Dental Health Works of Cheshire County

69 Island Street, Suite 2 Keene, NH 03431
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$950%$95 Medium
Dental Cleaning - Child$680%$68 Medium
Dental Exam - Comprehensive$900%$90 Medium
Dental Exam - Periodic, Established Patient$480%$48 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1600%$160 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2140%$214 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1790%$179 Medium
Dental Filling - White (Resin): One Surface, Anterior$1620%$162 Medium
Dental Filling - White (Resin): One Surface, Posterior$1740%$174 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4370%$437 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$1850%$185 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2040%$204 Medium
Flouride - Topical Varnish Application$420%$42 Medium
Fluoride - Topical Application$420%$42 Medium
Maintenance Therapy - Periodontal$2180%$218 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2050%$205 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$860%$86 Medium
Root Canal - Bicuspid Tooth$1,5040%$1,504 Medium
Root Canal - Molar$1,2080%$1,208 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$500%$50 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1890%$189 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$320%$32 Medium
X-Ray - Complete Intraoral Series$1300%$130 Medium
X-Ray - Four Images, Bitewings$650%$65 Medium
X-Ray - Intraoral, Periapical Radiographic Image$340%$34 Medium
X-Ray - Two Images, Bitewings$500%$50 Medium
X-Ray - Whole Mouth from Outside Mouth$1390%$139 Medium