Coastal Dental Associates

2837 Lafayette Road Portsmouth, NH 03801
Dental Procedures
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My Health Insurance:

  • I do not have dental insurance
ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1090%$109
Dental Cleaning - Child$890%$89
Dental Exam - Comprehensive$1040%$104
Dental Exam - Periodic, Established Patient$590%$59
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2160%$216
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3740%$374
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2760%$276
Dental Filling - White (Resin): One Surface, Anterior$2020%$202
Dental Filling - White (Resin): One Surface, Posterior$2180%$218
Dental Filling - White (Resin): Three Surfaces, Posterior$3740%$374
Dental Filling - White (Resin): Two Surfaces, Anterior$2430%$243
Dental Filling - White (Resin): Two Surfaces, Posterior$2760%$276
Flouride - Topical Varnish Application$510%$51
Fluoride - Topical Application$440%$44
Maintenance Therapy - Periodontal$1660%$166
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2980%$298
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$920%$92
Root Canal - Anterior Tooth$9330%$933
Root Canal - Bicuspid Tooth$1,0590%$1,059
Sealant - Placed on Tooth Surface to Prevent Decay$660%$66
Tooth Extraction - Elevation and/or Forceps Removal$2140%$214
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$300%$30
X-Ray - Complete Intraoral Series$1590%$159
X-Ray - Four Images, Bitewings$790%$79
X-Ray - Intraoral, Periapical Radiographic Image$380%$38
X-Ray - Two Images, Bitewings$570%$57
X-Ray - Whole Mouth from Outside Mouth$1470%$147