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
Dental Cleaning - Adult$950%$95
Dental Cleaning - Child$680%$68
Dental Exam - Comprehensive$900%$90
Dental Exam - Periodic, Established Patient$480%$48
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1600%$160
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2140%$214
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1790%$179
Dental Filling - White (Resin): One Surface, Anterior$1620%$162
Dental Filling - White (Resin): One Surface, Posterior$1740%$174
Dental Filling - White (Resin): Three Surfaces, Posterior$4370%$437
Dental Filling - White (Resin): Two Surfaces, Anterior$1850%$185
Dental Filling - White (Resin): Two Surfaces, Posterior$2040%$204
Flouride - Topical Varnish Application$420%$42
Fluoride - Topical Application$420%$42
Maintenance Therapy - Periodontal$2310%$231
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2050%$205
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$860%$86
Root Canal - Bicuspid Tooth$1,0340%$1,034
Root Canal - Molar$1,2080%$1,208
Sealant - Placed on Tooth Surface to Prevent Decay$500%$50
Tooth Extraction - Elevation and/or Forceps Removal$2050%$205
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$270%$27
X-Ray - Complete Intraoral Series$1300%$130
X-Ray - Four Images, Bitewings$650%$65
X-Ray - Intraoral, Periapical Radiographic Image$340%$34
X-Ray - Two Images, Bitewings$500%$50
X-Ray - Whole Mouth from Outside Mouth$1390%$139