Dental Filling - White (Resin): Two Surfaces, Posterior$293N/A$293
Flouride - Topical Varnish Application$44N/A$44
Fluoride - Topical Application$44N/A$44
Maintenance Therapy - Periodontal$159N/A$159
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$309N/A$309
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$123N/A$123
Sealant - Placed on Tooth Surface to Prevent Decay$69N/A$69
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$29N/A$29
X-Ray - Complete Intraoral Series$185N/A$185
X-Ray - Four Images, Bitewings$77N/A$77
X-Ray - Intraoral, Periapical Radiographic Image$40N/A$40
X-Ray - Two Images, Bitewings$61N/A$61
X-Ray - Whole Mouth from Outside Mouth$149N/A$149