Children's Dentistry of Cocheco Valley

750 Central Avenue Dover, NH 03820
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1030%$103 Medium
Dental Cleaning - Child$870%$87 Medium
Dental Exam - Comprehensive$1050%$105 Medium
Dental Exam - Periodic, Established Patient$530%$53 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1790%$179 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3310%$331 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2470%$247 Medium
Dental Filling - White (Resin): One Surface, Anterior$2440%$244 Medium
Dental Filling - White (Resin): One Surface, Posterior$1790%$179 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3310%$331 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2470%$247 Medium
Fluoride - Topical Application$390%$39 Medium
Orthodontic Treatment - Periodic Visit, Part of a Contract$510%$51 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$740%$74 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$630%$63 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1580%$158 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$260%$26 Medium
X-Ray - Complete Intraoral Series$1910%$191 Medium
X-Ray - Four Images, Bitewings$680%$68 Medium
X-Ray - Intraoral, Periapical Radiographic Image$320%$32 Medium
X-Ray - Two Images, Bitewings$490%$49 Medium
X-Ray - Whole Mouth from Outside Mouth$1420%$142 Medium