Calvin Dental Associates

25 Buttrick Road Londonderry, NH 03053
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$139N/A$139
Dental Cleaning - Child$113N/A$113
Dental Exam - Comprehensive$163N/A$163
Dental Exam - Periodic, Established Patient$72N/A$72
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$242N/A$242
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$378N/A$378
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$315N/A$315
Dental Filling - White (Resin): One Surface, Anterior$242N/A$242
Dental Filling - White (Resin): One Surface, Posterior$242N/A$242
Dental Filling - White (Resin): Three Surfaces, Posterior$378N/A$378
Dental Filling - White (Resin): Two Surfaces, Anterior$310N/A$310
Dental Filling - White (Resin): Two Surfaces, Posterior$315N/A$315
Fluoride - Topical Application$55N/A$55
Maintenance Therapy - Periodontal$205N/A$205
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$347N/A$347
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$126N/A$126
Sealant - Placed on Tooth Surface to Prevent Decay$63N/A$63
Tooth Extraction - Elevation and/or Forceps Removal$315N/A$315
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$56N/A$56
X-Ray - Complete Intraoral Series$184N/A$184
X-Ray - Four Images, Bitewings$95N/A$95
X-Ray - Intraoral, Periapical Radiographic Image$44N/A$44
X-Ray - Two Images, Bitewings$63N/A$63
X-Ray - Whole Mouth from Outside Mouth$184N/A$184