Amoskeag Family Dentistry

316 South Main Street Manchester, NH 03102
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$107N/A$107
Dental Cleaning - Child$90N/A$90
Dental Exam - Comprehensive$110N/A$110
Dental Exam - Periodic, Established Patient$51N/A$51
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$223N/A$223
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$342N/A$342
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$265N/A$265
Dental Filling - White (Resin): One Surface, Anterior$215N/A$215
Dental Filling - White (Resin): One Surface, Posterior$228N/A$228
Dental Filling - White (Resin): Three Surfaces, Posterior$342N/A$342
Dental Filling - White (Resin): Two Surfaces, Anterior$260N/A$260
Dental Filling - White (Resin): Two Surfaces, Posterior$263N/A$263
Flouride - Topical Varnish Application$44N/A$44
Fluoride - Topical Application$54N/A$54
Maintenance Therapy - Periodontal$153N/A$153
Oral Hygiene Instructions$44N/A$44
Orthodontic Treatment - Periodic Visit, Part of a Contract$107N/A$107
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$308N/A$308
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$89N/A$89
Root Canal - Anterior Tooth$885N/A$885
Root Canal - Bicuspid Tooth$1,088N/A$1,088
Root Canal - Molar$1,327N/A$1,327
Sealant - Placed on Tooth Surface to Prevent Decay$75N/A$75
Tooth Extraction - Elevation and/or Forceps Removal$237N/A$237
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$32N/A$32
X-Ray - Complete Intraoral Series$171N/A$171
X-Ray - Four Images, Bitewings$72N/A$72
X-Ray - Intraoral, Periapical Radiographic Image$38N/A$38
X-Ray - Two Images, Bitewings$59N/A$59
X-Ray - Whole Mouth from Outside Mouth$144N/A$144