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
Dental Cleaning - Adult$900%$90
Dental Cleaning - Child$860%$86
Dental Exam - Comprehensive$840%$84
Dental Exam - Periodic, Established Patient$420%$42
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1550%$155
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2460%$246
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1970%$197
Dental Filling - White (Resin): One Surface, Anterior$1670%$167
Dental Filling - White (Resin): One Surface, Posterior$1550%$155
Dental Filling - White (Resin): Three Surfaces, Posterior$2460%$246
Dental Filling - White (Resin): Two Surfaces, Anterior$1710%$171
Dental Filling - White (Resin): Two Surfaces, Posterior$2170%$217
Flouride - Topical Varnish Application$430%$43
Fluoride - Topical Application$340%$34
Maintenance Therapy - Periodontal$1400%$140
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2310%$231
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$760%$76
Sealant - Placed on Tooth Surface to Prevent Decay$580%$58
Tooth Extraction - Elevation and/or Forceps Removal$2000%$200
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$280%$28
X-Ray - Complete Intraoral Series$1320%$132
X-Ray - Four Images, Bitewings$610%$61
X-Ray - Intraoral, Periapical Radiographic Image$280%$28
X-Ray - Two Images, Bitewings$460%$46
X-Ray - Whole Mouth from Outside Mouth$1180%$118