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 Typical Patient Complexity
Dental Cleaning - Adult$1110%$111 Medium
Dental Cleaning - Child$1200%$120 Medium
Dental Exam - Comprehensive$1090%$109 Medium
Dental Exam - Periodic, Established Patient$500%$50 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1770%$177 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3260%$326 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2450%$245 Medium
Dental Filling - White (Resin): One Surface, Anterior$1640%$164 Medium
Dental Filling - White (Resin): One Surface, Posterior$1770%$177 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3910%$391 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2710%$271 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3210%$321 Medium
Flouride - Topical Varnish Application$390%$39 Medium
Maintenance Therapy - Periodontal$2120%$212 Medium
Orthodontic Treatment - Periodic Visit, Part of a Contract$1050%$105 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2540%$254 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$860%$86 Medium
Root Canal - Bicuspid Tooth$9520%$952 Medium
Root Canal - Molar$1,4810%$1,481 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2600%$260 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$320%$32 Medium
X-Ray - Complete Intraoral Series$2180%$218 Medium
X-Ray - Four Images, Bitewings$860%$86 Medium
X-Ray - Intraoral, Periapical Radiographic Image$340%$34 Medium
X-Ray - Two Images, Bitewings$760%$76 Medium
X-Ray - Whole Mouth from Outside Mouth$1320%$132 Medium