Kevin Glen Fallon, DDS

39 Grove Street Peterborough, NH 03458
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$1040%$104 Medium
Dental Cleaning - Child$840%$84 Medium
Dental Exam - Comprehensive$900%$90 Medium
Dental Exam - Periodic, Established Patient$490%$49 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1880%$188 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3400%$340 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2360%$236 Medium
Dental Filling - White (Resin): One Surface, Anterior$1420%$142 Medium
Dental Filling - White (Resin): One Surface, Posterior$1880%$188 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$2890%$289 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$1890%$189 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2610%$261 Medium
Flouride - Topical Varnish Application$400%$40 Medium
Fluoride - Topical Application$420%$42 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2520%$252 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$880%$88 Medium
Root Canal - Anterior Tooth$7880%$788 Medium
Root Canal - Bicuspid Tooth$9450%$945 Medium
Root Canal - Molar$1,1550%$1,155 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$1050%$105 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1680%$168 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$260%$26 Medium
X-Ray - Complete Intraoral Series$1450%$145 Medium
X-Ray - Four Images, Bitewings$710%$71 Medium
X-Ray - Intraoral, Periapical Radiographic Image$340%$34 Medium
X-Ray - Two Images, Bitewings$500%$50 Medium