Peter D. Griesbach, DDS

19 Elm Street, Suite 2 Keene, NH 03431
Dental Procedures
Cancel
Edit My Insurance Details

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$1000%$100 Medium
Dental Cleaning - Child$820%$82 Medium
Dental Exam - Comprehensive$900%$90 Medium
Dental Exam - Periodic, Established Patient$490%$49 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1870%$187 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2980%$298 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2520%$252 Medium
Dental Filling - White (Resin): One Surface, Anterior$1740%$174 Medium
Dental Filling - White (Resin): One Surface, Posterior$1880%$188 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$2980%$298 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2100%$210 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2630%$263 Medium
Flouride - Topical Varnish Application$490%$49 Medium
Fluoride - Topical Application$430%$43 Medium
Maintenance Therapy - Periodontal$1490%$149 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$890%$89 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$580%$58 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1950%$195 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$290%$29 Medium
X-Ray - Complete Intraoral Series$1460%$146 Medium
X-Ray - Four Images, Bitewings$710%$71 Medium
X-Ray - Intraoral, Periapical Radiographic Image$340%$34 Medium
X-Ray - Two Images, Bitewings$500%$50 Medium
X-Ray - Whole Mouth from Outside Mouth$1530%$153 Medium