Interlakes Family Dental Center

60 Whittier Highway, Suite 1 Moultonborough, NH 03254
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$108N/A$108
Dental Cleaning - Child$86N/A$86
Dental Exam - Comprehensive$96N/A$96
Dental Exam - Periodic, Established Patient$58N/A$58
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$195N/A$195
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$351N/A$351
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$270N/A$270
Dental Filling - White (Resin): One Surface, Anterior$171N/A$171
Dental Filling - White (Resin): One Surface, Posterior$195N/A$195
Dental Filling - White (Resin): Three Surfaces, Posterior$351N/A$351
Dental Filling - White (Resin): Two Surfaces, Anterior$212N/A$212
Dental Filling - White (Resin): Two Surfaces, Posterior$270N/A$270
Flouride - Topical Varnish Application$54N/A$54
Fluoride - Topical Application$54N/A$54
Maintenance Therapy - Periodontal$149N/A$149
Orthodontic Treatment - Periodic Visit, Part of a Contract$143N/A$143
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$274N/A$274
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$90N/A$90
Root Canal - Anterior Tooth$1,077N/A$1,077
Sealant - Placed on Tooth Surface to Prevent Decay$59N/A$59
Tooth Extraction - Elevation and/or Forceps Removal$231N/A$231
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$27N/A$27
X-Ray - Complete Intraoral Series$151N/A$151
X-Ray - Four Images, Bitewings$72N/A$72
X-Ray - Intraoral, Periapical Radiographic Image$35N/A$35
X-Ray - Two Images, Bitewings$72N/A$72
X-Ray - Whole Mouth from Outside Mouth$150N/A$150