Soheila Degieux, DDS

345 Village Street Penacook, NH 03303
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$1160%$116 Medium
Dental Cleaning - Child$950%$95 Medium
Dental Exam - Comprehensive$1050%$105 Medium
Dental Exam - Periodic, Established Patient$630%$63 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2100%$210 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3360%$336 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2730%$273 Medium
Dental Filling - White (Resin): One Surface, Anterior$1790%$179 Medium
Dental Filling - White (Resin): One Surface, Posterior$2100%$210 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3360%$336 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2100%$210 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2730%$273 Medium
Flouride - Topical Varnish Application$530%$53 Medium
Fluoride - Topical Application$530%$53 Medium
Maintenance Therapy - Periodontal$1790%$179 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2630%$263 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$950%$95 Medium
Root Canal - Bicuspid Tooth$1,0190%$1,019 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$530%$53 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2420%$242 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$320%$32 Medium
X-Ray - Complete Intraoral Series$1680%$168 Medium
X-Ray - Four Images, Bitewings$840%$84 Medium
X-Ray - Intraoral, Periapical Radiographic Image$420%$42 Medium
X-Ray - Two Images, Bitewings$630%$63 Medium
X-Ray - Whole Mouth from Outside Mouth$1680%$168 Medium