Robert J Orendorf, DDS
2 Cocheco Park Dover, NH 03820
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $116 | 0% | $116 | Medium |
| Child Dental Cleaning | $92 | 0% | $92 | Medium |
| Plaque and tartar removal from around teeth and gums-per quadrant | $333 | 0% | $333 | Medium |
| Sealant placed on the tooth surface to prevent decay | $70 | 0% | $70 | Medium |
| Topical fluoride varnish application | $54 | 0% | $54 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $102 | 0% | $102 | Medium |
| Periodic dental exam - established patient | $60 | 0% | $60 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $110 | 0% | $110 | Medium |
| X-Ray Dental - Complete intraoral series | $161 | 0% | $161 | Medium |
| X-Ray Dental - Four images - bitewings | $83 | 0% | $83 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $39 | 0% | $39 | Medium |
| X-Ray Dental - Two images - bitewings | $58 | 0% | $58 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $33 | 0% | $33 | Medium |
| X-Ray Dental - Whole mouth, from outside mouth | $140 | 0% | $140 | 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 | $232 | 0% | $232 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $288 | 0% | $288 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $358 | 0% | $358 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $232 | 0% | $232 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $288 | 0% | $288 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $259 | 0% | $259 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $358 | 0% | $358 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $259 | 0% | $259 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $169 | 0% | $169 | Medium |