Carl Manikian, DMD
69 Hunt Road East Hampstead, NH 03826
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $126 | 0% | $126 | Medium |
| Child Dental Cleaning | $105 | 0% | $105 | Medium |
| Fluoride - Topical Application | $63 | 0% | $63 | Medium |
| Sealant placed on the tooth surface to prevent decay | $74 | 0% | $74 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $116 | 0% | $116 | Medium |
| Periodic dental exam - established patient | $68 | 0% | $68 | Medium |
| X-Ray Dental - Two images - bitewings | $74 | 0% | $74 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - One surface, primary or permanent | $399 | 0% | $399 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $483 | 0% | $483 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $578 | 0% | $578 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $399 | 0% | $399 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $483 | 0% | $483 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $315 | 0% | $315 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $289 | 0% | $289 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $389 | 0% | $389 | 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) | $368 | 0% | $368 | Medium |