Calvin Dental Associates

25 Buttrick Road Londonderry, NH 03053
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1390%$139
Dental Cleaning - Child$1130%$113
Dental Exam - Comprehensive$1580%$158
Dental Exam - Periodic, Established Patient$720%$72
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2360%$236
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3730%$373
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$3150%$315
Dental Filling - White (Resin): One Surface, Anterior$2420%$242
Dental Filling - White (Resin): One Surface, Posterior$2390%$239
Dental Filling - White (Resin): Three Surfaces, Posterior$3780%$378
Dental Filling - White (Resin): Two Surfaces, Anterior$2780%$278
Dental Filling - White (Resin): Two Surfaces, Posterior$3150%$315
Fluoride - Topical Application$550%$55
Maintenance Therapy - Periodontal$2050%$205
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3470%$347
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1260%$126
Root Canal - Anterior Tooth$1,0760%$1,076
Sealant - Placed on Tooth Surface to Prevent Decay$630%$63
Tooth Extraction - Elevation and/or Forceps Removal$3150%$315
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$370%$37
X-Ray - Complete Intraoral Series$1840%$184
X-Ray - Four Images, Bitewings$950%$95
X-Ray - Intraoral, Periapical Radiographic Image$440%$44
X-Ray - Two Images, Bitewings$630%$63
X-Ray - Whole Mouth from Outside Mouth$1840%$184