Dibona Dental Group

19 Hampton Road Exeter, NH 03833
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$112N/A$112
Dental Cleaning - Child$87N/A$87
Dental Exam - Comprehensive$91N/A$91
Dental Exam - Periodic, Established Patient$56N/A$56
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$201N/A$201
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$342N/A$342
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$263N/A$263
Dental Filling - White (Resin): One Surface, Anterior$169N/A$169
Dental Filling - White (Resin): One Surface, Posterior$201N/A$201
Dental Filling - White (Resin): Three Surfaces, Posterior$342N/A$342
Dental Filling - White (Resin): Two Surfaces, Anterior$203N/A$203
Dental Filling - White (Resin): Two Surfaces, Posterior$263N/A$263
Flouride - Topical Varnish Application$45N/A$45
Maintenance Therapy - Periodontal$151N/A$151
Oral Hygiene Instructions$56N/A$56
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$289N/A$289
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$85N/A$85
Root Canal - Anterior Tooth$742N/A$742
Root Canal - Bicuspid Tooth$899N/A$899
Sealant - Placed on Tooth Surface to Prevent Decay$61N/A$61
Tooth Extraction - Elevation and/or Forceps Removal$186N/A$186
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$27N/A$27
X-Ray - Complete Intraoral Series$148N/A$148
X-Ray - Four Images, Bitewings$75N/A$75
X-Ray - Intraoral, Periapical Radiographic Image$32N/A$32
X-Ray - Two Images, Bitewings$55N/A$55
X-Ray - Whole Mouth from Outside Mouth$137N/A$137