Robert J. Larocque, DDS FAGD

76 Northeastern Boulevard, Suite 35a Nashua, NH 03062
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1280%$128 Medium
Dental Cleaning - Child$1020%$102 Medium
Dental Exam - Comprehensive$1650%$165 Medium
Dental Exam - Periodic, Established Patient$570%$57 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2240%$224 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3770%$377 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2760%$276 Medium
Dental Filling - White (Resin): One Surface, Anterior$2140%$214 Medium
Dental Filling - White (Resin): One Surface, Posterior$2240%$224 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3770%$377 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2290%$229 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2760%$276 Medium
Flouride - Topical Varnish Application$490%$49 Medium
Fluoride - Topical Application$470%$47 Medium
Maintenance Therapy - Periodontal$1730%$173 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2970%$297 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$830%$83 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$640%$64 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2150%$215 Medium
X-Ray - Complete Intraoral Series$1890%$189 Medium
X-Ray - Four Images, Bitewings$870%$87 Medium
X-Ray - Intraoral, Periapical Radiographic Image$490%$49 Medium
X-Ray - Two Images, Bitewings$590%$59 Medium
X-Ray - Whole Mouth from Outside Mouth$1810%$181 Medium