3 Stone Dental

1525 South Willow Street Manchester, NH 03103
(603) 641-5200

All cost information is based on claims data collected in the New Hampshire Comprehensive Healthcare Information System which is updated quarterly. All quality information is based on claims and administrative data collected by the Centers for Medicare and Medicaid Services which is updated annually. For more information click the links above and review our methodology section.

Procedure Estimate of Procedure Cost Estimate of Procedure Cost
This is an estimate of the total charge for the health care service before any discounts provided to the uninsured.
Number of Visits Number of Visits
When the number of visits varies, it is difficult to estimate the total cost of care. This indicates the number of visits you can expect, calculated using the median. To determine the total you might pay, multiply the Estimate of Procedure Cost and the Statewide Average for Number of Visits.
- Above Average: Expect to visit the provider more than the average number of visits.
- Near Average: Expect the visit the provider close to the average number of visits.
- Below Average: Expect to visit the provider less than the average number of visits.
What You Will Pay What You Will Pay
The estimated charge amount minus the uninsured discount (when available).
Additional X-Ray Image of Tooth from Crown to Root from Inside Mouth $29 N/A $29
Adult Dental Cleaning $114 N/A $114
Anterior Tooth Root Canal $813 N/A $813
Bicuspid Tooth Root Canal $893 N/A $893
Child Dental Cleaning $91 N/A $91
Complete Intraoral X-Ray Series $145 N/A $145
Comprehensive Dental Exam $97 N/A $97
Four Bitewing X-Ray Images $69 N/A $69
Intraoral X-Ray, Periapical Radiographic Image $36 N/A $36
Maintenance Therapy $162 N/A $162
Molar Root Canal $1,100 N/A $1,100
Oral Hygiene Instructions $53 N/A $53
Periodic Dental Exam for an Established Patient $54 N/A $54
Placing Sealant on Tooth Surface to Prevent Decay $58 N/A $58
Plaque and Tartar Removal Around Teeth and Gums, Per Quadrant $289 N/A $289
Problem Focused Evaluation, Limited to a Specific Oral Health Problem or Complaint $81 N/A $81
Silver (Amalgam) Dental Filling: Three Surfaces, Primary or Permanent $294 N/A $294
Tooth Extraction, Elevation and/or Forceps Removal $175 N/A $175
Topical Varnish Fluoride Application $42 N/A $42
White (Resin) Dental Filling: One Surface, Anterior $184 N/A $184
White (Resin) Dental Filling: Three Surfaces, Posterior $310 N/A $310
White (Resin) Dental Filling: Two Surfaces, Anterior $216 N/A $216
Whole Mouth X-Ray from Outside Mouth $127 N/A $127