Lebanon Dental Centre

31 Old Etna Road Lebanon, NH 03766
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$103N/A$103
Dental Cleaning - Child$84N/A$84
Dental Exam - Comprehensive$91N/A$91
Dental Exam - Periodic, Established Patient$50N/A$50
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$186N/A$186
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$340N/A$340
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$237N/A$237
Dental Filling - White (Resin): One Surface, Anterior$162N/A$162
Dental Filling - White (Resin): One Surface, Posterior$187N/A$187
Dental Filling - White (Resin): Three Surfaces, Posterior$342N/A$342
Dental Filling - White (Resin): Two Surfaces, Anterior$198N/A$198
Dental Filling - White (Resin): Two Surfaces, Posterior$263N/A$263
Flouride - Topical Varnish Application$41N/A$41
Fluoride - Topical Application$43N/A$43
Maintenance Therapy - Periodontal$149N/A$149
Orthodontic Treatment - Periodic Visit, Part of a Contract$107N/A$107
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$272N/A$272
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$87N/A$87
Root Canal - Anterior Tooth$843N/A$843
Root Canal - Bicuspid Tooth$828N/A$828
Root Canal - Molar$1,196N/A$1,196
Sealant - Placed on Tooth Surface to Prevent Decay$60N/A$60
Tooth Extraction - Elevation and/or Forceps Removal$188N/A$188
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$26N/A$26
X-Ray - Complete Intraoral Series$144N/A$144
X-Ray - Four Images, Bitewings$71N/A$71
X-Ray - Intraoral, Periapical Radiographic Image$34N/A$34
X-Ray - Two Images, Bitewings$53N/A$53
X-Ray - Whole Mouth from Outside Mouth$131N/A$131