Bay Breeze Dentistry

14 Manchester Square, Suite 215 Portsmouth, NH 03801
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$148N/A$148
Dental Cleaning - Child$120N/A$120
Dental Exam - Comprehensive$130N/A$130
Dental Exam - Periodic, Established Patient$80N/A$80
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$238N/A$238
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$379N/A$379
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$296N/A$296
Dental Filling - White (Resin): One Surface, Anterior$215N/A$215
Dental Filling - White (Resin): One Surface, Posterior$238N/A$238
Dental Filling - White (Resin): Three Surfaces, Posterior$391N/A$391
Dental Filling - White (Resin): Two Surfaces, Anterior$271N/A$271
Dental Filling - White (Resin): Two Surfaces, Posterior$320N/A$320
Flouride - Topical Varnish Application$66N/A$66
Maintenance Therapy - Periodontal$212N/A$212
Oral Hygiene Instructions$51N/A$51
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$395N/A$395
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$113N/A$113
Sealant - Placed on Tooth Surface to Prevent Decay$81N/A$81
Tooth Extraction - Elevation and/or Forceps Removal$260N/A$260
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$35N/A$35
X-Ray - Complete Intraoral Series$188N/A$188
X-Ray - Four Images, Bitewings$96N/A$96
X-Ray - Intraoral, Periapical Radiographic Image$46N/A$46
X-Ray - Two Images, Bitewings$76N/A$76