Stephen Lee Langlois, DMD

765 South Main 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$1510%$151 Medium
Dental Cleaning - Child$830%$83 Medium
Dental Exam - Comprehensive$1970%$197 Medium
Dental Exam - Periodic, Established Patient$630%$63 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2690%$269 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3890%$389 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$3450%$345 Medium
Dental Filling - White (Resin): One Surface, Anterior$2690%$269 Medium
Dental Filling - White (Resin): One Surface, Posterior$2790%$279 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4190%$419 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$3220%$322 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3450%$345 Medium
Flouride - Topical Varnish Application$490%$49 Medium
Fluoride - Topical Application$500%$50 Medium
Maintenance Therapy - Periodontal$1610%$161 Medium
Orthodontic Treatment - Periodic Visit, Part of a Contract$1620%$162 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$5150%$515 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1230%$123 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$760%$76 Medium
Tooth Extraction - Elevation and/or Forceps Removal$3010%$301 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$210%$21 Medium
X-Ray - Complete Intraoral Series$2080%$208 Medium
X-Ray - Four Images, Bitewings$830%$83 Medium
X-Ray - Intraoral, Periapical Radiographic Image$360%$36 Medium
X-Ray - Two Images, Bitewings$580%$58 Medium
X-Ray - Whole Mouth from Outside Mouth$1350%$135 Medium