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
Dental Cleaning - Adult$1240%$124
Dental Cleaning - Child$1040%$104
Dental Exam - Comprehensive$1110%$111
Dental Exam - Periodic, Established Patient$650%$65
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2880%$288
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$4480%$448
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$3710%$371
Dental Filling - White (Resin): One Surface, Anterior$2930%$293
Dental Filling - White (Resin): One Surface, Posterior$2880%$288
Dental Filling - White (Resin): Three Surfaces, Posterior$4480%$448
Dental Filling - White (Resin): Two Surfaces, Anterior$3230%$323
Dental Filling - White (Resin): Two Surfaces, Posterior$3710%$371
Flouride - Topical Varnish Application$510%$51
Maintenance Therapy - Periodontal$1790%$179
Orthodontic Treatment - Periodic Visit, Part of a Contract$1180%$118
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3380%$338
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1100%$110
Root Canal - Bicuspid Tooth$2,3790%$2,379
Sealant - Placed on Tooth Surface to Prevent Decay$810%$81
Tooth Extraction - Elevation and/or Forceps Removal$2270%$227
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$380%$38
X-Ray - Complete Intraoral Series$1790%$179
X-Ray - Four Images, Bitewings$880%$88
X-Ray - Intraoral, Periapical Radiographic Image$390%$39
X-Ray - Two Images, Bitewings$640%$64
X-Ray - Whole Mouth from Outside Mouth$1790%$179