Russell Dean Mann, DDS

9 Roosevelt Street Manchester, NH 03102
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$1210%$121 Medium
Dental Cleaning - Child$920%$92 Medium
Dental Exam - Comprehensive$1200%$120 Medium
Dental Exam - Periodic, Established Patient$690%$69 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2790%$279 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$4110%$411 Medium
Dental Filling - White (Resin): One Surface, Posterior$2790%$279 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4110%$411 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$3370%$337 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3340%$334 Medium
Fluoride - Topical Application$490%$49 Medium
Maintenance Therapy - Periodontal$1850%$185 Medium
Orthodontic Treatment - Periodic Visit, Part of a Contract$740%$74 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3360%$336 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1200%$120 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$680%$68 Medium
Tooth Extraction - Elevation and/or Forceps Removal$3570%$357 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$340%$34 Medium
X-Ray - Complete Intraoral Series$1740%$174 Medium
X-Ray - Four Images, Bitewings$860%$86 Medium
X-Ray - Intraoral, Periapical Radiographic Image$410%$41 Medium
X-Ray - Two Images, Bitewings$570%$57 Medium
X-Ray - Whole Mouth from Outside Mouth$1470%$147 Medium