Paul Walter Golas, DMD

262 Derry Road Litchfield, NH 03052
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$1310%$131 Medium
Dental Cleaning - Child$960%$96 Medium
Dental Exam - Comprehensive$970%$97 Medium
Dental Exam - Periodic, Established Patient$670%$67 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2250%$225 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3690%$369 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2840%$284 Medium
Dental Filling - White (Resin): One Surface, Anterior$3840%$384 Medium
Dental Filling - White (Resin): One Surface, Posterior$2250%$225 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3690%$369 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2350%$235 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2840%$284 Medium
Flouride - Topical Varnish Application$880%$88 Medium
Maintenance Therapy - Periodontal$2330%$233 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3300%$330 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1310%$131 Medium
Root Canal - Anterior Tooth$9220%$922 Medium
Root Canal - Bicuspid Tooth$1,1370%$1,137 Medium
Root Canal - Molar$2,7170%$2,717 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2440%$244 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$290%$29 Medium
X-Ray - Complete Intraoral Series$1830%$183 Medium
X-Ray - Four Images, Bitewings$880%$88 Medium
X-Ray - Intraoral, Periapical Radiographic Image$370%$37 Medium
X-Ray - Two Images, Bitewings$650%$65 Medium