Lebanon Dental Centre

31 Old Etna Road Lebanon, NH 03766
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1010%$101 Medium
Dental Cleaning - Child$780%$78 Medium
Dental Exam - Comprehensive$840%$84 Medium
Dental Exam - Periodic, Established Patient$460%$46 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1760%$176 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2150%$215 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1880%$188 Medium
Dental Filling - White (Resin): One Surface, Anterior$1620%$162 Medium
Dental Filling - White (Resin): One Surface, Posterior$1860%$186 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3370%$337 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$1980%$198 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2590%$259 Medium
Flouride - Topical Varnish Application$450%$45 Medium
Fluoride - Topical Application$430%$43 Medium
Maintenance Therapy - Periodontal$1490%$149 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2670%$267 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$870%$87 Medium
Root Canal - Bicuspid Tooth$9610%$961 Medium
Root Canal - Molar$1,1960%$1,196 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$570%$57 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1700%$170 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$270%$27 Medium
X-Ray - Complete Intraoral Series$1440%$144 Medium
X-Ray - Four Images, Bitewings$680%$68 Medium
X-Ray - Intraoral, Periapical Radiographic Image$300%$30 Medium
X-Ray - Two Images, Bitewings$500%$50 Medium
X-Ray - Whole Mouth from Outside Mouth$1200%$120 Medium