Jeffrey N. Fasulo, DDS

60 Main Street, Suite 330 Nashua, NH 03060
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1160%$116 Medium
Dental Cleaning - Child$890%$89 Medium
Dental Exam - Comprehensive$900%$90 Medium
Dental Exam - Periodic, Established Patient$490%$49 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2360%$236 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3680%$368 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2680%$268 Medium
Dental Filling - White (Resin): One Surface, Anterior$2360%$236 Medium
Dental Filling - White (Resin): One Surface, Posterior$2360%$236 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3680%$368 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2890%$289 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2890%$289 Medium
Flouride - Topical Varnish Application$470%$47 Medium
Fluoride - Topical Application$470%$47 Medium
Maintenance Therapy - Periodontal$3150%$315 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$4330%$433 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$880%$88 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$580%$58 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$450%$45 Medium
X-Ray - Complete Intraoral Series$1580%$158 Medium
X-Ray - Four Images, Bitewings$740%$74 Medium
X-Ray - Intraoral, Periapical Radiographic Image$710%$71 Medium
X-Ray - Two Images, Bitewings$530%$53 Medium