Bay Breeze Dentistry

14 Manchester Square, Suite 215 Portsmouth, NH 03801
Dental Procedures
Cancel
Edit My Insurance Details

My Health Insurance:

  • I do not have dental insurance
ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1280%$128 Medium
Dental Cleaning - Child$1200%$120 Medium
Dental Exam - Comprehensive$1200%$120 Medium
Dental Exam - Periodic, Established Patient$740%$74 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2080%$208 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3400%$340 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2650%$265 Medium
Dental Filling - White (Resin): One Surface, Anterior$2120%$212 Medium
Dental Filling - White (Resin): One Surface, Posterior$2330%$233 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3540%$354 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2460%$246 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2770%$277 Medium
Flouride - Topical Varnish Application$620%$62 Medium
Maintenance Therapy - Periodontal$1850%$185 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3950%$395 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1040%$104 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$760%$76 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2600%$260 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$300%$30 Medium
X-Ray - Complete Intraoral Series$1750%$175 Medium
X-Ray - Four Images, Bitewings$880%$88 Medium
X-Ray - Intraoral, Periapical Radiographic Image$400%$40 Medium
X-Ray - Two Images, Bitewings$760%$76 Medium