Keene Smiles Dental

69 Island Street, Suite G Keene, NH 03431
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$96N/A$96
Dental Cleaning - Child$72N/A$72
Dental Exam - Comprehensive$102N/A$102
Dental Exam - Periodic, Established Patient$43N/A$43
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$191N/A$191
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$340N/A$340
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$261N/A$261
Dental Filling - White (Resin): One Surface, Anterior$187N/A$187
Dental Filling - White (Resin): One Surface, Posterior$202N/A$202
Dental Filling - White (Resin): Three Surfaces, Posterior$340N/A$340
Dental Filling - White (Resin): Two Surfaces, Anterior$229N/A$229
Dental Filling - White (Resin): Two Surfaces, Posterior$217N/A$217
Flouride - Topical Varnish Application$38N/A$38
Fluoride - Topical Application$43N/A$43
Maintenance Therapy - Periodontal$138N/A$138
Orthodontic Treatment - Periodic Visit, Part of a Contract$91N/A$91
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$285N/A$285
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$89N/A$89
Root Canal - Anterior Tooth$735N/A$735
Root Canal - Bicuspid Tooth$1,024N/A$1,024
Root Canal - Molar$1,231N/A$1,231
Sealant - Placed on Tooth Surface to Prevent Decay$50N/A$50
Tooth Extraction - Elevation and/or Forceps Removal$155N/A$155
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$24N/A$24
X-Ray - Complete Intraoral Series$153N/A$153
X-Ray - Four Images, Bitewings$61N/A$61
X-Ray - Intraoral, Periapical Radiographic Image$35N/A$35
X-Ray - Two Images, Bitewings$44N/A$44