Garrison Family Dental

801 Central Avenue Dover, NH 03820
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$111N/A$111
Dental Cleaning - Child$86N/A$86
Dental Exam - Comprehensive$95N/A$95
Dental Exam - Periodic, Established Patient$49N/A$49
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$149N/A$149
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$222N/A$222
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$184N/A$184
Dental Filling - White (Resin): One Surface, Anterior$203N/A$203
Dental Filling - White (Resin): One Surface, Posterior$207N/A$207
Dental Filling - White (Resin): Three Surfaces, Posterior$355N/A$355
Dental Filling - White (Resin): Two Surfaces, Anterior$202N/A$202
Dental Filling - White (Resin): Two Surfaces, Posterior$273N/A$273
Flouride - Topical Varnish Application$55N/A$55
Maintenance Therapy - Periodontal$153N/A$153
Oral Hygiene Instructions$42N/A$42
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$278N/A$278
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$88N/A$88
Sealant - Placed on Tooth Surface to Prevent Decay$59N/A$59
Tooth Extraction - Elevation and/or Forceps Removal$184N/A$184
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$33N/A$33
X-Ray - Complete Intraoral Series$148N/A$148
X-Ray - Four Images, Bitewings$72N/A$72
X-Ray - Intraoral, Periapical Radiographic Image$38N/A$38
X-Ray - Two Images, Bitewings$54N/A$54
X-Ray - Whole Mouth from Outside Mouth$142N/A$142