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
Dental Cleaning - Adult$1140%$114
Dental Cleaning - Child$850%$85
Dental Exam - Comprehensive$1080%$108
Dental Exam - Periodic, Established Patient$630%$63
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2380%$238
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$4100%$410
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$3230%$323
Dental Filling - White (Resin): One Surface, Anterior$2190%$219
Dental Filling - White (Resin): One Surface, Posterior$2380%$238
Dental Filling - White (Resin): Three Surfaces, Posterior$4100%$410
Dental Filling - White (Resin): Two Surfaces, Anterior$2900%$290
Dental Filling - White (Resin): Two Surfaces, Posterior$3230%$323
Flouride - Topical Varnish Application$500%$50
Fluoride - Topical Application$430%$43
Maintenance Therapy - Periodontal$1740%$174
Orthodontic Treatment - Periodic Visit, Part of a Contract$1430%$143
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3140%$314
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$960%$96
Root Canal - Anterior Tooth$1,4250%$1,425
Sealant - Placed on Tooth Surface to Prevent Decay$740%$74
Tooth Extraction - Elevation and/or Forceps Removal$2360%$236
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$320%$32
X-Ray - Complete Intraoral Series$1700%$170
X-Ray - Four Images, Bitewings$750%$75
X-Ray - Intraoral, Periapical Radiographic Image$370%$37
X-Ray - Two Images, Bitewings$570%$57
X-Ray - Whole Mouth from Outside Mouth$1390%$139