Capitol Center For Oral & Maxillofacial Surgery
6 Loudon Road #204 Concord, NH 03458
Dental Procedures
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $108 | 0% | $108 | Medium |
| Periodic dental exam - established patient | $108 | 0% | $108 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $108 | 0% | $108 | Medium |
| X-Ray Dental - Whole mouth, from outside mouth | $153 | 0% | $153 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Tooth Extraction (Elevation and/or forceps removal) | $218 | 0% | $218 | Medium |