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 Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$900%$90 Medium
Dental Cleaning - Child$850%$85 Medium
Dental Exam - Comprehensive$840%$84 Medium
Dental Exam - Periodic, Established Patient$420%$42 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1550%$155 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2460%$246 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1970%$197 Medium
Dental Filling - White (Resin): One Surface, Anterior$1280%$128 Medium
Dental Filling - White (Resin): One Surface, Posterior$1550%$155 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$2460%$246 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2260%$226 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$1970%$197 Medium
Flouride - Topical Varnish Application$410%$41 Medium
Fluoride - Topical Application$340%$34 Medium
Maintenance Therapy - Periodontal$1510%$151 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2760%$276 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$760%$76 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$580%$58 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2000%$200 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$270%$27 Medium
X-Ray - Complete Intraoral Series$1320%$132 Medium
X-Ray - Four Images, Bitewings$590%$59 Medium
X-Ray - Intraoral, Periapical Radiographic Image$280%$28 Medium
X-Ray - Two Images, Bitewings$460%$46 Medium
X-Ray - Whole Mouth from Outside Mouth$1180%$118 Medium