Belknap Dental Associates

40 Chestnut Street, Suite 2 Dover, NH 03820
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$107N/A$107
Dental Cleaning - Child$86N/A$86
Dental Exam - Comprehensive$93N/A$93
Dental Exam - Periodic, Established Patient$51N/A$51
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$205N/A$205
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$343N/A$343
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$269N/A$269
Dental Filling - White (Resin): One Surface, Anterior$175N/A$175
Dental Filling - White (Resin): One Surface, Posterior$205N/A$205
Dental Filling - White (Resin): Three Surfaces, Posterior$343N/A$343
Dental Filling - White (Resin): Two Surfaces, Anterior$224N/A$224
Dental Filling - White (Resin): Two Surfaces, Posterior$269N/A$269
Flouride - Topical Varnish Application$41N/A$41
Fluoride - Topical Application$41N/A$41
Maintenance Therapy - Periodontal$160N/A$160
Oral Hygiene Instructions$44N/A$44
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$456N/A$456
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$89N/A$89
Root Canal - Anterior Tooth$1,013N/A$1,013
Root Canal - Bicuspid Tooth$1,155N/A$1,155
Sealant - Placed on Tooth Surface to Prevent Decay$62N/A$62
Tooth Extraction - Elevation and/or Forceps Removal$218N/A$218
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$30N/A$30
X-Ray - Complete Intraoral Series$165N/A$165
X-Ray - Four Images, Bitewings$77N/A$77
X-Ray - Intraoral, Periapical Radiographic Image$38N/A$38
X-Ray - Two Images, Bitewings$56N/A$56
X-Ray - Whole Mouth from Outside Mouth$139N/A$139