Osofsky DDS & Sabatelle DMD

1 Court Street, Suite 270 Lebanon, NH 03766
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$134N/A$134
Dental Cleaning - Child$104N/A$104
Dental Exam - Comprehensive$120N/A$120
Dental Exam - Periodic, Established Patient$69N/A$69
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$249N/A$249
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$394N/A$394
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$317N/A$317
Dental Filling - White (Resin): One Surface, Anterior$240N/A$240
Dental Filling - White (Resin): One Surface, Posterior$256N/A$256
Dental Filling - White (Resin): Three Surfaces, Posterior$401N/A$401
Dental Filling - White (Resin): Two Surfaces, Anterior$289N/A$289
Dental Filling - White (Resin): Two Surfaces, Posterior$317N/A$317
Flouride - Topical Varnish Application$56N/A$56
Fluoride - Topical Application$56N/A$56
Maintenance Therapy - Periodontal$195N/A$195
Oral Hygiene Instructions$72N/A$72
Orthodontic Treatment - Periodic Visit, Part of a Contract$143N/A$143
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$362N/A$362
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$105N/A$105
Root Canal - Anterior Tooth$1,112N/A$1,112
Root Canal - Bicuspid Tooth$1,250N/A$1,250
Sealant - Placed on Tooth Surface to Prevent Decay$72N/A$72
Tooth Extraction - Elevation and/or Forceps Removal$259N/A$259
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$41N/A$41
X-Ray - Complete Intraoral Series$179N/A$179
X-Ray - Four Images, Bitewings$99N/A$99
X-Ray - Intraoral, Periapical Radiographic Image$42N/A$42
X-Ray - Two Images, Bitewings$66N/A$66
X-Ray - Whole Mouth from Outside Mouth$160N/A$160