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$1090%$109 Medium
Dental Cleaning - Child$900%$90 Medium
Dental Exam - Comprehensive$1110%$111 Medium
Dental Exam - Periodic, Established Patient$530%$53 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$1920%$192 Medium
Dental Filling - White (Resin): One Surface, Anterior$1890%$189 Medium
Dental Filling - White (Resin): One Surface, Posterior$1890%$189 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3420%$342 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2270%$227 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2630%$263 Medium
Flouride - Topical Varnish Application$480%$48 Medium
Maintenance Therapy - Periodontal$2310%$231 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$1060%$106 Medium
Root Canal - Anterior Tooth$9400%$940 Medium
Root Canal - Bicuspid Tooth$1,0350%$1,035 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$710%$71 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2120%$212 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$410%$41 Medium
X-Ray - Complete Intraoral Series$1480%$148 Medium
X-Ray - Four Images, Bitewings$830%$83 Medium
X-Ray - Intraoral, Periapical Radiographic Image$420%$42 Medium
X-Ray - Two Images, Bitewings$570%$57 Medium