Derry Dental Associates

7 Peabody Road Derry, NH 03038
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1190%$119
Dental Cleaning - Child$1200%$120
Dental Exam - Comprehensive$1200%$120
Dental Exam - Periodic, Established Patient$690%$69
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2190%$219
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3420%$342
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2800%$280
Dental Filling - White (Resin): One Surface, Anterior$2050%$205
Dental Filling - White (Resin): One Surface, Posterior$2330%$233
Dental Filling - White (Resin): Three Surfaces, Posterior$3420%$342
Dental Filling - White (Resin): Two Surfaces, Anterior$2490%$249
Dental Filling - White (Resin): Two Surfaces, Posterior$2800%$280
Fluoride - Topical Application$470%$47
Maintenance Therapy - Periodontal$1730%$173
Orthodontic Treatment - Periodic Visit, Part of a Contract$300%$30
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3030%$303
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$890%$89
Root Canal - Anterior Tooth$8770%$877
Root Canal - Bicuspid Tooth$1,5410%$1,541
Root Canal - Molar$1,7850%$1,785
Sealant - Placed on Tooth Surface to Prevent Decay$800%$80
Tooth Extraction - Elevation and/or Forceps Removal$2600%$260
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$280%$28
X-Ray - Complete Intraoral Series$1880%$188
X-Ray - Four Images, Bitewings$760%$76
X-Ray - Intraoral, Periapical Radiographic Image$380%$38
X-Ray - Two Images, Bitewings$760%$76
X-Ray - Whole Mouth from Outside Mouth$1370%$137