Laurie A. Rosato, DMD
6 Loudon Road, #2 Concord, NH 03301
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $122 | 0% | $122 | Medium |
| Child Dental Cleaning | $113 | 0% | $113 | Medium |
| Fluoride - Topical Application | $50 | 0% | $50 | Medium |
| Plaque and tartar removal from around teeth and gums-per quadrant | $305 | 0% | $305 | Medium |
| Sealant placed on the tooth surface to prevent decay | $69 | 0% | $69 | Medium |
| Topical fluoride varnish application | $50 | 0% | $50 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $109 | 0% | $109 | Medium |
| Periodic dental exam - established patient | $63 | 0% | $63 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $109 | 0% | $109 | Medium |
| X-Ray Dental - Complete intraoral series | $164 | 0% | $164 | Medium |
| X-Ray Dental - Four images - bitewings | $84 | 0% | $84 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $42 | 0% | $42 | Medium |
| X-Ray Dental - Two images - bitewings | $77 | 0% | $77 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $42 | 0% | $42 | Medium |
| X-Ray Dental - Whole mouth, from outside mouth | $149 | 0% | $149 | 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 | $221 | 0% | $221 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $303 | 0% | $303 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $382 | 0% | $382 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $221 | 0% | $221 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $303 | 0% | $303 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $192 | 0% | $192 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $382 | 0% | $382 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $229 | 0% | $229 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $176 | 0% | $176 | Medium |
| Tooth Extraction (Elevation and/or forceps removal) | $196 | 0% | $196 | Medium |