Harvey Professional Association

610 Islington Street Portsmouth, NH 03801
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1120%$112 Medium
Dental Cleaning - Child$860%$86 Medium
Dental Exam - Comprehensive$1100%$110 Medium
Dental Exam - Periodic, Established Patient$610%$61 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2100%$210 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2940%$294 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2520%$252 Medium
Dental Filling - White (Resin): One Surface, Anterior$2210%$221 Medium
Dental Filling - White (Resin): One Surface, Posterior$2210%$221 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3440%$344 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2520%$252 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2790%$279 Medium
Flouride - Topical Varnish Application$570%$57 Medium
Fluoride - Topical Application$510%$51 Medium
Maintenance Therapy - Periodontal$1840%$184 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1160%$116 Medium
Tooth Extraction - Elevation and/or Forceps Removal$3150%$315 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$300%$30 Medium
X-Ray - Complete Intraoral Series$2220%$222 Medium
X-Ray - Four Images, Bitewings$800%$80 Medium
X-Ray - Intraoral, Periapical Radiographic Image$360%$36 Medium
X-Ray - Two Images, Bitewings$560%$56 Medium
X-Ray - Whole Mouth from Outside Mouth$1420%$142 Medium