Highland Family Dental

G166 Plaistow Road, Suite 1 Plaistow, NH 03858
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$102N/A$102
Dental Cleaning - Child$89N/A$89
Dental Exam - Comprehensive$90N/A$90
Dental Exam - Periodic, Established Patient$63N/A$63
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$257N/A$257
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$422N/A$422
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$242N/A$242
Dental Filling - White (Resin): One Surface, Anterior$168N/A$168
Dental Filling - White (Resin): One Surface, Posterior$163N/A$163
Dental Filling - White (Resin): Three Surfaces, Posterior$342N/A$342
Dental Filling - White (Resin): Two Surfaces, Anterior$227N/A$227
Dental Filling - White (Resin): Two Surfaces, Posterior$221N/A$221
Fluoride - Topical Application$38N/A$38
Maintenance Therapy - Periodontal$130N/A$130
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$259N/A$259
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$93N/A$93
Sealant - Placed on Tooth Surface to Prevent Decay$122N/A$122
Tooth Extraction - Elevation and/or Forceps Removal$277N/A$277
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$32N/A$32
X-Ray - Complete Intraoral Series$233N/A$233
X-Ray - Four Images, Bitewings$86N/A$86
X-Ray - Intraoral, Periapical Radiographic Image$35N/A$35
X-Ray - Two Images, Bitewings$63N/A$63
X-Ray - Whole Mouth from Outside Mouth$147N/A$147