Keystone Dental Arts

263 NH Route 108 Somersworth, NH 03878
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$89N/A$89
Dental Cleaning - Child$72N/A$72
Dental Exam - Comprehensive$92N/A$92
Dental Exam - Periodic, Established Patient$42N/A$42
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$155N/A$155
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$282N/A$282
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$217N/A$217
Dental Filling - White (Resin): One Surface, Anterior$142N/A$142
Dental Filling - White (Resin): One Surface, Posterior$155N/A$155
Dental Filling - White (Resin): Three Surfaces, Posterior$282N/A$282
Dental Filling - White (Resin): Two Surfaces, Anterior$171N/A$171
Dental Filling - White (Resin): Two Surfaces, Posterior$217N/A$217
Flouride - Topical Varnish Application$37N/A$37
Maintenance Therapy - Periodontal$128N/A$128
Orthodontic Treatment - Periodic Visit, Part of a Contract$98N/A$98
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$75N/A$75
Root Canal - Anterior Tooth$1,559N/A$1,559
Root Canal - Bicuspid Tooth$824N/A$824
Sealant - Placed on Tooth Surface to Prevent Decay$49N/A$49
Tooth Extraction - Elevation and/or Forceps Removal$155N/A$155
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$28N/A$28
X-Ray - Complete Intraoral Series$125N/A$125
X-Ray - Four Images, Bitewings$61N/A$61
X-Ray - Intraoral, Periapical Radiographic Image$32N/A$32
X-Ray - Two Images, Bitewings$43N/A$43
X-Ray - Whole Mouth from Outside Mouth$110N/A$110