Dover Dental Associates

2 Ridge Street Dover, NH 03820
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1240%$124
Dental Cleaning - Child$1110%$111
Dental Exam - Comprehensive$970%$97
Dental Exam - Periodic, Established Patient$540%$54
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2150%$215
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3610%$361
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2920%$292
Dental Filling - White (Resin): One Surface, Anterior$1970%$197
Dental Filling - White (Resin): One Surface, Posterior$2150%$215
Dental Filling - White (Resin): Three Surfaces, Posterior$3610%$361
Dental Filling - White (Resin): Two Surfaces, Anterior$2720%$272
Dental Filling - White (Resin): Two Surfaces, Posterior$2920%$292
Flouride - Topical Varnish Application$450%$45
Fluoride - Topical Application$450%$45
Maintenance Therapy - Periodontal$1840%$184
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2990%$299
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$970%$97
Root Canal - Anterior Tooth$8700%$870
Root Canal - Bicuspid Tooth$1,0490%$1,049
Root Canal - Molar$1,3780%$1,378
Sealant - Placed on Tooth Surface to Prevent Decay$560%$56
Tooth Extraction - Elevation and/or Forceps Removal$2150%$215
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$400%$40
X-Ray - Complete Intraoral Series$1850%$185
X-Ray - Four Images, Bitewings$970%$97
X-Ray - Intraoral, Periapical Radiographic Image$420%$42
X-Ray - Two Images, Bitewings$970%$97
X-Ray - Whole Mouth from Outside Mouth$1310%$131