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
Dental Cleaning - Adult$1340%$134
Dental Cleaning - Child$1040%$104
Dental Exam - Comprehensive$1130%$113
Dental Exam - Periodic, Established Patient$690%$69
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2490%$249
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3940%$394
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$3020%$302
Dental Filling - White (Resin): One Surface, Anterior$2330%$233
Dental Filling - White (Resin): One Surface, Posterior$2490%$249
Dental Filling - White (Resin): Three Surfaces, Posterior$3940%$394
Dental Filling - White (Resin): Two Surfaces, Anterior$2890%$289
Dental Filling - White (Resin): Two Surfaces, Posterior$3020%$302
Flouride - Topical Varnish Application$560%$56
Fluoride - Topical Application$500%$50
Maintenance Therapy - Periodontal$1950%$195
Orthodontic Treatment - Periodic Visit, Part of a Contract$1430%$143
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3520%$352
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1050%$105
Root Canal - Anterior Tooth$1,1120%$1,112
Root Canal - Bicuspid Tooth$1,2500%$1,250
Root Canal - Molar$1,5690%$1,569
Sealant - Placed on Tooth Surface to Prevent Decay$720%$72
Tooth Extraction - Elevation and/or Forceps Removal$2420%$242
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$410%$41
X-Ray - Complete Intraoral Series$1790%$179
X-Ray - Four Images, Bitewings$990%$99
X-Ray - Intraoral, Periapical Radiographic Image$410%$41
X-Ray - Two Images, Bitewings$660%$66
X-Ray - Whole Mouth from Outside Mouth$1600%$160