Goodwin Community Health

311 NH-108 Somersworth, NH 03878
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$118N/A$118
Dental Cleaning - Child$82N/A$82
Dental Exam - Comprehensive$103N/A$103
Dental Exam - Periodic, Established Patient$59N/A$59
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$203N/A$203
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$317N/A$317
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$263N/A$263
Dental Filling - White (Resin): One Surface, Anterior$183N/A$183
Dental Filling - White (Resin): One Surface, Posterior$213N/A$213
Dental Filling - White (Resin): Three Surfaces, Posterior$348N/A$348
Dental Filling - White (Resin): Two Surfaces, Anterior$233N/A$233
Dental Filling - White (Resin): Two Surfaces, Posterior$279N/A$279
Flouride - Topical Varnish Application$38N/A$38
Fluoride - Topical Application$44N/A$44
Maintenance Therapy - Periodontal$177N/A$177
Oral Hygiene Instructions$38N/A$38
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$289N/A$289
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$98N/A$98
Root Canal - Anterior Tooth$996N/A$996
Sealant - Placed on Tooth Surface to Prevent Decay$64N/A$64
Tooth Extraction - Elevation and/or Forceps Removal$250N/A$250
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$33N/A$33
X-Ray - Complete Intraoral Series$181N/A$181
X-Ray - Four Images, Bitewings$80N/A$80
X-Ray - Intraoral, Periapical Radiographic Image$36N/A$36
X-Ray - Two Images, Bitewings$57N/A$57
X-Ray - Whole Mouth from Outside Mouth$169N/A$169