Karelitz, King, Caroll Dental

400 Central Avenue Dover, NH 03820
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1200%$120 Medium
Dental Cleaning - Child$870%$87 Medium
Dental Exam - Comprehensive$1820%$182 Medium
Dental Exam - Periodic, Established Patient$550%$55 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2110%$211 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2280%$228 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2110%$211 Medium
Dental Filling - White (Resin): One Surface, Anterior$2010%$201 Medium
Dental Filling - White (Resin): One Surface, Posterior$2110%$211 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3380%$338 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2370%$237 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2730%$273 Medium
Fluoride - Topical Application$430%$43 Medium
Maintenance Therapy - Periodontal$2000%$200 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$4260%$426 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1210%$121 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$600%$60 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2380%$238 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$360%$36 Medium
X-Ray - Complete Intraoral Series$1880%$188 Medium
X-Ray - Four Images, Bitewings$800%$80 Medium
X-Ray - Intraoral, Periapical Radiographic Image$370%$37 Medium
X-Ray - Two Images, Bitewings$610%$61 Medium
X-Ray - Whole Mouth from Outside Mouth$1730%$173 Medium