Concord Family Dentistry

2 Pillsubury Street, Suite 301 Concord, NH 03301
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1290%$129 Medium
Dental Cleaning - Child$1050%$105 Medium
Dental Exam - Comprehensive$1290%$129 Medium
Dental Exam - Periodic, Established Patient$660%$66 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2520%$252 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$4150%$415 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$3390%$339 Medium
Dental Filling - White (Resin): One Surface, Anterior$2310%$231 Medium
Dental Filling - White (Resin): One Surface, Posterior$2520%$252 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4150%$415 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2820%$282 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3390%$339 Medium
Flouride - Topical Varnish Application$570%$57 Medium
Maintenance Therapy - Periodontal$1890%$189 Medium
Orthodontic Treatment - Periodic Visit, Part of a Contract$930%$93 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3550%$355 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1130%$113 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$760%$76 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2570%$257 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$380%$38 Medium
X-Ray - Complete Intraoral Series$1890%$189 Medium
X-Ray - Four Images, Bitewings$1080%$108 Medium
X-Ray - Intraoral, Periapical Radiographic Image$450%$45 Medium
X-Ray - Two Images, Bitewings$670%$67 Medium
X-Ray - Whole Mouth from Outside Mouth$1580%$158 Medium