Sajini Shetty, DMD

297 Daniel Webster Highway, Suite 6 Merrimack, NH 03054
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$1010%$101 Medium
Dental Exam - Comprehensive$1080%$108 Medium
Dental Exam - Periodic, Established Patient$630%$63 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2790%$279 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$4230%$423 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$3600%$360 Medium
Dental Filling - White (Resin): One Surface, Anterior$2850%$285 Medium
Dental Filling - White (Resin): One Surface, Posterior$2790%$279 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4360%$436 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$3090%$309 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3600%$360 Medium
Flouride - Topical Varnish Application$490%$49 Medium
Maintenance Therapy - Periodontal$1730%$173 Medium
Orthodontic Treatment - Periodic Visit, Part of a Contract$1600%$160 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3190%$319 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1070%$107 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$790%$79 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2210%$221 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$370%$37 Medium
X-Ray - Complete Intraoral Series$1730%$173 Medium
X-Ray - Four Images, Bitewings$860%$86 Medium
X-Ray - Intraoral, Periapical Radiographic Image$380%$38 Medium
X-Ray - Two Images, Bitewings$620%$62 Medium
X-Ray - Whole Mouth from Outside Mouth$1680%$168 Medium