Hampton Family Dental

12 Park Avenue Hampton, NH 03842
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1310%$131 Medium
Dental Cleaning - Child$1430%$143 Medium
Dental Exam - Comprehensive$1310%$131 Medium
Dental Exam - Periodic, Established Patient$790%$79 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1940%$194 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3050%$305 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2470%$247 Medium
Dental Filling - White (Resin): One Surface, Anterior$2160%$216 Medium
Dental Filling - White (Resin): One Surface, Posterior$1940%$194 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3050%$305 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2470%$247 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2470%$247 Medium
Flouride - Topical Varnish Application$630%$63 Medium
Fluoride - Topical Application$630%$63 Medium
Maintenance Therapy - Periodontal$2100%$210 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$4810%$481 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1210%$121 Medium
Root Canal - Anterior Tooth$1,2130%$1,213 Medium
Root Canal - Bicuspid Tooth$1,9760%$1,976 Medium
Root Canal - Molar$1,4330%$1,433 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$680%$68 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1890%$189 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$370%$37 Medium
X-Ray - Complete Intraoral Series$2370%$237 Medium
X-Ray - Four Images, Bitewings$710%$71 Medium
X-Ray - Intraoral, Periapical Radiographic Image$420%$42 Medium
X-Ray - Two Images, Bitewings$760%$76 Medium
X-Ray - Whole Mouth from Outside Mouth$1680%$168 Medium