Granite Dental Group of Barrington
8 Century Pines Dr Barrington, NH 03825
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $119 | 0% | $119 | Medium |
| Child Dental Cleaning | $95 | 0% | $95 | Medium |
| Fluoride - Topical Application | $53 | 0% | $53 | Medium |
| Sealant placed on the tooth surface to prevent decay | $63 | 0% | $63 | Medium |
| Topical fluoride varnish application | $53 | 0% | $53 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $113 | 0% | $113 | Medium |
| Periodic dental exam - established patient | $59 | 0% | $59 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $101 | 0% | $101 | Medium |
| X-Ray Dental - Complete intraoral series | $169 | 0% | $169 | Medium |
| X-Ray Dental - Four images - bitewings | $105 | 0% | $105 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $47 | 0% | $47 | Medium |
| X-Ray Dental - Two images - bitewings | $84 | 0% | $84 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $42 | 0% | $42 | Medium |
| X-Ray Dental - Whole mouth, from outside mouth | $149 | 0% | $149 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - One surface, primary or permanent | $263 | 0% | $263 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $305 | 0% | $305 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $352 | 0% | $352 | Medium |
| White (Resin) Dental Filling - One surface, posterior | $263 | 0% | $263 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $305 | 0% | $305 | Medium |
| White (Resin) Dental Filling - One surface, anterior | $210 | 0% | $210 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $362 | 0% | $362 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $235 | 0% | $235 | Medium |
Orthodontic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Orthodontic Treatment Visit (Periodic - as part of a contract) | $58 | 0% | $58 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $164 | 0% | $164 | Medium |