Clark & Leighton Dentistry

102 Ponemah Road Amherst, NH 03031
Dental Procedures
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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$1680%$168 Medium
Dental Exam - Comprehensive$1190%$119 Medium
Dental Exam - Periodic, Established Patient$620%$62 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1860%$186 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2760%$276 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2330%$233 Medium
Dental Filling - White (Resin): One Surface, Anterior$2070%$207 Medium
Dental Filling - White (Resin): One Surface, Posterior$2220%$222 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$6950%$695 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2500%$250 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2820%$282 Medium
Flouride - Topical Varnish Application$470%$47 Medium
Maintenance Therapy - Periodontal$1760%$176 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3170%$317 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$930%$93 Medium
Root Canal - Bicuspid Tooth$1,1030%$1,103 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$630%$63 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2340%$234 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$300%$30 Medium
X-Ray - Complete Intraoral Series$1660%$166 Medium
X-Ray - Four Images, Bitewings$830%$83 Medium
X-Ray - Intraoral, Periapical Radiographic Image$370%$37 Medium
X-Ray - Two Images, Bitewings$590%$59 Medium
X-Ray - Whole Mouth from Outside Mouth$1450%$145 Medium