James Robert Predmore, DDS
2 Buck Road Hanover, NH 03755
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $124 | 0% | $124 | Medium |
| Child Dental Cleaning | $69 | 0% | $69 | Medium |
| Fluoride - Topical Application | $27 | 0% | $27 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $142 | 0% | $142 | Medium |
| Periodic dental exam - established patient | $45 | 0% | $45 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $63 | 0% | $63 | Medium |
| X-Ray Dental - Complete intraoral series | $156 | 0% | $156 | Medium |
| X-Ray Dental - Four images - bitewings | $72 | 0% | $72 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $22 | 0% | $22 | Medium |
| X-Ray Dental - Two images - bitewings | $58 | 0% | $58 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $21 | 0% | $21 | Medium |
| X-Ray Dental - Whole mouth, from outside mouth | $146 | 0% | $146 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - One surface, primary or permanent | $341 | 0% | $341 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $446 | 0% | $446 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $578 | 0% | $578 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $236 | 0% | $236 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $446 | 0% | $446 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $299 | 0% | $299 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $551 | 0% | $551 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $394 | 0% | $394 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $152 | 0% | $152 | Medium |