Roger A Phillips, DMD

31 South Park Street Hanover, NH 03755
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1110%$111 Medium
Dental Cleaning - Child$820%$82 Medium
Dental Exam - Comprehensive$1050%$105 Medium
Dental Exam - Periodic, Established Patient$610%$61 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2310%$231 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3980%$398 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$3050%$305 Medium
Dental Filling - White (Resin): One Surface, Anterior$2130%$213 Medium
Dental Filling - White (Resin): One Surface, Posterior$2310%$231 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3980%$398 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2810%$281 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3140%$314 Medium
Flouride - Topical Varnish Application$490%$49 Medium
Fluoride - Topical Application$420%$42 Medium
Maintenance Therapy - Periodontal$1690%$169 Medium
Orthodontic Treatment - Periodic Visit, Part of a Contract$590%$59 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3000%$300 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$920%$92 Medium
Root Canal - Anterior Tooth$1,3830%$1,383 Medium
Root Canal - Bicuspid Tooth$1,5680%$1,568 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$690%$69 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2230%$223 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$280%$28 Medium
X-Ray - Complete Intraoral Series$1600%$160 Medium
X-Ray - Four Images, Bitewings$720%$72 Medium
X-Ray - Intraoral, Periapical Radiographic Image$350%$35 Medium
X-Ray - Two Images, Bitewings$550%$55 Medium
X-Ray - Whole Mouth from Outside Mouth$1340%$134 Medium