Richard Bruce Hanson, DDS
505 West Hollis Street Nashua, NH 03062
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $117 | 0% | $117 | Medium |
| Child Dental Cleaning | $168 | 0% | $168 | Medium |
| Fluoride - Topical Application | $46 | 0% | $46 | Medium |
| Sealant placed on the tooth surface to prevent decay | $64 | 0% | $64 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $95 | 0% | $95 | Medium |
| Periodic dental exam - established patient | $56 | 0% | $56 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $89 | 0% | $89 | Medium |
| X-Ray Dental - Complete intraoral series | $161 | 0% | $161 | Medium |
| X-Ray Dental - Four images - bitewings | $76 | 0% | $76 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $36 | 0% | $36 | Medium |
| X-Ray Dental - Two images - bitewings | $83 | 0% | $83 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $28 | 0% | $28 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - One surface, primary or permanent | $198 | 0% | $198 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $289 | 0% | $289 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $389 | 0% | $389 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $202 | 0% | $202 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $297 | 0% | $297 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $190 | 0% | $190 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $377 | 0% | $377 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $231 | 0% | $231 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $162 | 0% | $162 | Medium |