Capstone Dental Center

71 State Route 101a, Unit 7 Amherst, NH 03031
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$121N/A$121
Dental Cleaning - Child$89N/A$89
Dental Exam - Comprehensive$104N/A$104
Dental Exam - Periodic, Established Patient$50N/A$50
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$215N/A$215
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$366N/A$366
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$284N/A$284
Dental Filling - White (Resin): One Surface, Anterior$187N/A$187
Dental Filling - White (Resin): One Surface, Posterior$215N/A$215
Dental Filling - White (Resin): Three Surfaces, Posterior$366N/A$366
Dental Filling - White (Resin): Two Surfaces, Anterior$231N/A$231
Dental Filling - White (Resin): Two Surfaces, Posterior$284N/A$284
Flouride - Topical Varnish Application$54N/A$54
Fluoride - Topical Application$54N/A$54
Maintenance Therapy - Periodontal$166N/A$166
Oral Hygiene Instructions$41N/A$41
Orthodontic Treatment - Periodic Visit, Part of a Contract$175N/A$175
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$295N/A$295
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$96N/A$96
Sealant - Placed on Tooth Surface to Prevent Decay$58N/A$58
Tooth Extraction - Elevation and/or Forceps Removal$238N/A$238
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$27N/A$27
X-Ray - Complete Intraoral Series$150N/A$150
X-Ray - Four Images, Bitewings$72N/A$72
X-Ray - Intraoral, Periapical Radiographic Image$35N/A$35
X-Ray - Two Images, Bitewings$51N/A$51
X-Ray - Whole Mouth from Outside Mouth$150N/A$150