Osofsky DDS & Sabatelle DMD

1 Court Street, Suite 270 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$1280%$128 Medium
Dental Cleaning - Child$990%$99 Medium
Dental Exam - Comprehensive$1120%$112 Medium
Dental Exam - Periodic, Established Patient$660%$66 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2270%$227 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3780%$378 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2820%$282 Medium
Dental Filling - White (Resin): One Surface, Anterior$2270%$227 Medium
Dental Filling - White (Resin): One Surface, Posterior$2270%$227 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3900%$390 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2800%$280 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2850%$285 Medium
Flouride - Topical Varnish Application$500%$50 Medium
Fluoride - Topical Application$490%$49 Medium
Maintenance Therapy - Periodontal$1900%$190 Medium
Orthodontic Treatment - Periodic Visit, Part of a Contract$1430%$143 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3360%$336 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1070%$107 Medium
Root Canal - Anterior Tooth$1,0690%$1,069 Medium
Root Canal - Bicuspid Tooth$1,2600%$1,260 Medium
Root Canal - Molar$1,4510%$1,451 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$710%$71 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2360%$236 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$390%$39 Medium
X-Ray - Complete Intraoral Series$1760%$176 Medium
X-Ray - Four Images, Bitewings$930%$93 Medium
X-Ray - Intraoral, Periapical Radiographic Image$390%$39 Medium
X-Ray - Two Images, Bitewings$630%$63 Medium
X-Ray - Whole Mouth from Outside Mouth$1550%$155 Medium