Paisner Dental Associates
78 Northeastern Blvd, #5 Nashua, NH 03062
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $114 | 0% | $114 | Medium |
| Child Dental Cleaning | $95 | 0% | $95 | Medium |
| Fluoride - Topical Application | $45 | 0% | $45 | Medium |
| Plaque and tartar removal from around teeth and gums-per quadrant | $289 | 0% | $289 | Medium |
| Sealant placed on the tooth surface to prevent decay | $59 | 0% | $59 | Medium |
| Topical fluoride varnish application | $42 | 0% | $42 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $124 | 0% | $124 | Medium |
| Periodic dental exam - established patient | $51 | 0% | $51 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $93 | 0% | $93 | Medium |
| X-Ray Dental - Complete intraoral series | $204 | 0% | $204 | Medium |
| X-Ray Dental - Four images - bitewings | $75 | 0% | $75 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $36 | 0% | $36 | Medium |
| X-Ray Dental - Two images - bitewings | $52 | 0% | $52 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $28 | 0% | $28 | Medium |
| X-Ray Dental - Whole mouth, from outside mouth | $131 | 0% | $131 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - One surface, primary or permanent | $210 | 0% | $210 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $267 | 0% | $267 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $348 | 0% | $348 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $196 | 0% | $196 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $275 | 0% | $275 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $347 | 0% | $347 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $358 | 0% | $358 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $222 | 0% | $222 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $158 | 0% | $158 | Medium |
| Tooth Extraction (Elevation and/or forceps removal) | $194 | 0% | $194 | Medium |