Hrinda Haas Rothenberg & Moskowitz Dentistry

4 Manchester Avenue Derry, NH 03038
Dental Procedures
Cancel
Edit My Insurance Details

My Health Insurance:

  • I do not have dental insurance
ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1160%$116 Medium
Dental Cleaning - Child$870%$87 Medium
Dental Exam - Comprehensive$1020%$102 Medium
Dental Exam - Periodic, Established Patient$630%$63 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2260%$226 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3150%$315 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2780%$278 Medium
Dental Filling - White (Resin): One Surface, Anterior$1950%$195 Medium
Dental Filling - White (Resin): One Surface, Posterior$2260%$226 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3150%$315 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2380%$238 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2780%$278 Medium
Fluoride - Topical Application$370%$37 Medium
Maintenance Therapy - Periodontal$1470%$147 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2630%$263 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$840%$84 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$630%$63 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2260%$226 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$260%$26 Medium
X-Ray - Complete Intraoral Series$1890%$189 Medium
X-Ray - Four Images, Bitewings$800%$80 Medium
X-Ray - Intraoral, Periapical Radiographic Image$420%$42 Medium
X-Ray - Two Images, Bitewings$580%$58 Medium
X-Ray - Whole Mouth from Outside Mouth$1310%$131 Medium