James M Ferraiolo, DMD

48 North Broadway Salem, NH 03079
Dental Procedures
Cancel
Edit My Insurance Details

My Health Insurance:

  • I do not have dental insurance

Preventive Care

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Adult Dental Cleaning$1040%$104 Medium
Child Dental Cleaning$1680%$168 Medium
Fluoride - Topical Application$860%$86 Medium
Plaque and tartar removal from around teeth and gums-per quadrant$2760%$276 Medium
Sealant placed on the tooth surface to prevent decay$870%$87 Medium
Topical fluoride varnish application$820%$82 Medium

Diagnostic Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Comprehensive Dental Exam$900%$90 Medium
Periodic dental exam - established patient$490%$49 Medium
X-Ray Dental - Complete intraoral series$1450%$145 Medium
X-Ray Dental - Four images - bitewings$710%$71 Medium
X-Ray Dental - Intraoral - periapical radiographic image$340%$34 Medium
X-Ray Dental - Two images - bitewings$1010%$101 Medium
X-Ray Dental - Additional image of tooth from crown to root, from inside mouth$270%$27 Medium

Other Dental Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Maintenance Therapy - Periodontal$1680%$168 Medium
Tooth Extraction (Elevation and/or forceps removal)$1820%$182 Medium