Ahern & Nichols Family Dentistry

30 Pinkerton Street Derry, NH 03038
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1040%$104 Medium
Dental Cleaning - Child$760%$76 Medium
Dental Exam - Comprehensive$950%$95 Medium
Dental Exam - Periodic, Established Patient$490%$49 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1790%$179 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3050%$305 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2610%$261 Medium
Dental Filling - White (Resin): One Surface, Anterior$1640%$164 Medium
Dental Filling - White (Resin): One Surface, Posterior$1790%$179 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3050%$305 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2000%$200 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2610%$261 Medium
Flouride - Topical Varnish Application$360%$36 Medium
Fluoride - Topical Application$360%$36 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$2730%$273 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$880%$88 Medium
Root Canal - Anterior Tooth$1,1030%$1,103 Medium
Root Canal - Bicuspid Tooth$1,2600%$1,260 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$580%$58 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1890%$189 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$270%$27 Medium
X-Ray - Complete Intraoral Series$1470%$147 Medium
X-Ray - Four Images, Bitewings$680%$68 Medium
X-Ray - Intraoral, Periapical Radiographic Image$340%$34 Medium
X-Ray - Two Images, Bitewings$500%$50 Medium
X-Ray - Whole Mouth from Outside Mouth$1370%$137 Medium