William A. Bilodeau, DMD
76 Northeastern Blvd Nashua, NH 03062
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $113 | 0% | $113 | Medium |
| Child Dental Cleaning | $89 | 0% | $89 | Medium |
| Fluoride - Topical Application | $43 | 0% | $43 | Medium |
| Plaque and tartar removal from around teeth and gums-per quadrant | $271 | 0% | $271 | Medium |
| Sealant placed on the tooth surface to prevent decay | $58 | 0% | $58 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $150 | 0% | $150 | Medium |
| Periodic dental exam - established patient | $50 | 0% | $50 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $97 | 0% | $97 | Medium |
| X-Ray Dental - Complete intraoral series | $154 | 0% | $154 | Medium |
| X-Ray Dental - Four images - bitewings | $75 | 0% | $75 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $37 | 0% | $37 | Medium |
| X-Ray Dental - Two images - bitewings | $53 | 0% | $53 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $47 | 0% | $47 | Medium |
| X-Ray Dental - Whole mouth, from outside mouth | $156 | 0% | $156 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - One surface, primary or permanent | $190 | 0% | $190 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $266 | 0% | $266 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $338 | 0% | $338 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $190 | 0% | $190 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $266 | 0% | $266 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $190 | 0% | $190 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $676 | 0% | $676 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $266 | 0% | $266 | Medium |
Orthodontic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Orthodontic Treatment Visit (Periodic - as part of a contract) | $52 | 0% | $52 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $156 | 0% | $156 | Medium |