James B. Haas, DDS

4 Manchester Avenue Derry, NH 03038
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1070%$107 Medium
Dental Cleaning - Child$890%$89 Medium
Dental Exam - Comprehensive$1020%$102 Medium
Dental Exam - Periodic, Established Patient$510%$51 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1890%$189 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2240%$224 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1870%$187 Medium
Dental Filling - White (Resin): One Surface, Anterior$1870%$187 Medium
Dental Filling - White (Resin): One Surface, Posterior$2260%$226 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3410%$341 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2240%$224 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2780%$278 Medium
Flouride - Topical Varnish Application$460%$46 Medium
Fluoride - Topical Application$370%$37 Medium
Maintenance Therapy - Periodontal$1470%$147 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2780%$278 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1040%$104 Medium
Root Canal - Anterior Tooth$1,7330%$1,733 Medium
Root Canal - Bicuspid Tooth$9950%$995 Medium
Root Canal - Molar$1,2130%$1,213 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$710%$71 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2090%$209 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$260%$26 Medium
X-Ray - Complete Intraoral Series$1460%$146 Medium
X-Ray - Four Images, Bitewings$820%$82 Medium
X-Ray - Intraoral, Periapical Radiographic Image$420%$42 Medium
X-Ray - Two Images, Bitewings$560%$56 Medium
X-Ray - Whole Mouth from Outside Mouth$1310%$131 Medium