Abenaki Dental Care
1 Hampton Road, Suite 302 Exeter, NH 03833
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $116 | 0% | $116 | Medium |
| Child Dental Cleaning | $86 | 0% | $86 | Medium |
| Plaque and tartar removal from around teeth and gums-per quadrant | $291 | 0% | $291 | Medium |
| Sealant placed on the tooth surface to prevent decay | $63 | 0% | $63 | Medium |
| Topical fluoride varnish application | $48 | 0% | $48 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $91 | 0% | $91 | Medium |
| Periodic dental exam - established patient | $49 | 0% | $49 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $95 | 0% | $95 | Medium |
| X-Ray Dental - Complete intraoral series | $164 | 0% | $164 | Medium |
| X-Ray Dental - Four images - bitewings | $76 | 0% | $76 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $35 | 0% | $35 | Medium |
| X-Ray Dental - Two images - bitewings | $51 | 0% | $51 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $33 | 0% | $33 | Medium |
| X-Ray Dental - Whole mouth, from outside mouth | $130 | 0% | $130 | 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 | $233 | 0% | $233 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $297 | 0% | $297 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $392 | 0% | $392 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $227 | 0% | $227 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $289 | 0% | $289 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $175 | 0% | $175 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $380 | 0% | $380 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $213 | 0% | $213 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $151 | 0% | $151 | Medium |
| Tooth Extraction (Elevation and/or forceps removal) | $329 | 0% | $329 | Medium |