Min Liu Simmons, DMD

1 Tremont Street Claremont, NH 03743
Dental Procedures
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My Health Insurance:

  • I do not have dental insurance
ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1170%$117
Dental Cleaning - Child$880%$88
Dental Exam - Comprehensive$960%$96
Dental Exam - Periodic, Established Patient$490%$49
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2150%$215
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3340%$334
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2650%$265
Dental Filling - White (Resin): One Surface, Anterior$1680%$168
Dental Filling - White (Resin): One Surface, Posterior$1890%$189
Dental Filling - White (Resin): Three Surfaces, Posterior$3340%$334
Dental Filling - White (Resin): Two Surfaces, Anterior$2080%$208
Dental Filling - White (Resin): Two Surfaces, Posterior$2650%$265
Flouride - Topical Varnish Application$440%$44
Fluoride - Topical Application$420%$42
Maintenance Therapy - Periodontal$1460%$146
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3090%$309
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$890%$89
Root Canal - Anterior Tooth$9400%$940
Root Canal - Bicuspid Tooth$9450%$945
Sealant - Placed on Tooth Surface to Prevent Decay$570%$57
Tooth Extraction - Elevation and/or Forceps Removal$1840%$184
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$260%$26
X-Ray - Complete Intraoral Series$1770%$177
X-Ray - Four Images, Bitewings$770%$77
X-Ray - Intraoral, Periapical Radiographic Image$320%$32
X-Ray - Two Images, Bitewings$510%$51
X-Ray - Whole Mouth from Outside Mouth$1260%$126