Levesque Family Dentistry

193 Kinsley Street Nashua, NH 03064
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1260%$126
Dental Cleaning - Child$1030%$103
Dental Exam - Comprehensive$1440%$144
Dental Exam - Periodic, Established Patient$600%$60
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2780%$278
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$4130%$413
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$3380%$338
Dental Filling - White (Resin): One Surface, Anterior$2530%$253
Dental Filling - White (Resin): One Surface, Posterior$2780%$278
Dental Filling - White (Resin): Three Surfaces, Posterior$4330%$433
Dental Filling - White (Resin): Two Surfaces, Anterior$3090%$309
Dental Filling - White (Resin): Two Surfaces, Posterior$3380%$338
Flouride - Topical Varnish Application$560%$56
Fluoride - Topical Application$560%$56
Maintenance Therapy - Periodontal$1760%$176
Orthodontic Treatment - Periodic Visit, Part of a Contract$1690%$169
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3570%$357
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1220%$122
Root Canal - Anterior Tooth$1,1810%$1,181
Root Canal - Bicuspid Tooth$9790%$979
Sealant - Placed on Tooth Surface to Prevent Decay$740%$74
Tooth Extraction - Elevation and/or Forceps Removal$2470%$247
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$360%$36
X-Ray - Complete Intraoral Series$2810%$281
X-Ray - Four Images, Bitewings$980%$98
X-Ray - Intraoral, Periapical Radiographic Image$460%$46
X-Ray - Two Images, Bitewings$720%$72
X-Ray - Whole Mouth from Outside Mouth$1840%$184