Ralph Michael Faluotico, DDS

97 Monroe Road Bath, NH 03740
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1310%$131 Medium
Dental Cleaning - Child$1000%$100 Medium
Dental Exam - Comprehensive$790%$79 Medium
Dental Exam - Periodic, Established Patient$580%$58 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1940%$194 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3410%$341 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2780%$278 Medium
Dental Filling - White (Resin): One Surface, Anterior$2050%$205 Medium
Dental Filling - White (Resin): One Surface, Posterior$1940%$194 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4100%$410 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$3100%$310 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2990%$299 Medium
Fluoride - Topical Application$740%$74 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1000%$100 Medium
Root Canal - Anterior Tooth$1,1500%$1,150 Medium
Root Canal - Bicuspid Tooth$1,3260%$1,326 Medium
Root Canal - Molar$1,3910%$1,391 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$1000%$100 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2420%$242 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$320%$32 Medium
X-Ray - Complete Intraoral Series$1730%$173 Medium
X-Ray - Four Images, Bitewings$840%$84 Medium
X-Ray - Intraoral, Periapical Radiographic Image$370%$37 Medium
X-Ray - Two Images, Bitewings$530%$53 Medium
X-Ray - Whole Mouth from Outside Mouth$1730%$173 Medium