Exceptional Dentistry

1 Stiles Road, Suite 102 Salem, NH 03079
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$121N/A$121
Dental Cleaning - Child$90N/A$90
Dental Exam - Comprehensive$100N/A$100
Dental Exam - Periodic, Established Patient$58N/A$58
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$212N/A$212
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$318N/A$318
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$277N/A$277
Dental Filling - White (Resin): One Surface, Anterior$170N/A$170
Dental Filling - White (Resin): One Surface, Posterior$212N/A$212
Dental Filling - White (Resin): Three Surfaces, Posterior$318N/A$318
Dental Filling - White (Resin): Two Surfaces, Anterior$326N/A$326
Dental Filling - White (Resin): Two Surfaces, Posterior$277N/A$277
Flouride - Topical Varnish Application$64N/A$64
Maintenance Therapy - Periodontal$181N/A$181
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$565N/A$565
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$96N/A$96
Root Canal - Anterior Tooth$986N/A$986
Root Canal - Bicuspid Tooth$1,177N/A$1,177
Root Canal - Molar$1,491N/A$1,491
Tooth Extraction - Elevation and/or Forceps Removal$213N/A$213
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$33N/A$33
X-Ray - Complete Intraoral Series$198N/A$198
X-Ray - Four Images, Bitewings$77N/A$77
X-Ray - Intraoral, Periapical Radiographic Image$38N/A$38
X-Ray - Whole Mouth from Outside Mouth$292N/A$292