Lancaster Dental Care
22 Bunker Hill Street Lancaster, NH 03584
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $89 | 0% | $89 | Medium |
| Child Dental Cleaning | $72 | 0% | $72 | Medium |
| Fluoride - Topical Application | $42 | 0% | $42 | Medium |
| Plaque and tartar removal from around teeth and gums-per quadrant | $217 | 0% | $217 | Medium |
| Sealant placed on the tooth surface to prevent decay | $58 | 0% | $58 | Medium |
| Topical fluoride varnish application | $42 | 0% | $42 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $92 | 0% | $92 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $85 | 0% | $85 | Medium |
| X-Ray Dental - Complete intraoral series | $195 | 0% | $195 | Medium |
| X-Ray Dental - Four images - bitewings | $70 | 0% | $70 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $28 | 0% | $28 | Medium |
| X-Ray Dental - Two images - bitewings | $48 | 0% | $48 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $25 | 0% | $25 | Medium |
| X-Ray Dental - Whole mouth, from outside mouth | $123 | 0% | $123 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - One surface, primary or permanent | $184 | 0% | $184 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $177 | 0% | $177 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $294 | 0% | $294 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $184 | 0% | $184 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $227 | 0% | $227 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $158 | 0% | $158 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $303 | 0% | $303 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $205 | 0% | $205 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Tooth Extraction (Elevation and/or forceps removal) | $177 | 0% | $177 | Medium |