Ralph Peter Ergas, DMD

700 Central Avenue Dover, NH 03820
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$1030%$103 Medium
Dental Cleaning - Child$840%$84 Medium
Dental Exam - Comprehensive$790%$79 Medium
Dental Exam - Periodic, Established Patient$580%$58 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1680%$168 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2050%$205 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1940%$194 Medium
Dental Filling - White (Resin): One Surface, Anterior$3320%$332 Medium
Dental Filling - White (Resin): One Surface, Posterior$1710%$171 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$2490%$249 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2210%$221 Medium
Flouride - Topical Varnish Application$490%$49 Medium
Fluoride - Topical Application$290%$29 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$840%$84 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$680%$68 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1840%$184 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$370%$37 Medium
X-Ray - Complete Intraoral Series$2310%$231 Medium
X-Ray - Four Images, Bitewings$860%$86 Medium
X-Ray - Intraoral, Periapical Radiographic Image$370%$37 Medium
X-Ray - Two Images, Bitewings$630%$63 Medium
X-Ray - Whole Mouth from Outside Mouth$1680%$168 Medium