Grace Family Dentistry

143 Airport Concord, NH 03301
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$107N/A$107
Dental Cleaning - Child$97N/A$97
Dental Exam - Comprehensive$104N/A$104
Dental Exam - Periodic, Established Patient$51N/A$51
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$189N/A$189
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$342N/A$342
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$263N/A$263
Dental Filling - White (Resin): One Surface, Anterior$167N/A$167
Dental Filling - White (Resin): One Surface, Posterior$189N/A$189
Dental Filling - White (Resin): Three Surfaces, Posterior$342N/A$342
Dental Filling - White (Resin): Two Surfaces, Anterior$205N/A$205
Dental Filling - White (Resin): Two Surfaces, Posterior$263N/A$263
Flouride - Topical Varnish Application$57N/A$57
Fluoride - Topical Application$51N/A$51
Maintenance Therapy - Periodontal$153N/A$153
Oral Hygiene Instructions$54N/A$54
Orthodontic Treatment - Periodic Visit, Part of a Contract$126N/A$126
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$276N/A$276
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$89N/A$89
Sealant - Placed on Tooth Surface to Prevent Decay$71N/A$71
Tooth Extraction - Elevation and/or Forceps Removal$214N/A$214
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$30N/A$30
X-Ray - Complete Intraoral Series$204N/A$204
X-Ray - Four Images, Bitewings$72N/A$72
X-Ray - Intraoral, Periapical Radiographic Image$38N/A$38
X-Ray - Two Images, Bitewings$59N/A$59
X-Ray - Whole Mouth from Outside Mouth$131N/A$131