Gorham Family Dentistry

2 Broadway Avenue Gorham, NH 03581
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$104N/A$104
Dental Cleaning - Child$84N/A$84
Dental Exam - Comprehensive$90N/A$90
Dental Exam - Periodic, Established Patient$64N/A$64
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$188N/A$188
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$340N/A$340
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$205N/A$205
Dental Filling - White (Resin): One Surface, Anterior$164N/A$164
Dental Filling - White (Resin): One Surface, Posterior$188N/A$188
Dental Filling - White (Resin): Three Surfaces, Posterior$340N/A$340
Dental Filling - White (Resin): Two Surfaces, Anterior$210N/A$210
Dental Filling - White (Resin): Two Surfaces, Posterior$261N/A$261
Flouride - Topical Varnish Application$43N/A$43
Fluoride - Topical Application$43N/A$43
Maintenance Therapy - Periodontal$150N/A$150
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$275N/A$275
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$88N/A$88
Root Canal - Anterior Tooth$852N/A$852
Root Canal - Molar$1,210N/A$1,210
Sealant - Placed on Tooth Surface to Prevent Decay$63N/A$63
Tooth Extraction - Elevation and/or Forceps Removal$158N/A$158
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$38N/A$38
X-Ray - Complete Intraoral Series$145N/A$145
X-Ray - Four Images, Bitewings$80N/A$80
X-Ray - Intraoral, Periapical Radiographic Image$35N/A$35
X-Ray - Two Images, Bitewings$65N/A$65
X-Ray - Whole Mouth from Outside Mouth$145N/A$145