Interlakes Family Dental Center

60 Whittier Highway, Suite 1 Moultonborough, NH 03254
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1080%$108
Dental Cleaning - Child$860%$86
Dental Exam - Comprehensive$960%$96
Dental Exam - Periodic, Established Patient$580%$58
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1950%$195
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3510%$351
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2700%$270
Dental Filling - White (Resin): One Surface, Anterior$1710%$171
Dental Filling - White (Resin): One Surface, Posterior$1950%$195
Dental Filling - White (Resin): Three Surfaces, Posterior$3510%$351
Dental Filling - White (Resin): Two Surfaces, Anterior$2120%$212
Dental Filling - White (Resin): Two Surfaces, Posterior$2700%$270
Flouride - Topical Varnish Application$540%$54
Maintenance Therapy - Periodontal$1490%$149
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2740%$274
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$900%$90
Root Canal - Anterior Tooth$1,0770%$1,077
Sealant - Placed on Tooth Surface to Prevent Decay$590%$59
Tooth Extraction - Elevation and/or Forceps Removal$2310%$231
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$270%$27
X-Ray - Complete Intraoral Series$1510%$151
X-Ray - Four Images, Bitewings$720%$72
X-Ray - Intraoral, Periapical Radiographic Image$350%$35
X-Ray - Two Images, Bitewings$720%$72
X-Ray - Whole Mouth from Outside Mouth$1500%$150