Concord Hospital Family Health Center Dental Clinic

250 Pleasant Street Concord, NH 03301
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$130N/A$130
Dental Cleaning - Child$103N/A$103
Dental Exam - Comprehensive$121N/A$121
Dental Exam - Periodic, Established Patient$64N/A$64
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$226N/A$226
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$408N/A$408
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$314N/A$314
Dental Filling - White (Resin): One Surface, Anterior$226N/A$226
Dental Filling - White (Resin): One Surface, Posterior$226N/A$226
Dental Filling - White (Resin): Three Surfaces, Posterior$408N/A$408
Dental Filling - White (Resin): Two Surfaces, Anterior$314N/A$314
Dental Filling - White (Resin): Two Surfaces, Posterior$314N/A$314
Flouride - Topical Varnish Application$68N/A$68
Fluoride - Topical Application$51N/A$51
Orthodontic Treatment - Periodic Visit, Part of a Contract$69N/A$69
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$111N/A$111
Sealant - Placed on Tooth Surface to Prevent Decay$71N/A$71
Tooth Extraction - Elevation and/or Forceps Removal$218N/A$218
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$34N/A$34
X-Ray - Complete Intraoral Series$216N/A$216
X-Ray - Four Images, Bitewings$89N/A$89
X-Ray - Intraoral, Periapical Radiographic Image$41N/A$41
X-Ray - Two Images, Bitewings$64N/A$64
X-Ray - Whole Mouth from Outside Mouth$159N/A$159