Coastal Dental Associates

2837 Lafayette Road Portsmouth, NH 03801
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1080%$108 Medium
Dental Cleaning - Child$870%$87 Medium
Dental Exam - Comprehensive$900%$90 Medium
Dental Exam - Periodic, Established Patient$530%$53 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2180%$218 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3410%$341 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2760%$276 Medium
Dental Filling - White (Resin): One Surface, Anterior$2000%$200 Medium
Dental Filling - White (Resin): One Surface, Posterior$2180%$218 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3420%$342 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2420%$242 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2760%$276 Medium
Flouride - Topical Varnish Application$460%$46 Medium
Fluoride - Topical Application$430%$43 Medium
Maintenance Therapy - Periodontal$1660%$166 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2860%$286 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$880%$88 Medium
Root Canal - Bicuspid Tooth$1,0100%$1,010 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$640%$64 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2090%$209 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$300%$30 Medium
X-Ray - Complete Intraoral Series$1590%$159 Medium
X-Ray - Four Images, Bitewings$710%$71 Medium
X-Ray - Intraoral, Periapical Radiographic Image$360%$36 Medium
X-Ray - Two Images, Bitewings$560%$56 Medium
X-Ray - Whole Mouth from Outside Mouth$1470%$147 Medium