Gerber Dental Group

1800 Woodbury Avenue Portsmouth, NH 03801
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1250%$125 Medium
Dental Cleaning - Child$1010%$101 Medium
Dental Exam - Comprehensive$1080%$108 Medium
Dental Exam - Periodic, Established Patient$590%$59 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1880%$188 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$4080%$408 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2610%$261 Medium
Dental Filling - White (Resin): One Surface, Anterior$1960%$196 Medium
Dental Filling - White (Resin): One Surface, Posterior$1880%$188 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4080%$408 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2400%$240 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2610%$261 Medium
Fluoride - Topical Application$510%$51 Medium
Maintenance Therapy - Periodontal$1810%$181 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3300%$330 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1060%$106 Medium
Root Canal - Anterior Tooth$1,0770%$1,077 Medium
Root Canal - Bicuspid Tooth$1,2350%$1,235 Medium
Root Canal - Molar$1,4820%$1,482 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$690%$69 Medium
Tooth Extraction - Elevation and/or Forceps Removal$3440%$344 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$330%$33 Medium
X-Ray - Complete Intraoral Series$1740%$174 Medium
X-Ray - Four Images, Bitewings$860%$86 Medium
X-Ray - Intraoral, Periapical Radiographic Image$400%$40 Medium
X-Ray - Two Images, Bitewings$610%$61 Medium
X-Ray - Whole Mouth from Outside Mouth$1530%$153 Medium