Chestnut Family Dental

745 Chestnut Street Manchester, NH 03104
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$1250%$125 Medium
Dental Cleaning - Child$990%$99 Medium
Dental Exam - Comprehensive$1300%$130 Medium
Dental Exam - Periodic, Established Patient$700%$70 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2810%$281 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$4150%$415 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$3570%$357 Medium
Dental Filling - White (Resin): One Surface, Anterior$2400%$240 Medium
Dental Filling - White (Resin): One Surface, Posterior$2810%$281 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3840%$384 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2820%$282 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3570%$357 Medium
Flouride - Topical Varnish Application$600%$60 Medium
Maintenance Therapy - Periodontal$1880%$188 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3530%$353 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1040%$104 Medium
Root Canal - Anterior Tooth$1,1550%$1,155 Medium
Root Canal - Bicuspid Tooth$1,2760%$1,276 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$760%$76 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2630%$263 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$380%$38 Medium
X-Ray - Complete Intraoral Series$1840%$184 Medium
X-Ray - Four Images, Bitewings$890%$89 Medium
X-Ray - Intraoral, Periapical Radiographic Image$400%$40 Medium
X-Ray - Two Images, Bitewings$860%$86 Medium
X-Ray - Whole Mouth from Outside Mouth$1630%$163 Medium