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 Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$107N/A$107
Dental Cleaning - Child$86N/A$86
Dental Exam - Comprehensive$103N/A$103
Dental Exam - Periodic, Established Patient$50N/A$50
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$198N/A$198
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$347N/A$347
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$282N/A$282
Dental Filling - White (Resin): One Surface, Anterior$184N/A$184
Dental Filling - White (Resin): One Surface, Posterior$198N/A$198
Dental Filling - White (Resin): Three Surfaces, Posterior$347N/A$347
Dental Filling - White (Resin): Two Surfaces, Anterior$215N/A$215
Dental Filling - White (Resin): Two Surfaces, Posterior$282N/A$282
Flouride - Topical Varnish Application$40N/A$40
Fluoride - Topical Application$37N/A$37
Maintenance Therapy - Periodontal$147N/A$147
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$273N/A$273
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$95N/A$95
Sealant - Placed on Tooth Surface to Prevent Decay$56N/A$56
Tooth Extraction - Elevation and/or Forceps Removal$194N/A$194
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$28N/A$28
X-Ray - Complete Intraoral Series$156N/A$156
X-Ray - Four Images, Bitewings$71N/A$71
X-Ray - Intraoral, Periapical Radiographic Image$37N/A$37
X-Ray - Two Images, Bitewings$50N/A$50