Patel Dental Group of Upper Valley

11 Eldridge Street, Suite 300 Lebanon, NH 03766
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$960%$96
Dental Cleaning - Child$770%$77
Dental Exam - Comprehensive$830%$83
Dental Exam - Periodic, Established Patient$410%$41
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1690%$169
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2850%$285
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2300%$230
Dental Filling - White (Resin): One Surface, Anterior$1510%$151
Dental Filling - White (Resin): One Surface, Posterior$1690%$169
Dental Filling - White (Resin): Three Surfaces, Posterior$2850%$285
Dental Filling - White (Resin): Two Surfaces, Anterior$1850%$185
Dental Filling - White (Resin): Two Surfaces, Posterior$2300%$230
Flouride - Topical Varnish Application$450%$45
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2530%$253
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$820%$82
Root Canal - Anterior Tooth$7920%$792
Root Canal - Molar$1,1140%$1,114
Sealant - Placed on Tooth Surface to Prevent Decay$490%$49
Tooth Extraction - Elevation and/or Forceps Removal$1740%$174
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$250%$25
X-Ray - Complete Intraoral Series$1330%$133
X-Ray - Four Images, Bitewings$610%$61
X-Ray - Intraoral, Periapical Radiographic Image$340%$34
X-Ray - Two Images, Bitewings$480%$48
X-Ray - Whole Mouth from Outside Mouth$1300%$130