John Scott Grisham, DDS

35 Union Street Littleton, NH 03561
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$1220%$122 Medium
Dental Cleaning - Child$970%$97 Medium
Dental Exam - Periodic, Established Patient$600%$60 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2220%$222 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$4140%$414 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2980%$298 Medium
Dental Filling - White (Resin): One Surface, Anterior$2140%$214 Medium
Dental Filling - White (Resin): One Surface, Posterior$2220%$222 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4140%$414 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2580%$258 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2980%$298 Medium
Flouride - Topical Varnish Application$510%$51 Medium
Fluoride - Topical Application$510%$51 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1000%$100 Medium
Root Canal - Anterior Tooth$1,4030%$1,403 Medium
Root Canal - Bicuspid Tooth$1,1120%$1,112 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$680%$68 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2250%$225 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$340%$34 Medium
X-Ray - Complete Intraoral Series$1750%$175 Medium
X-Ray - Four Images, Bitewings$870%$87 Medium
X-Ray - Intraoral, Periapical Radiographic Image$420%$42 Medium
X-Ray - Two Images, Bitewings$630%$63 Medium
X-Ray - Whole Mouth from Outside Mouth$1610%$161 Medium