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$920%$92 Medium
Dental Cleaning - Child$670%$67 Medium
Dental Exam - Comprehensive$860%$86 Medium
Dental Exam - Periodic, Established Patient$460%$46 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1560%$156 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2060%$206 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1760%$176 Medium
Dental Filling - White (Resin): One Surface, Anterior$1600%$160 Medium
Dental Filling - White (Resin): One Surface, Posterior$1720%$172 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4280%$428 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$1830%$183 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2020%$202 Medium
Fluoride - Topical Application$420%$42 Medium
Maintenance Therapy - Periodontal$2060%$206 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$840%$84 Medium
Root Canal - Anterior Tooth$9400%$940 Medium
Root Canal - Bicuspid Tooth$1,0030%$1,003 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$480%$48 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1890%$189 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$280%$28 Medium
X-Ray - Complete Intraoral Series$1260%$126 Medium
X-Ray - Four Images, Bitewings$610%$61 Medium
X-Ray - Intraoral, Periapical Radiographic Image$320%$32 Medium
X-Ray - Two Images, Bitewings$480%$48 Medium
X-Ray - Whole Mouth from Outside Mouth$1280%$128 Medium