Evelyn M Bryan, DMD

765 South Main Street, Suite 202 Manchester, NH 03102
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$1000%$100 Medium
Dental Cleaning - Child$820%$82 Medium
Dental Exam - Comprehensive$1030%$103 Medium
Dental Exam - Periodic, Established Patient$470%$47 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1840%$184 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3100%$310 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2310%$231 Medium
Dental Filling - White (Resin): One Surface, Anterior$1630%$163 Medium
Dental Filling - White (Resin): One Surface, Posterior$1840%$184 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3100%$310 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$1960%$196 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2310%$231 Medium
Flouride - Topical Varnish Application$400%$40 Medium
Fluoride - Topical Application$370%$37 Medium
Maintenance Therapy - Periodontal$1260%$126 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2310%$231 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$950%$95 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$560%$56 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$260%$26 Medium
X-Ray - Complete Intraoral Series$1430%$143 Medium
X-Ray - Four Images, Bitewings$710%$71 Medium
X-Ray - Intraoral, Periapical Radiographic Image$320%$32 Medium
X-Ray - Two Images, Bitewings$500%$50 Medium