Better Smiles Dental Care
278 Lafayette Road, Building E Portsmouth, NH 03801
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $116 | 0% | $116 | Medium |
| Child Dental Cleaning | $90 | 0% | $90 | Medium |
| Fluoride - Topical Application | $44 | 0% | $44 | Medium |
| Plaque and tartar removal from around teeth and gums-per quadrant | $326 | 0% | $326 | Medium |
| Sealant placed on the tooth surface to prevent decay | $63 | 0% | $63 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $95 | 0% | $95 | Medium |
| Periodic dental exam - established patient | $61 | 0% | $61 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $90 | 0% | $90 | Medium |
| X-Ray Dental - Complete intraoral series | $167 | 0% | $167 | Medium |
| X-Ray Dental - Four images - bitewings | $83 | 0% | $83 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $37 | 0% | $37 | Medium |
| X-Ray Dental - Two images - bitewings | $57 | 0% | $57 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $34 | 0% | $34 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - One surface, primary or permanent | $197 | 0% | $197 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $263 | 0% | $263 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $342 | 0% | $342 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $207 | 0% | $207 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $276 | 0% | $276 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $198 | 0% | $198 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $359 | 0% | $359 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $328 | 0% | $328 | Medium |
Orthodontic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Orthodontic Treatment Visit (Periodic - as part of a contract) | $107 | 0% | $107 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $169 | 0% | $169 | Medium |
| Tooth Extraction (Elevation and/or forceps removal) | $237 | 0% | $237 | Medium |