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
Dental Cleaning - Adult$1210%$121
Dental Cleaning - Child$1000%$100
Dental Exam - Comprehensive$1100%$110
Dental Exam - Periodic, Established Patient$680%$68
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2210%$221
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3360%$336
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2840%$284
Dental Filling - White (Resin): One Surface, Anterior$2000%$200
Dental Filling - White (Resin): One Surface, Posterior$2210%$221
Dental Filling - White (Resin): Three Surfaces, Posterior$3520%$352
Dental Filling - White (Resin): Two Surfaces, Anterior$2100%$210
Dental Filling - White (Resin): Two Surfaces, Posterior$2840%$284
Flouride - Topical Varnish Application$530%$53
Fluoride - Topical Application$530%$53
Maintenance Therapy - Periodontal$1840%$184
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2630%$263
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$950%$95
Sealant - Placed on Tooth Surface to Prevent Decay$530%$53
Tooth Extraction - Elevation and/or Forceps Removal$2040%$204
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$320%$32
X-Ray - Complete Intraoral Series$1680%$168
X-Ray - Four Images, Bitewings$840%$84
X-Ray - Intraoral, Periapical Radiographic Image$420%$42
X-Ray - Two Images, Bitewings$630%$63
X-Ray - Whole Mouth from Outside Mouth$1680%$168