Charles D. White, DMD

29 Island Pond Road Atkinson, NH 03811
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1130%$113 Medium
Dental Cleaning - Child$1130%$113 Medium
Dental Exam - Comprehensive$1200%$120 Medium
Dental Exam - Periodic, Established Patient$400%$40 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2050%$205 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3260%$326 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2650%$265 Medium
Dental Filling - White (Resin): One Surface, Anterior$2120%$212 Medium
Dental Filling - White (Resin): One Surface, Posterior$2330%$233 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3420%$342 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2160%$216 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2450%$245 Medium
Flouride - Topical Varnish Application$590%$59 Medium
Fluoride - Topical Application$480%$48 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$680%$68 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$800%$80 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2600%$260 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$390%$39 Medium
X-Ray - Complete Intraoral Series$1440%$144 Medium
X-Ray - Four Images, Bitewings$920%$92 Medium
X-Ray - Intraoral, Periapical Radiographic Image$390%$39 Medium
X-Ray - Two Images, Bitewings$590%$59 Medium