Highland Family Dental

G166 Plaistow Road, Suite 1 Plaistow, NH 03858
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1020%$102 Medium
Dental Cleaning - Child$870%$87 Medium
Dental Exam - Comprehensive$900%$90 Medium
Dental Exam - Periodic, Established Patient$630%$63 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1630%$163 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2720%$272 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2210%$221 Medium
Dental Filling - White (Resin): One Surface, Anterior$1630%$163 Medium
Dental Filling - White (Resin): One Surface, Posterior$1630%$163 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$2810%$281 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2210%$221 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2210%$221 Medium
Flouride - Topical Varnish Application$380%$38 Medium
Fluoride - Topical Application$380%$38 Medium
Maintenance Therapy - Periodontal$1300%$130 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2510%$251 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$900%$90 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$610%$61 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2690%$269 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$300%$30 Medium
X-Ray - Complete Intraoral Series$2330%$233 Medium
X-Ray - Four Images, Bitewings$860%$86 Medium
X-Ray - Intraoral, Periapical Radiographic Image$350%$35 Medium
X-Ray - Two Images, Bitewings$630%$63 Medium
X-Ray - Whole Mouth from Outside Mouth$1470%$147 Medium