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
Dental Cleaning - Adult$1140%$114
Dental Cleaning - Child$1020%$102
Dental Exam - Comprehensive$1310%$131
Dental Exam - Periodic, Established Patient$670%$67
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1890%$189
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3420%$342
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2890%$289
Dental Filling - White (Resin): One Surface, Anterior$1940%$194
Dental Filling - White (Resin): One Surface, Posterior$2090%$209
Dental Filling - White (Resin): Three Surfaces, Posterior$3520%$352
Dental Filling - White (Resin): Two Surfaces, Anterior$2360%$236
Dental Filling - White (Resin): Two Surfaces, Posterior$2890%$289
Fluoride - Topical Application$430%$43
Maintenance Therapy - Periodontal$1520%$152
Orthodontic Treatment - Periodic Visit, Part of a Contract$720%$72
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3560%$356
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1210%$121
Root Canal - Anterior Tooth$1,0490%$1,049
Root Canal - Bicuspid Tooth$1,0240%$1,024
Root Canal - Molar$1,2080%$1,208
Sealant - Placed on Tooth Surface to Prevent Decay$780%$78
Tooth Extraction - Elevation and/or Forceps Removal$2880%$288
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$300%$30
X-Ray - Complete Intraoral Series$2250%$225
X-Ray - Four Images, Bitewings$930%$93
X-Ray - Intraoral, Periapical Radiographic Image$380%$38
X-Ray - Two Images, Bitewings$630%$63
X-Ray - Whole Mouth from Outside Mouth$1490%$149