Hass Dental Associates

4 Manchester Avenue Derry, NH 03038
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1090%$109
Dental Cleaning - Child$900%$90
Dental Exam - Comprehensive$1110%$111
Dental Exam - Periodic, Established Patient$530%$53
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1910%$191
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3420%$342
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2630%$263
Dental Filling - White (Resin): One Surface, Anterior$1890%$189
Dental Filling - White (Resin): One Surface, Posterior$1890%$189
Dental Filling - White (Resin): Three Surfaces, Posterior$3420%$342
Dental Filling - White (Resin): Two Surfaces, Anterior$2270%$227
Dental Filling - White (Resin): Two Surfaces, Posterior$2630%$263
Flouride - Topical Varnish Application$480%$48
Maintenance Therapy - Periodontal$2310%$231
Orthodontic Treatment - Periodic Visit, Part of a Contract$340%$34
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1060%$106
Root Canal - Anterior Tooth$9400%$940
Root Canal - Bicuspid Tooth$1,0350%$1,035
Sealant - Placed on Tooth Surface to Prevent Decay$710%$71
Tooth Extraction - Elevation and/or Forceps Removal$4240%$424
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$410%$41
X-Ray - Complete Intraoral Series$1480%$148
X-Ray - Four Images, Bitewings$840%$84
X-Ray - Intraoral, Periapical Radiographic Image$460%$46
X-Ray - Two Images, Bitewings$570%$57