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
Dental Cleaning - Adult$1310%$131
Dental Cleaning - Child$1210%$121
Dental Exam - Comprehensive$1310%$131
Dental Exam - Periodic, Established Patient$790%$79
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1940%$194
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3590%$359
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2470%$247
Dental Filling - White (Resin): One Surface, Anterior$1940%$194
Dental Filling - White (Resin): One Surface, Posterior$1940%$194
Dental Filling - White (Resin): Three Surfaces, Posterior$3050%$305
Dental Filling - White (Resin): Two Surfaces, Anterior$2880%$288
Dental Filling - White (Resin): Two Surfaces, Posterior$2470%$247
Flouride - Topical Varnish Application$630%$63
Fluoride - Topical Application$610%$61
Maintenance Therapy - Periodontal$2100%$210
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$4810%$481
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1210%$121
Root Canal - Anterior Tooth$1,2130%$1,213
Root Canal - Bicuspid Tooth$1,4200%$1,420
Root Canal - Molar$1,4330%$1,433
Sealant - Placed on Tooth Surface to Prevent Decay$680%$68
Tooth Extraction - Elevation and/or Forceps Removal$1890%$189
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$370%$37
X-Ray - Complete Intraoral Series$2370%$237
X-Ray - Four Images, Bitewings$710%$71
X-Ray - Intraoral, Periapical Radiographic Image$420%$42
X-Ray - Two Images, Bitewings$470%$47
X-Ray - Whole Mouth from Outside Mouth$1680%$168