Chestnut Family Dental

745 Chestnut Street Manchester, NH 03104
Dental Procedures
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My Health Insurance:

  • I do not have dental insurance
ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$134N/A$134
Dental Cleaning - Child$99N/A$99
Dental Exam - Comprehensive$130N/A$130
Dental Exam - Periodic, Established Patient$70N/A$70
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$281N/A$281
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$415N/A$415
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$357N/A$357
Dental Filling - White (Resin): One Surface, Anterior$252N/A$252
Dental Filling - White (Resin): One Surface, Posterior$281N/A$281
Dental Filling - White (Resin): Three Surfaces, Posterior$415N/A$415
Dental Filling - White (Resin): Two Surfaces, Anterior$310N/A$310
Dental Filling - White (Resin): Two Surfaces, Posterior$357N/A$357
Flouride - Topical Varnish Application$60N/A$60
Maintenance Therapy - Periodontal$194N/A$194
Oral Hygiene Instructions$74N/A$74
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$372N/A$372
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$111N/A$111
Root Canal - Bicuspid Tooth$1,276N/A$1,276
Sealant - Placed on Tooth Surface to Prevent Decay$76N/A$76
Tooth Extraction - Elevation and/or Forceps Removal$263N/A$263
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$38N/A$38
X-Ray - Complete Intraoral Series$189N/A$189
X-Ray - Four Images, Bitewings$89N/A$89
X-Ray - Intraoral, Periapical Radiographic Image$42N/A$42
X-Ray - Two Images, Bitewings$70N/A$70
X-Ray - Whole Mouth from Outside Mouth$165N/A$165