Aesthetic Dental Center

177 Pleasant Street Concord, NH 03301
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1070%$107 Medium
Dental Cleaning - Child$850%$85 Medium
Dental Exam - Comprehensive$910%$91 Medium
Dental Exam - Periodic, Established Patient$500%$50 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2150%$215 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3650%$365 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$3060%$306 Medium
Dental Filling - White (Resin): One Surface, Anterior$2020%$202 Medium
Dental Filling - White (Resin): One Surface, Posterior$2150%$215 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3650%$365 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2860%$286 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3060%$306 Medium
Flouride - Topical Varnish Application$410%$41 Medium
Maintenance Therapy - Periodontal$1500%$150 Medium
Orthodontic Treatment - Periodic Visit, Part of a Contract$660%$66 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3070%$307 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$970%$97 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$580%$58 Medium
Tooth Extraction - Elevation and/or Forceps Removal$4520%$452 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$280%$28 Medium
X-Ray - Complete Intraoral Series$1490%$149 Medium
X-Ray - Four Images, Bitewings$1090%$109 Medium
X-Ray - Intraoral, Periapical Radiographic Image$350%$35 Medium
X-Ray - Two Images, Bitewings$720%$72 Medium
X-Ray - Whole Mouth from Outside Mouth$1310%$131 Medium