Associates In Family Dentistry

18 Gonic Road Rochester, NH 03867
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1140%$114 Medium
Dental Cleaning - Child$970%$97 Medium
Dental Exam - Comprehensive$1160%$116 Medium
Dental Exam - Periodic, Established Patient$570%$57 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1890%$189 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3400%$340 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2610%$261 Medium
Dental Filling - White (Resin): One Surface, Anterior$1650%$165 Medium
Dental Filling - White (Resin): One Surface, Posterior$1930%$193 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3400%$340 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2090%$209 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2610%$261 Medium
Fluoride - Topical Application$430%$43 Medium
Maintenance Therapy - Periodontal$1520%$152 Medium
Orthodontic Treatment - Periodic Visit, Part of a Contract$890%$89 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3560%$356 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1140%$114 Medium
Root Canal - Anterior Tooth$1,2180%$1,218 Medium
Root Canal - Bicuspid Tooth$1,0240%$1,024 Medium
Root Canal - Molar$1,2020%$1,202 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$580%$58 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1930%$193 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$210%$21 Medium
X-Ray - Complete Intraoral Series$2190%$219 Medium
X-Ray - Four Images, Bitewings$740%$74 Medium
X-Ray - Intraoral, Periapical Radiographic Image$360%$36 Medium
X-Ray - Two Images, Bitewings$580%$58 Medium
X-Ray - Whole Mouth from Outside Mouth$1420%$142 Medium