Exceptional Dentistry

1 Stiles Road, Suite 102 Salem, NH 03079
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1210%$121
Dental Cleaning - Child$1060%$106
Dental Exam - Comprehensive$1000%$100
Dental Exam - Periodic, Established Patient$580%$58
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2120%$212
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3180%$318
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2770%$277
Dental Filling - White (Resin): One Surface, Anterior$1700%$170
Dental Filling - White (Resin): One Surface, Posterior$2120%$212
Dental Filling - White (Resin): Three Surfaces, Posterior$3180%$318
Dental Filling - White (Resin): Two Surfaces, Anterior$2170%$217
Dental Filling - White (Resin): Two Surfaces, Posterior$2770%$277
Flouride - Topical Varnish Application$640%$64
Maintenance Therapy - Periodontal$1810%$181
Orthodontic Treatment - Periodic Visit, Part of a Contract$680%$68
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$5650%$565
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$960%$96
Root Canal - Anterior Tooth$1,4790%$1,479
Root Canal - Bicuspid Tooth$1,1770%$1,177
Root Canal - Molar$1,4910%$1,491
Tooth Extraction - Elevation and/or Forceps Removal$2130%$213
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$330%$33
X-Ray - Complete Intraoral Series$1980%$198
X-Ray - Four Images, Bitewings$770%$77
X-Ray - Intraoral, Periapical Radiographic Image$380%$38
X-Ray - Whole Mouth from Outside Mouth$2920%$292