Hanover Street Family Dental

861 Hanover Street Manchester, NH 03104
Dental Procedures
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Preventive Care

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Adult Dental Cleaning$1100%$110 Medium
Child Dental Cleaning$1200%$120 Medium
Fluoride - Topical Application$510%$51 Medium
Plaque and tartar removal from around teeth and gums-per quadrant$3060%$306 Medium
Sealant placed on the tooth surface to prevent decay$710%$71 Medium
Topical fluoride varnish application$560%$56 Medium

Other Dental Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Maintenance Therapy - Periodontal$1410%$141 Medium
Tooth Extraction (Elevation and/or forceps removal)$1890%$189 Medium