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 Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$96N/A$96
Dental Cleaning - Child$77N/A$77
Dental Exam - Comprehensive$83N/A$83
Dental Exam - Periodic, Established Patient$41N/A$41
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$169N/A$169
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$285N/A$285
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$230N/A$230
Dental Filling - White (Resin): One Surface, Anterior$151N/A$151
Dental Filling - White (Resin): One Surface, Posterior$169N/A$169
Dental Filling - White (Resin): Three Surfaces, Posterior$285N/A$285
Dental Filling - White (Resin): Two Surfaces, Anterior$185N/A$185
Dental Filling - White (Resin): Two Surfaces, Posterior$230N/A$230
Flouride - Topical Varnish Application$45N/A$45
Oral Hygiene Instructions$38N/A$38
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$253N/A$253
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$82N/A$82
Root Canal - Anterior Tooth$792N/A$792
Root Canal - Molar$1,114N/A$1,114
Sealant - Placed on Tooth Surface to Prevent Decay$49N/A$49
Tooth Extraction - Elevation and/or Forceps Removal$174N/A$174
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$25N/A$25
X-Ray - Complete Intraoral Series$133N/A$133
X-Ray - Four Images, Bitewings$61N/A$61
X-Ray - Intraoral, Periapical Radiographic Image$34N/A$34
X-Ray - Two Images, Bitewings$48N/A$48
X-Ray - Whole Mouth from Outside Mouth$130N/A$130