Hoertdoerfer Dentistry

4 Elliot Way, Suite 306 Manchester, NH 03103
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1170%$117
Dental Cleaning - Child$950%$95
Dental Exam - Comprehensive$1010%$101
Dental Exam - Periodic, Established Patient$560%$56
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1880%$188
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3800%$380
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2920%$292
Dental Filling - White (Resin): One Surface, Anterior$1860%$186
Dental Filling - White (Resin): One Surface, Posterior$1880%$188
Dental Filling - White (Resin): Three Surfaces, Posterior$3800%$380
Dental Filling - White (Resin): Two Surfaces, Anterior$2450%$245
Dental Filling - White (Resin): Two Surfaces, Posterior$2920%$292
Flouride - Topical Varnish Application$450%$45
Fluoride - Topical Application$480%$48
Maintenance Therapy - Periodontal$1680%$168
Orthodontic Treatment - Periodic Visit, Part of a Contract$510%$51
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3070%$307
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$980%$98
Tooth Extraction - Elevation and/or Forceps Removal$2550%$255
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$300%$30
X-Ray - Complete Intraoral Series$2240%$224
X-Ray - Four Images, Bitewings$800%$80
X-Ray - Intraoral, Periapical Radiographic Image$380%$38
X-Ray - Two Images, Bitewings$560%$56
X-Ray - Whole Mouth from Outside Mouth$1440%$144