Jonathan C Palazzo, DMD

1140 Somerville Street Manchester, NH 03103
Dental Procedures
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My Health Insurance:

  • I do not have dental insurance
ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$90N/A$90
Dental Cleaning - Child$86N/A$86
Dental Exam - Comprehensive$84N/A$84
Dental Exam - Periodic, Established Patient$50N/A$50
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$155N/A$155
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$246N/A$246
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$197N/A$197
Dental Filling - White (Resin): One Surface, Anterior$161N/A$161
Dental Filling - White (Resin): One Surface, Posterior$155N/A$155
Dental Filling - White (Resin): Three Surfaces, Posterior$246N/A$246
Dental Filling - White (Resin): Two Surfaces, Anterior$205N/A$205
Dental Filling - White (Resin): Two Surfaces, Posterior$215N/A$215
Flouride - Topical Varnish Application$43N/A$43
Fluoride - Topical Application$34N/A$34
Maintenance Therapy - Periodontal$128N/A$128
Oral Hygiene Instructions$38N/A$38
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$280N/A$280
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$76N/A$76
Sealant - Placed on Tooth Surface to Prevent Decay$49N/A$49
Tooth Extraction - Elevation and/or Forceps Removal$200N/A$200
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$28N/A$28
X-Ray - Complete Intraoral Series$132N/A$132
X-Ray - Four Images, Bitewings$64N/A$64
X-Ray - Intraoral, Periapical Radiographic Image$28N/A$28
X-Ray - Two Images, Bitewings$46N/A$46
X-Ray - Whole Mouth from Outside Mouth$118N/A$118