Lyme Road Dental

7 Lyme Road Hanover, NH 03755
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1460%$146 Medium
Dental Cleaning - Child$1180%$118 Medium
Dental Exam - Comprehensive$1610%$161 Medium
Dental Exam - Periodic, Established Patient$680%$68 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2460%$246 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$5150%$515 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$3730%$373 Medium
Dental Filling - White (Resin): One Surface, Anterior$2400%$240 Medium
Dental Filling - White (Resin): One Surface, Posterior$2460%$246 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4900%$490 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$3730%$373 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3730%$373 Medium
Flouride - Topical Varnish Application$410%$41 Medium
Maintenance Therapy - Periodontal$1650%$165 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1030%$103 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$710%$71 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2470%$247 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$190%$19 Medium
X-Ray - Complete Intraoral Series$2190%$219 Medium
X-Ray - Four Images, Bitewings$950%$95 Medium
X-Ray - Intraoral, Periapical Radiographic Image$570%$57 Medium
X-Ray - Two Images, Bitewings$910%$91 Medium
X-Ray - Whole Mouth from Outside Mouth$1710%$171 Medium