Hooksett Family Dental

2 Madison Avenue Hooksett, NH 03106
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1080%$108 Medium
Dental Cleaning - Child$870%$87 Medium
Dental Exam - Comprehensive$1100%$110 Medium
Dental Exam - Periodic, Established Patient$550%$55 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2150%$215 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3600%$360 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2750%$275 Medium
Dental Filling - White (Resin): One Surface, Anterior$1830%$183 Medium
Dental Filling - White (Resin): One Surface, Posterior$2150%$215 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3600%$360 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2150%$215 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2750%$275 Medium
Flouride - Topical Varnish Application$470%$47 Medium
Fluoride - Topical Application$470%$47 Medium
Maintenance Therapy - Periodontal$1600%$160 Medium
Orthodontic Treatment - Periodic Visit, Part of a Contract$1310%$131 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3570%$357 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1060%$106 Medium
Root Canal - Anterior Tooth$8870%$887 Medium
Root Canal - Bicuspid Tooth$1,0820%$1,082 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$580%$58 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2260%$226 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$450%$45 Medium
X-Ray - Complete Intraoral Series$1550%$155 Medium
X-Ray - Four Images, Bitewings$890%$89 Medium
X-Ray - Intraoral, Periapical Radiographic Image$450%$45 Medium
X-Ray - Two Images, Bitewings$650%$65 Medium
X-Ray - Whole Mouth from Outside Mouth$1520%$152 Medium