Xiaoping Li, DMD
151 Main Street Nashua, NH 03060
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $145 | 0% | $145 |
| Dental Cleaning - Child | $132 | 0% | $132 |
| Dental Exam - Comprehensive | $96 | 0% | $96 |
| Dental Exam - Periodic, Established Patient | $62 | 0% | $62 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $305 | 0% | $305 |
| Flouride - Topical Varnish Application | $46 | 0% | $46 |
| Maintenance Therapy - Periodontal | $176 | 0% | $176 |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $305 | 0% | $305 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $48 | 0% | $48 |
| X-Ray - Four Images, Bitewings | $82 | 0% | $82 |
| X-Ray - Intraoral, Periapical Radiographic Image | $39 | 0% | $39 |
| X-Ray - Two Images, Bitewings | $89 | 0% | $89 |