Coos County Family Health Services

33 Pleasant Street Berlin, NH 03570
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$105N/A$105
Dental Cleaning - Child$74N/A$74
Dental Exam - Comprehensive$89N/A$89
Dental Exam - Periodic, Established Patient$50N/A$50
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$179N/A$179
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$320N/A$320
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$263N/A$263
Dental Filling - White (Resin): One Surface, Anterior$163N/A$163
Dental Filling - White (Resin): One Surface, Posterior$179N/A$179
Dental Filling - White (Resin): Three Surfaces, Posterior$320N/A$320
Dental Filling - White (Resin): Two Surfaces, Anterior$208N/A$208
Dental Filling - White (Resin): Two Surfaces, Posterior$263N/A$263
Flouride - Topical Varnish Application$42N/A$42
Fluoride - Topical Application$69N/A$69
Maintenance Therapy - Periodontal$142N/A$142
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$252N/A$252
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$90N/A$90
Sealant - Placed on Tooth Surface to Prevent Decay$55N/A$55
Tooth Extraction - Elevation and/or Forceps Removal$181N/A$181
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$26N/A$26
X-Ray - Complete Intraoral Series$203N/A$203
X-Ray - Four Images, Bitewings$76N/A$76
X-Ray - Intraoral, Periapical Radiographic Image$38N/A$38
X-Ray - Two Images, Bitewings$48N/A$48
X-Ray - Whole Mouth from Outside Mouth$127N/A$127