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 | $87 | 0% | $87 | Medium |
| Child Dental Cleaning | $69 | 0% | $69 | Medium |
| Sealant placed on the tooth surface to prevent decay | $50 | 0% | $50 | Medium |
| Topical fluoride varnish application | $36 | 0% | $36 | 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 | $53 | 0% | $53 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $60 | 0% | $60 | Medium |
| X-Ray Dental - Complete intraoral series | $126 | 0% | $126 | Medium |
| X-Ray Dental - Four images - bitewings | $60 | 0% | $60 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $34 | 0% | $34 | Medium |
| X-Ray Dental - Two images - bitewings | $60 | 0% | $60 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $28 | 0% | $28 | Medium |
| X-Ray Dental - Whole mouth, from outside mouth | $158 | 0% | $158 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - One surface, primary or permanent | $142 | 0% | $142 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $205 | 0% | $205 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $294 | 0% | $294 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $181 | 0% | $181 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $205 | 0% | $205 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $205 | 0% | $205 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $294 | 0% | $294 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $205 | 0% | $205 | 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 |