Amazing Smiles Family Dental Center
311 West River Road Hooksett, NH 03106
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 | $88 | 0% | $88 | Medium |
| Sealant placed on the tooth surface to prevent decay | $116 | 0% | $116 | Medium |
| Topical fluoride varnish application | $51 | 0% | $51 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $86 | 0% | $86 | Medium |
| Periodic dental exam - established patient | $44 | 0% | $44 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $87 | 0% | $87 | Medium |
| X-Ray Dental - Complete intraoral series | $173 | 0% | $173 | Medium |
| X-Ray Dental - Four images - bitewings | $79 | 0% | $79 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $71 | 0% | $71 | Medium |
| X-Ray Dental - Two images - bitewings | $44 | 0% | $44 | 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 | $166 | 0% | $166 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $259 | 0% | $259 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $303 | 0% | $303 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $236 | 0% | $236 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $268 | 0% | $268 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $226 | 0% | $226 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $341 | 0% | $341 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $268 | 0% | $268 | Medium |