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
Dental Cleaning - Adult$1340%$134
Dental Cleaning - Child$990%$99
Dental Exam - Comprehensive$1300%$130
Dental Exam - Periodic, Established Patient$700%$70
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2810%$281
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$4150%$415
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$3570%$357
Dental Filling - White (Resin): One Surface, Anterior$2520%$252
Dental Filling - White (Resin): One Surface, Posterior$2810%$281
Dental Filling - White (Resin): Three Surfaces, Posterior$4150%$415
Dental Filling - White (Resin): Two Surfaces, Anterior$3100%$310
Dental Filling - White (Resin): Two Surfaces, Posterior$3570%$357
Flouride - Topical Varnish Application$600%$60
Maintenance Therapy - Periodontal$1940%$194
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3720%$372
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1110%$111
Root Canal - Anterior Tooth$1,1550%$1,155
Root Canal - Bicuspid Tooth$1,2760%$1,276
Sealant - Placed on Tooth Surface to Prevent Decay$760%$76
Tooth Extraction - Elevation and/or Forceps Removal$2630%$263
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$380%$38
X-Ray - Complete Intraoral Series$1840%$184
X-Ray - Four Images, Bitewings$890%$89
X-Ray - Intraoral, Periapical Radiographic Image$420%$42
X-Ray - Two Images, Bitewings$860%$86
X-Ray - Whole Mouth from Outside Mouth$1630%$163