Goffstown Dental Associates

40 South Mast Street Goffstown, NH 03045
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1070%$107
Dental Cleaning - Child$860%$86
Dental Exam - Comprehensive$900%$90
Dental Exam - Periodic, Established Patient$500%$50
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1550%$155
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2820%$282
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2170%$217
Dental Filling - White (Resin): One Surface, Anterior$1650%$165
Dental Filling - White (Resin): One Surface, Posterior$1890%$189
Dental Filling - White (Resin): Three Surfaces, Posterior$3420%$342
Dental Filling - White (Resin): Two Surfaces, Anterior$2050%$205
Dental Filling - White (Resin): Two Surfaces, Posterior$2630%$263
Flouride - Topical Varnish Application$430%$43
Fluoride - Topical Application$430%$43
Maintenance Therapy - Periodontal$1530%$153
Orthodontic Treatment - Periodic Visit, Part of a Contract$1430%$143
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2800%$280
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$890%$89
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$270%$27
X-Ray - Complete Intraoral Series$1480%$148
X-Ray - Four Images, Bitewings$720%$72
X-Ray - Intraoral, Periapical Radiographic Image$370%$37
X-Ray - Two Images, Bitewings$510%$51
X-Ray - Whole Mouth from Outside Mouth$1290%$129