Hearty Smiles

97 West Merrimack Street Manchester, NH 03101
Dental Procedures
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My Health Insurance:

  • I do not have dental insurance
ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1030%$103
Dental Cleaning - Child$830%$83
Dental Exam - Comprehensive$1010%$101
Dental Exam - Periodic, Established Patient$510%$51
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1950%$195
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3360%$336
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2600%$260
Dental Filling - White (Resin): One Surface, Anterior$1770%$177
Dental Filling - White (Resin): One Surface, Posterior$1950%$195
Dental Filling - White (Resin): Three Surfaces, Posterior$3470%$347
Dental Filling - White (Resin): Two Surfaces, Anterior$2210%$221
Dental Filling - White (Resin): Two Surfaces, Posterior$2600%$260
Flouride - Topical Varnish Application$530%$53
Fluoride - Topical Application$430%$43
Maintenance Therapy - Periodontal$1600%$160
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2730%$273
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$870%$87
Root Canal - Bicuspid Tooth$9660%$966
Root Canal - Molar$1,2600%$1,260
Sealant - Placed on Tooth Surface to Prevent Decay$570%$57
Tooth Extraction - Elevation and/or Forceps Removal$1880%$188
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$320%$32
X-Ray - Complete Intraoral Series$1510%$151
X-Ray - Four Images, Bitewings$700%$70
X-Ray - Intraoral, Periapical Radiographic Image$340%$34
X-Ray - Two Images, Bitewings$530%$53