Lebanon Dental Centre

31 Old Etna Road Lebanon, NH 03766
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1010%$101
Dental Cleaning - Child$820%$82
Dental Exam - Comprehensive$890%$89
Dental Exam - Periodic, Established Patient$470%$47
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1690%$169
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2260%$226
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1890%$189
Dental Filling - White (Resin): One Surface, Anterior$1600%$160
Dental Filling - White (Resin): One Surface, Posterior$1860%$186
Dental Filling - White (Resin): Three Surfaces, Posterior$3370%$337
Dental Filling - White (Resin): Two Surfaces, Anterior$1980%$198
Dental Filling - White (Resin): Two Surfaces, Posterior$2630%$263
Flouride - Topical Varnish Application$410%$41
Fluoride - Topical Application$430%$43
Maintenance Therapy - Periodontal$1490%$149
Orthodontic Treatment - Periodic Visit, Part of a Contract$1070%$107
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2720%$272
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$870%$87
Root Canal - Anterior Tooth$8430%$843
Root Canal - Bicuspid Tooth$8940%$894
Root Canal - Molar$1,1960%$1,196
Sealant - Placed on Tooth Surface to Prevent Decay$590%$59
Tooth Extraction - Elevation and/or Forceps Removal$1880%$188
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$250%$25
X-Ray - Complete Intraoral Series$1450%$145
X-Ray - Four Images, Bitewings$700%$70
X-Ray - Intraoral, Periapical Radiographic Image$340%$34
X-Ray - Two Images, Bitewings$500%$50
X-Ray - Whole Mouth from Outside Mouth$1310%$131