Natalia G Streltsov, DMD

307 Route 120 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$1100%$110 Medium
Dental Cleaning - Child$890%$89 Medium
Dental Exam - Comprehensive$950%$95 Medium
Dental Exam - Periodic, Established Patient$530%$53 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1890%$189 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3780%$378 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2730%$273 Medium
Dental Filling - White (Resin): One Surface, Anterior$1890%$189 Medium
Dental Filling - White (Resin): One Surface, Posterior$1940%$194 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3780%$378 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2680%$268 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2630%$263 Medium
Fluoride - Topical Application$430%$43 Medium
Maintenance Therapy - Periodontal$1580%$158 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2840%$284 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$900%$90 Medium
Root Canal - Anterior Tooth$9400%$940 Medium
Root Canal - Bicuspid Tooth$1,1030%$1,103 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$580%$58 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2000%$200 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$370%$37 Medium
X-Ray - Complete Intraoral Series$1450%$145 Medium
X-Ray - Four Images, Bitewings$840%$84 Medium
X-Ray - Intraoral, Periapical Radiographic Image$420%$42 Medium
X-Ray - Two Images, Bitewings$530%$53 Medium