Herold Family Dentistry

313 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$1050%$105 Medium
Dental Cleaning - Child$810%$81 Medium
Dental Exam - Comprehensive$1020%$102 Medium
Dental Exam - Periodic, Established Patient$540%$54 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1680%$168 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2590%$259 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2100%$210 Medium
Dental Filling - White (Resin): One Surface, Anterior$1840%$184 Medium
Dental Filling - White (Resin): One Surface, Posterior$2160%$216 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3420%$342 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2370%$237 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2730%$273 Medium
Flouride - Topical Varnish Application$440%$44 Medium
Fluoride - Topical Application$430%$43 Medium
Maintenance Therapy - Periodontal$3000%$300 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$890%$89 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$630%$63 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1870%$187 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$350%$35 Medium
X-Ray - Complete Intraoral Series$1530%$153 Medium
X-Ray - Four Images, Bitewings$760%$76 Medium
X-Ray - Intraoral, Periapical Radiographic Image$350%$35 Medium
X-Ray - Two Images, Bitewings$540%$54 Medium