Levesque Family Dentistry

193 Kinsley Street Nashua, NH 03064
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$132N/A$132
Dental Cleaning - Child$103N/A$103
Dental Exam - Comprehensive$144N/A$144
Dental Exam - Periodic, Established Patient$60N/A$60
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$278N/A$278
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$433N/A$433
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$355N/A$355
Dental Filling - White (Resin): One Surface, Anterior$258N/A$258
Dental Filling - White (Resin): One Surface, Posterior$278N/A$278
Dental Filling - White (Resin): Three Surfaces, Posterior$433N/A$433
Dental Filling - White (Resin): Two Surfaces, Anterior$317N/A$317
Dental Filling - White (Resin): Two Surfaces, Posterior$355N/A$355
Flouride - Topical Varnish Application$56N/A$56
Fluoride - Topical Application$56N/A$56
Maintenance Therapy - Periodontal$176N/A$176
Orthodontic Treatment - Periodic Visit, Part of a Contract$169N/A$169
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$357N/A$357
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$122N/A$122
Root Canal - Anterior Tooth$1,181N/A$1,181
Root Canal - Bicuspid Tooth$1,148N/A$1,148
Sealant - Placed on Tooth Surface to Prevent Decay$74N/A$74
Tooth Extraction - Elevation and/or Forceps Removal$256N/A$256
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$36N/A$36
X-Ray - Complete Intraoral Series$286N/A$286
X-Ray - Four Images, Bitewings$102N/A$102
X-Ray - Intraoral, Periapical Radiographic Image$46N/A$46
X-Ray - Two Images, Bitewings$72N/A$72
X-Ray - Whole Mouth from Outside Mouth$184N/A$184