Avis Goodwin Community Health Center

311 NH-108 Somersworth, NH 03878
Dental Procedures
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Preventive Care

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Adult Dental Cleaning$970%$97 Medium
Child Dental Cleaning$700%$70 Medium
Fluoride - Topical Application$400%$40 Medium
Plaque and tartar removal from around teeth and gums-per quadrant$2730%$273 Medium
Sealant placed on the tooth surface to prevent decay$590%$59 Medium
Topical fluoride varnish application$380%$38 Medium

Other Dental Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Maintenance Therapy - Periodontal$1470%$147 Medium
Tooth Extraction (Elevation and/or forceps removal)$1840%$184 Medium