Randazzo Dental Associates

43 Bridge Street, Suite 6 Pelham, NH 03076
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1110%$111
Dental Cleaning - Child$1200%$120
Dental Exam - Comprehensive$1160%$116
Dental Exam - Periodic, Established Patient$500%$50
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1770%$177
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3260%$326
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2450%$245
Dental Filling - White (Resin): One Surface, Anterior$1640%$164
Dental Filling - White (Resin): One Surface, Posterior$1770%$177
Dental Filling - White (Resin): Three Surfaces, Posterior$2990%$299
Dental Filling - White (Resin): Two Surfaces, Anterior$2710%$271
Dental Filling - White (Resin): Two Surfaces, Posterior$3210%$321
Flouride - Topical Varnish Application$390%$39
Maintenance Therapy - Periodontal$2120%$212
Orthodontic Treatment - Periodic Visit, Part of a Contract$1050%$105
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3950%$395
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$860%$86
Root Canal - Anterior Tooth$1,0720%$1,072
Root Canal - Bicuspid Tooth$9520%$952
Root Canal - Molar$1,1760%$1,176
Tooth Extraction - Elevation and/or Forceps Removal$2600%$260
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$170%$17
X-Ray - Complete Intraoral Series$2140%$214
X-Ray - Four Images, Bitewings$860%$86
X-Ray - Intraoral, Periapical Radiographic Image$340%$34
X-Ray - Two Images, Bitewings$760%$76
X-Ray - Whole Mouth from Outside Mouth$1320%$132