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
Dental Cleaning - Adult$1110%$111
Dental Cleaning - Child$840%$84
Dental Exam - Comprehensive$950%$95
Dental Exam - Periodic, Established Patient$490%$49
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1450%$145
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2220%$222
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1820%$182
Dental Filling - White (Resin): One Surface, Anterior$2070%$207
Dental Filling - White (Resin): One Surface, Posterior$2070%$207
Dental Filling - White (Resin): Three Surfaces, Posterior$3550%$355
Dental Filling - White (Resin): Two Surfaces, Anterior$2020%$202
Dental Filling - White (Resin): Two Surfaces, Posterior$2730%$273
Flouride - Topical Varnish Application$550%$55
Maintenance Therapy - Periodontal$1530%$153
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2780%$278
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$880%$88
Root Canal - Anterior Tooth$8770%$877
Sealant - Placed on Tooth Surface to Prevent Decay$590%$59
Tooth Extraction - Elevation and/or Forceps Removal$1840%$184
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$330%$33
X-Ray - Complete Intraoral Series$1460%$146
X-Ray - Four Images, Bitewings$720%$72
X-Ray - Intraoral, Periapical Radiographic Image$380%$38
X-Ray - Two Images, Bitewings$540%$54
X-Ray - Whole Mouth from Outside Mouth$1420%$142