James Robert Predmore, DDS
2 Buck Road Hanover, NH 03755
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $127 | 0% | $127 |
| Dental Cleaning - Child | $98 | 0% | $98 |
| Dental Exam - Comprehensive | $142 | 0% | $142 |
| Dental Exam - Periodic, Established Patient | $45 | 0% | $45 |
| Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent | $683 | 0% | $683 |
| Dental Filling - White (Resin): One Surface, Anterior | $341 | 0% | $341 |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $604 | 0% | $604 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $446 | 0% | $446 |
| Maintenance Therapy - Periodontal | $152 | 0% | $152 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $63 | 0% | $63 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $21 | 0% | $21 |
| X-Ray - Complete Intraoral Series | $163 | 0% | $163 |
| X-Ray - Four Images, Bitewings | $78 | 0% | $78 |
| X-Ray - Intraoral, Periapical Radiographic Image | $22 | 0% | $22 |
| X-Ray - Two Images, Bitewings | $62 | 0% | $62 |
| X-Ray - Whole Mouth from Outside Mouth | $152 | 0% | $152 |