Osofsky DDS & Sabatelle DMD

1 Court Street, Suite 270 Lebanon, NH 03766
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 Typical Patient Complexity
Dental Cleaning - Adult$1300%$130 Medium
Dental Cleaning - Child$1010%$101 Medium
Dental Exam - Comprehensive$1130%$113 Medium
Dental Exam - Periodic, Established Patient$670%$67 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2490%$249 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3900%$390 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2850%$285 Medium
Dental Filling - White (Resin): One Surface, Anterior$2330%$233 Medium
Dental Filling - White (Resin): One Surface, Posterior$2490%$249 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3940%$394 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2800%$280 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3020%$302 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$3520%$352 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1050%$105 Medium
Root Canal - Anterior Tooth$1,1120%$1,112 Medium
Root Canal - Bicuspid Tooth$1,2500%$1,250 Medium
Root Canal - Molar$1,5100%$1,510 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$720%$72 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2420%$242 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$400%$40 Medium
X-Ray - Complete Intraoral Series$1790%$179 Medium
X-Ray - Four Images, Bitewings$960%$96 Medium
X-Ray - Intraoral, Periapical Radiographic Image$400%$40 Medium
X-Ray - Two Images, Bitewings$640%$64 Medium
X-Ray - Whole Mouth from Outside Mouth$1550%$155 Medium