Carl Manikian, DMD
69 Hunt Road East Hampstead, NH 03826
Dental Procedures
| Procedure | Estimate of Total Cost | Number of Visits | What You Will Pay Uninsured Discount: 0% |
|---|---|---|---|
| Dental Cleaning - Adult | $126 | N/A | $126 |
| Dental Cleaning - Child | $123 | N/A | $123 |
| Dental Exam - Comprehensive | $116 | N/A | $116 |
| Dental Exam - Periodic, Established Patient | $68 | N/A | $68 |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $200 | N/A | $200 |
| Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent | $326 | N/A | $326 |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $242 | N/A | $242 |
| Dental Filling - White (Resin): One Surface, Anterior | $315 | N/A | $315 |
| Dental Filling - White (Resin): One Surface, Posterior | $399 | N/A | $399 |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $484 | N/A | $484 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $483 | N/A | $483 |
| Fluoride - Topical Application | $63 | N/A | $63 |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $630 | N/A | $630 |
| Tooth Extraction - Elevation and/or Forceps Removal | $368 | N/A | $368 |
| X-Ray - Two Images, Bitewings | $74 | N/A | $74 |