Jennifer A Charland, DMD

31 Sonja Drive, Suite 3 Rindge, NH 03461
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$1180%$118 Medium
Dental Cleaning - Child$990%$99 Medium
Dental Exam - Comprehensive$900%$90 Medium
Dental Exam - Periodic, Established Patient$560%$56 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2080%$208 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3410%$341 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2660%$266 Medium
Dental Filling - White (Resin): One Surface, Anterior$1970%$197 Medium
Dental Filling - White (Resin): One Surface, Posterior$2080%$208 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3420%$342 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2100%$210 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2660%$266 Medium
Fluoride - Topical Application$430%$43 Medium
Maintenance Therapy - Periodontal$1620%$162 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2800%$280 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$880%$88 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$630%$63 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2000%$200 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$400%$40 Medium
X-Ray - Complete Intraoral Series$1460%$146 Medium
X-Ray - Four Images, Bitewings$740%$74 Medium
X-Ray - Intraoral, Periapical Radiographic Image$400%$40 Medium
X-Ray - Two Images, Bitewings$580%$58 Medium
X-Ray - Whole Mouth from Outside Mouth$1390%$139 Medium