Exeter Family Dental
193 High Street Exeter, NH 03833
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $172 | 0% | $172 | Medium |
| Child Dental Cleaning | $137 | 0% | $137 | Medium |
| Sealant placed on the tooth surface to prevent decay | $99 | 0% | $99 | Medium |
| Topical fluoride varnish application | $69 | 0% | $69 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $118 | 0% | $118 | Medium |
| Periodic dental exam - established patient | $103 | 0% | $103 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $120 | 0% | $120 | Medium |
| X-Ray Dental - Complete intraoral series | $242 | 0% | $242 | Medium |
| X-Ray Dental - Four images - bitewings | $116 | 0% | $116 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $65 | 0% | $65 | Medium |
| X-Ray Dental - Two images - bitewings | $97 | 0% | $97 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $410 | 0% | $410 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $341 | 0% | $341 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $410 | 0% | $410 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $273 | 0% | $273 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $588 | 0% | $588 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $227 | 0% | $227 | Medium |