John Lee Chiou, DMD Mmsc

475 Washington Road Rye, NH 03870
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 Typical Patient Complexity
Dental Cleaning - Adult$1060%$106 Medium
Dental Cleaning - Child$750%$75 Medium
Dental Exam - Comprehensive$1000%$100 Medium
Dental Exam - Periodic, Established Patient$550%$55 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1970%$197 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3350%$335 Medium
Dental Filling - White (Resin): One Surface, Anterior$1720%$172 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3350%$335 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2120%$212 Medium
Flouride - Topical Varnish Application$630%$63 Medium
Maintenance Therapy - Periodontal$1660%$166 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2740%$274 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$860%$86 Medium
Root Canal - Anterior Tooth$1,0780%$1,078 Medium
Root Canal - Bicuspid Tooth$1,2730%$1,273 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$550%$55 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2170%$217 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$290%$29 Medium
X-Ray - Complete Intraoral Series$1670%$167 Medium
X-Ray - Four Images, Bitewings$770%$77 Medium
X-Ray - Intraoral, Periapical Radiographic Image$330%$33 Medium
X-Ray - Two Images, Bitewings$610%$61 Medium
X-Ray - Whole Mouth from Outside Mouth$1440%$144 Medium