Jo-Anne Johnson, DMD

174 Route 101, Suite C-1 Bedford, NH 03110
Dental Procedures
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My Health Insurance:

  • I do not have dental insurance
ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1330%$133
Dental Cleaning - Child$1200%$120
Dental Exam - Comprehensive$1200%$120
Dental Exam - Periodic, Established Patient$740%$74
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2460%$246
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3790%$379
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$3120%$312
Dental Filling - White (Resin): One Surface, Anterior$2160%$216
Dental Filling - White (Resin): One Surface, Posterior$2330%$233
Dental Filling - White (Resin): Three Surfaces, Posterior$3790%$379
Dental Filling - White (Resin): Two Surfaces, Anterior$2710%$271
Dental Filling - White (Resin): Two Surfaces, Posterior$3120%$312
Flouride - Topical Varnish Application$600%$60
Fluoride - Topical Application$550%$55
Maintenance Therapy - Periodontal$1930%$193
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3400%$340
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1130%$113
Sealant - Placed on Tooth Surface to Prevent Decay$760%$76
Tooth Extraction - Elevation and/or Forceps Removal$2600%$260
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$170%$17
X-Ray - Complete Intraoral Series$1840%$184
X-Ray - Four Images, Bitewings$880%$88
X-Ray - Intraoral, Periapical Radiographic Image$410%$41
X-Ray - Two Images, Bitewings$760%$76
X-Ray - Whole Mouth from Outside Mouth$1850%$185