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$960%$96 Medium
Dental Cleaning - Child$820%$82 Medium
Dental Exam - Comprehensive$840%$84 Medium
Dental Exam - Periodic, Established Patient$590%$59 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1520%$152 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2630%$263 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2060%$206 Medium
Dental Filling - White (Resin): One Surface, Anterior$1520%$152 Medium
Dental Filling - White (Resin): One Surface, Posterior$1520%$152 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$2630%$263 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2060%$206 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2060%$206 Medium
Flouride - Topical Varnish Application$360%$36 Medium
Fluoride - Topical Application$360%$36 Medium
Maintenance Therapy - Periodontal$1300%$130 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2430%$243 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$900%$90 Medium
Root Canal - Bicuspid Tooth$9650%$965 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$570%$57 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2690%$269 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$290%$29 Medium
X-Ray - Complete Intraoral Series$2180%$218 Medium
X-Ray - Four Images, Bitewings$810%$81 Medium
X-Ray - Intraoral, Periapical Radiographic Image$330%$33 Medium
X-Ray - Two Images, Bitewings$590%$59 Medium
X-Ray - Whole Mouth from Outside Mouth$1380%$138 Medium