Natalia G Streltsov, DMD

307 Route 120 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$1100%$110
Dental Cleaning - Child$890%$89
Dental Exam - Comprehensive$950%$95
Dental Exam - Periodic, Established Patient$530%$53
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2000%$200
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3780%$378
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2730%$273
Dental Filling - White (Resin): One Surface, Anterior$2000%$200
Dental Filling - White (Resin): One Surface, Posterior$2000%$200
Dental Filling - White (Resin): Three Surfaces, Posterior$3780%$378
Dental Filling - White (Resin): Two Surfaces, Anterior$2730%$273
Dental Filling - White (Resin): Two Surfaces, Posterior$2730%$273
Flouride - Topical Varnish Application$430%$43
Fluoride - Topical Application$430%$43
Maintenance Therapy - Periodontal$1580%$158
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2840%$284
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$910%$91
Root Canal - Anterior Tooth$9450%$945
Sealant - Placed on Tooth Surface to Prevent Decay$580%$58
Tooth Extraction - Elevation and/or Forceps Removal$2000%$200
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$370%$37
X-Ray - Complete Intraoral Series$1470%$147
X-Ray - Four Images, Bitewings$840%$84
X-Ray - Intraoral, Periapical Radiographic Image$420%$42
X-Ray - Two Images, Bitewings$530%$53