Ramesh Durvasula, DMD
345 Cilley Road Manchester, NH 03103
Dental Procedures
| Procedure | Estimate of Total Cost | Number of Visits | What You Will Pay Uninsured Discount: 0% |
|---|---|---|---|
| Dental Cleaning - Adult | $86 | N/A | $86 |
| Dental Cleaning - Child | $69 | N/A | $69 |
| Dental Exam - Periodic, Established Patient | $42 | N/A | $42 |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $186 | N/A | $186 |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $273 | N/A | $273 |
| Dental Filling - White (Resin): One Surface, Anterior | $137 | N/A | $137 |
| Dental Filling - White (Resin): One Surface, Posterior | $336 | N/A | $336 |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $168 | N/A | $168 |
| Fluoride - Topical Application | $32 | N/A | $32 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $21 | N/A | $21 |
| X-Ray - Four Images, Bitewings | $68 | N/A | $68 |
| X-Ray - Intraoral, Periapical Radiographic Image | $26 | N/A | $26 |
| X-Ray - Two Images, Bitewings | $42 | N/A | $42 |
| X-Ray - Whole Mouth from Outside Mouth | $256 | N/A | $256 |