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$1280%$128 Medium
Dental Cleaning - Child$1020%$102 Medium
Dental Exam - Periodic, Established Patient$630%$63 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2330%$233 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$4350%$435 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2980%$298 Medium
Dental Filling - White (Resin): One Surface, Anterior$2250%$225 Medium
Dental Filling - White (Resin): One Surface, Posterior$2330%$233 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4350%$435 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2710%$271 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3130%$313 Medium
Flouride - Topical Varnish Application$540%$54 Medium
Fluoride - Topical Application$540%$54 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1050%$105 Medium
Root Canal - Bicuspid Tooth$1,1400%$1,140 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$710%$71 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2250%$225 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$360%$36 Medium
X-Ray - Complete Intraoral Series$1840%$184 Medium
X-Ray - Four Images, Bitewings$910%$91 Medium
X-Ray - Intraoral, Periapical Radiographic Image$440%$44 Medium
X-Ray - Two Images, Bitewings$630%$63 Medium
X-Ray - Whole Mouth from Outside Mouth$1690%$169 Medium