Dover Pediatric Dentistry & Orthodontics

750 Central Avenue Dover, NH 03820
Dental Procedures
Cancel
Edit My Insurance Details

My Health Insurance:

  • I do not have dental insurance
ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1250%$125 Medium
Dental Cleaning - Child$1010%$101 Medium
Dental Exam - Comprehensive$1080%$108 Medium
Dental Exam - Periodic, Established Patient$590%$59 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2260%$226 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3370%$337 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$3050%$305 Medium
Dental Filling - White (Resin): One Surface, Anterior$1960%$196 Medium
Dental Filling - White (Resin): One Surface, Posterior$2260%$226 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4080%$408 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2400%$240 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3140%$314 Medium
Fluoride - Topical Application$510%$51 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1060%$106 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$690%$69 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2180%$218 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$330%$33 Medium
X-Ray - Complete Intraoral Series$2260%$226 Medium
X-Ray - Four Images, Bitewings$840%$84 Medium
X-Ray - Intraoral, Periapical Radiographic Image$400%$40 Medium
X-Ray - Two Images, Bitewings$610%$61 Medium
X-Ray - Whole Mouth from Outside Mouth$1530%$153 Medium