Richard M. Farina, DMD

74 South Main Street Rochester, NH 03867
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1030%$103
Dental Cleaning - Child$830%$83
Dental Exam - Comprehensive$950%$95
Dental Exam - Periodic, Established Patient$530%$53
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1860%$186
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3370%$337
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2590%$259
Dental Filling - White (Resin): One Surface, Anterior$1700%$170
Dental Filling - White (Resin): One Surface, Posterior$1860%$186
Dental Filling - White (Resin): Three Surfaces, Posterior$3370%$337
Dental Filling - White (Resin): Two Surfaces, Anterior$2070%$207
Dental Filling - White (Resin): Two Surfaces, Posterior$2590%$259
Flouride - Topical Varnish Application$500%$50
Maintenance Therapy - Periodontal$1580%$158
Orthodontic Treatment - Periodic Visit, Part of a Contract$1430%$143
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2720%$272
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$870%$87
Root Canal - Anterior Tooth$8430%$843
Root Canal - Bicuspid Tooth$9610%$961
Root Canal - Molar$1,1960%$1,196
Sealant - Placed on Tooth Surface to Prevent Decay$580%$58
Tooth Extraction - Elevation and/or Forceps Removal$3030%$303
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$260%$26
X-Ray - Complete Intraoral Series$1440%$144
X-Ray - Four Images, Bitewings$690%$69
X-Ray - Intraoral, Periapical Radiographic Image$340%$34
X-Ray - Two Images, Bitewings$490%$49
X-Ray - Whole Mouth from Outside Mouth$1380%$138