Coastal Dental Associates

2837 Lafayette Road Portsmouth, NH 03801
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$109N/A$109
Dental Cleaning - Child$89N/A$89
Dental Exam - Comprehensive$104N/A$104
Dental Exam - Periodic, Established Patient$59N/A$59
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$203N/A$203
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$353N/A$353
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$275N/A$275
Dental Filling - White (Resin): One Surface, Anterior$202N/A$202
Dental Filling - White (Resin): One Surface, Posterior$218N/A$218
Dental Filling - White (Resin): Three Surfaces, Posterior$374N/A$374
Dental Filling - White (Resin): Two Surfaces, Anterior$243N/A$243
Dental Filling - White (Resin): Two Surfaces, Posterior$276N/A$276
Flouride - Topical Varnish Application$51N/A$51
Fluoride - Topical Application$44N/A$44
Maintenance Therapy - Periodontal$166N/A$166
Oral Hygiene Instructions$44N/A$44
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$298N/A$298
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$92N/A$92
Root Canal - Bicuspid Tooth$1,059N/A$1,059
Sealant - Placed on Tooth Surface to Prevent Decay$66N/A$66
Tooth Extraction - Elevation and/or Forceps Removal$214N/A$214
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$30N/A$30
X-Ray - Complete Intraoral Series$161N/A$161
X-Ray - Four Images, Bitewings$79N/A$79
X-Ray - Intraoral, Periapical Radiographic Image$38N/A$38
X-Ray - Two Images, Bitewings$57N/A$57
X-Ray - Whole Mouth from Outside Mouth$147N/A$147