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 Typical Patient Complexity
Dental Cleaning - Adult$1170%$117 Medium
Dental Cleaning - Child$950%$95 Medium
Dental Exam - Comprehensive$1010%$101 Medium
Dental Exam - Periodic, Established Patient$560%$56 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1880%$188 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3400%$340 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2610%$261 Medium
Dental Filling - White (Resin): One Surface, Anterior$1860%$186 Medium
Dental Filling - White (Resin): One Surface, Posterior$1880%$188 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3600%$360 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2270%$227 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2920%$292 Medium
Flouride - Topical Varnish Application$450%$45 Medium
Fluoride - Topical Application$480%$48 Medium
Orthodontic Treatment - Periodic Visit, Part of a Contract$1030%$103 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$980%$98 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2550%$255 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$300%$30 Medium
X-Ray - Complete Intraoral Series$2240%$224 Medium
X-Ray - Four Images, Bitewings$800%$80 Medium
X-Ray - Intraoral, Periapical Radiographic Image$380%$38 Medium
X-Ray - Two Images, Bitewings$560%$56 Medium
X-Ray - Whole Mouth from Outside Mouth$1440%$144 Medium