Keene Smiles Dental

69 Island Street, Suite G Keene, NH 03431
Dental Procedures
Cancel
Edit My Insurance Details

My Health Insurance:

  • I do not have dental insurance
ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1050%$105 Medium
Dental Cleaning - Child$850%$85 Medium
Dental Exam - Comprehensive$900%$90 Medium
Dental Exam - Periodic, Established Patient$490%$49 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1850%$185 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3400%$340 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2570%$257 Medium
Dental Filling - White (Resin): One Surface, Anterior$1840%$184 Medium
Dental Filling - White (Resin): One Surface, Posterior$1890%$189 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3420%$342 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2100%$210 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2630%$263 Medium
Flouride - Topical Varnish Application$410%$41 Medium
Fluoride - Topical Application$430%$43 Medium
Maintenance Therapy - Periodontal$1510%$151 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2750%$275 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$890%$89 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$580%$58 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1950%$195 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$280%$28 Medium
X-Ray - Complete Intraoral Series$1460%$146 Medium
X-Ray - Four Images, Bitewings$710%$71 Medium
X-Ray - Intraoral, Periapical Radiographic Image$370%$37 Medium
X-Ray - Two Images, Bitewings$500%$50 Medium
X-Ray - Whole Mouth from Outside Mouth$1270%$127 Medium