Garrison Family Dental

801 Central Avenue Dover, NH 03820
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1110%$111 Medium
Dental Cleaning - Child$840%$84 Medium
Dental Exam - Comprehensive$950%$95 Medium
Dental Exam - Periodic, Established Patient$490%$49 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1440%$144 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2210%$221 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1810%$181 Medium
Dental Filling - White (Resin): One Surface, Anterior$1640%$164 Medium
Dental Filling - White (Resin): One Surface, Posterior$2070%$207 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3550%$355 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2010%$201 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2730%$273 Medium
Flouride - Topical Varnish Application$550%$55 Medium
Fluoride - Topical Application$440%$44 Medium
Maintenance Therapy - Periodontal$1530%$153 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2780%$278 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$880%$88 Medium
Root Canal - Anterior Tooth$8520%$852 Medium
Root Canal - Bicuspid Tooth$9650%$965 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$590%$59 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1840%$184 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$330%$33 Medium
X-Ray - Complete Intraoral Series$1450%$145 Medium
X-Ray - Four Images, Bitewings$720%$72 Medium
X-Ray - Intraoral, Periapical Radiographic Image$380%$38 Medium
X-Ray - Two Images, Bitewings$540%$54 Medium
X-Ray - Whole Mouth from Outside Mouth$1420%$142 Medium