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 Typical Patient Complexity
Dental Cleaning - Adult$1120%$112 Medium
Dental Cleaning - Child$850%$85 Medium
Dental Exam - Comprehensive$1040%$104 Medium
Dental Exam - Periodic, Established Patient$570%$57 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2180%$218 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3720%$372 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2890%$289 Medium
Dental Filling - White (Resin): One Surface, Anterior$2030%$203 Medium
Dental Filling - White (Resin): One Surface, Posterior$2180%$218 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3720%$372 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2460%$246 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2890%$289 Medium
Flouride - Topical Varnish Application$480%$48 Medium
Fluoride - Topical Application$480%$48 Medium
Maintenance Therapy - Periodontal$1620%$162 Medium
Orthodontic Treatment - Periodic Visit, Part of a Contract$1070%$107 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3050%$305 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$890%$89 Medium
Root Canal - Anterior Tooth$9350%$935 Medium
Root Canal - Bicuspid Tooth$1,0400%$1,040 Medium
Root Canal - Molar$1,3110%$1,311 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$710%$71 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2520%$252 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$300%$30 Medium
X-Ray - Complete Intraoral Series$1600%$160 Medium
X-Ray - Four Images, Bitewings$810%$81 Medium
X-Ray - Intraoral, Periapical Radiographic Image$380%$38 Medium
X-Ray - Two Images, Bitewings$500%$50 Medium
X-Ray - Whole Mouth from Outside Mouth$1340%$134 Medium