Collins Dentistry For Children

100 Bridge Street Pelham, NH 03076
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1550%$155 Medium
Dental Cleaning - Child$840%$84 Medium
Dental Exam - Comprehensive$1040%$104 Medium
Dental Exam - Periodic, Established Patient$500%$50 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2080%$208 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3260%$326 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2610%$261 Medium
Dental Filling - White (Resin): One Surface, Anterior$1670%$167 Medium
Dental Filling - White (Resin): One Surface, Posterior$1860%$186 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3390%$339 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2050%$205 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2610%$261 Medium
Flouride - Topical Varnish Application$480%$48 Medium
Fluoride - Topical Application$440%$44 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$890%$89 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$580%$58 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1850%$185 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$270%$27 Medium
X-Ray - Complete Intraoral Series$1910%$191 Medium
X-Ray - Four Images, Bitewings$810%$81 Medium
X-Ray - Intraoral, Periapical Radiographic Image$340%$34 Medium
X-Ray - Two Images, Bitewings$510%$51 Medium
X-Ray - Whole Mouth from Outside Mouth$1300%$130 Medium