3 Stone Dental

1525 South Willow Street Manchester, NH 03103
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$930%$93 Medium
Dental Cleaning - Child$680%$68 Medium
Dental Exam - Comprehensive$840%$84 Medium
Dental Exam - Periodic, Established Patient$480%$48 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$3510%$351 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2330%$233 Medium
Dental Filling - White (Resin): One Surface, Anterior$1670%$167 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$2810%$281 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2160%$216 Medium
Flouride - Topical Varnish Application$370%$37 Medium
Maintenance Therapy - Periodontal$1470%$147 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2630%$263 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$740%$74 Medium
Root Canal - Anterior Tooth$7010%$701 Medium
Root Canal - Bicuspid Tooth$8120%$812 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$530%$53 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1600%$160 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$210%$21 Medium
X-Ray - Complete Intraoral Series$1580%$158 Medium
X-Ray - Four Images, Bitewings$630%$63 Medium
X-Ray - Intraoral, Periapical Radiographic Image$280%$28 Medium
X-Ray - Two Images, Bitewings$880%$88 Medium
X-Ray - Whole Mouth from Outside Mouth$1100%$110 Medium