Roger Lamontagne, DMD

252 Jewett Street Manchester, NH 03103
Dental Procedures
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My Health Insurance:

  • I do not have dental insurance
ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1010%$101 Medium
Dental Cleaning - Child$710%$71 Medium
Dental Exam - Comprehensive$740%$74 Medium
Dental Exam - Periodic, Established Patient$400%$40 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1730%$173 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2570%$257 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2360%$236 Medium
Dental Filling - White (Resin): One Surface, Anterior$1630%$163 Medium
Dental Filling - White (Resin): One Surface, Posterior$1730%$173 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$2570%$257 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$1940%$194 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2360%$236 Medium
Fluoride - Topical Application$250%$25 Medium
Maintenance Therapy - Periodontal$1500%$150 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$1980%$198 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$580%$58 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$690%$69 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$260%$26 Medium
X-Ray - Complete Intraoral Series$1590%$159 Medium
X-Ray - Four Images, Bitewings$580%$58 Medium
X-Ray - Intraoral, Periapical Radiographic Image$260%$26 Medium
X-Ray - Two Images, Bitewings$470%$47 Medium
X-Ray - Whole Mouth from Outside Mouth$1280%$128 Medium