Concord Hospital Family Health Center Dental Clinic

250 Pleasant Street 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$1270%$127 Medium
Dental Cleaning - Child$1010%$101 Medium
Dental Exam - Comprehensive$1180%$118 Medium
Dental Exam - Periodic, Established Patient$620%$62 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2150%$215 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3840%$384 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2880%$288 Medium
Dental Filling - White (Resin): One Surface, Anterior$2040%$204 Medium
Dental Filling - White (Resin): One Surface, Posterior$2160%$216 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3920%$392 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2470%$247 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2930%$293 Medium
Flouride - Topical Varnish Application$670%$67 Medium
Fluoride - Topical Application$510%$51 Medium
Orthodontic Treatment - Periodic Visit, Part of a Contract$680%$68 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1090%$109 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$700%$70 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2090%$209 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$330%$33 Medium
X-Ray - Complete Intraoral Series$2890%$289 Medium
X-Ray - Four Images, Bitewings$870%$87 Medium
X-Ray - Intraoral, Periapical Radiographic Image$400%$40 Medium
X-Ray - Two Images, Bitewings$630%$63 Medium
X-Ray - Whole Mouth from Outside Mouth$1560%$156 Medium