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 Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1270%$127 Medium
Dental Cleaning - Child$990%$99 Medium
Dental Exam - Comprehensive$1130%$113 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$4120%$412 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2870%$287 Medium
Dental Filling - White (Resin): One Surface, Anterior$2150%$215 Medium
Dental Filling - White (Resin): One Surface, Posterior$2260%$226 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4120%$412 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2470%$247 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3980%$398 Medium
Fluoride - Topical Application$530%$53 Medium
Maintenance Therapy - Periodontal$1630%$163 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2960%$296 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1100%$110 Medium
Root Canal - Anterior Tooth$8950%$895 Medium
Root Canal - Bicuspid Tooth$1,0050%$1,005 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$630%$63 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2030%$203 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$370%$37 Medium
X-Ray - Complete Intraoral Series$1650%$165 Medium
X-Ray - Four Images, Bitewings$810%$81 Medium
X-Ray - Intraoral, Periapical Radiographic Image$390%$39 Medium
X-Ray - Two Images, Bitewings$640%$64 Medium
X-Ray - Whole Mouth from Outside Mouth$1460%$146 Medium