Ernani S Domingo, DMD

33 Bay Street Manchester, NH 03104
Dental Procedures
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My Health Insurance:

  • I do not have dental insurance
ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$132N/A$132
Dental Cleaning - Child$103N/A$103
Dental Exam - Comprehensive$118N/A$118
Dental Exam - Periodic, Established Patient$61N/A$61
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$308N/A$308
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$424N/A$424
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$410N/A$410
Dental Filling - White (Resin): One Surface, Anterior$197N/A$197
Dental Filling - White (Resin): One Surface, Posterior$308N/A$308
Dental Filling - White (Resin): Three Surfaces, Posterior$424N/A$424
Dental Filling - White (Resin): Two Surfaces, Anterior$254N/A$254
Dental Filling - White (Resin): Two Surfaces, Posterior$410N/A$410
Flouride - Topical Varnish Application$55N/A$55
Fluoride - Topical Application$55N/A$55
Maintenance Therapy - Periodontal$168N/A$168
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$317N/A$317
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$114N/A$114
Sealant - Placed on Tooth Surface to Prevent Decay$65N/A$65
Tooth Extraction - Elevation and/or Forceps Removal$214N/A$214
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$40N/A$40
X-Ray - Complete Intraoral Series$171N/A$171
X-Ray - Four Images, Bitewings$84N/A$84
X-Ray - Intraoral, Periapical Radiographic Image$42N/A$42
X-Ray - Two Images, Bitewings$66N/A$66
X-Ray - Whole Mouth from Outside Mouth$159N/A$159