Raynor Dental

650 Court Street, Suite 4 Keene, NH 03431
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1120%$112
Dental Cleaning - Child$850%$85
Dental Exam - Comprehensive$1040%$104
Dental Exam - Periodic, Established Patient$570%$57
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2180%$218
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3720%$372
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2890%$289
Dental Filling - White (Resin): One Surface, Anterior$2030%$203
Dental Filling - White (Resin): One Surface, Posterior$2180%$218
Dental Filling - White (Resin): Three Surfaces, Posterior$3720%$372
Dental Filling - White (Resin): Two Surfaces, Anterior$2460%$246
Dental Filling - White (Resin): Two Surfaces, Posterior$2890%$289
Flouride - Topical Varnish Application$480%$48
Fluoride - Topical Application$480%$48
Maintenance Therapy - Periodontal$1620%$162
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3050%$305
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$890%$89
Root Canal - Anterior Tooth$1,0030%$1,003
Root Canal - Bicuspid Tooth$1,0400%$1,040
Root Canal - Molar$1,3110%$1,311
Sealant - Placed on Tooth Surface to Prevent Decay$710%$71
Tooth Extraction - Elevation and/or Forceps Removal$2520%$252
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$300%$30
X-Ray - Complete Intraoral Series$1600%$160
X-Ray - Four Images, Bitewings$810%$81
X-Ray - Intraoral, Periapical Radiographic Image$380%$38
X-Ray - Two Images, Bitewings$500%$50
X-Ray - Whole Mouth from Outside Mouth$1340%$134