Locust Street Dental

303 Locust Street Dover, NH 03820
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$110N/A$110
Dental Cleaning - Child$89N/A$89
Dental Exam - Comprehensive$95N/A$95
Dental Exam - Periodic, Established Patient$51N/A$51
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$198N/A$198
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$233N/A$233
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$194N/A$194
Dental Filling - White (Resin): One Surface, Anterior$179N/A$179
Dental Filling - White (Resin): One Surface, Posterior$198N/A$198
Dental Filling - White (Resin): Three Surfaces, Posterior$359N/A$359
Dental Filling - White (Resin): Two Surfaces, Anterior$212N/A$212
Dental Filling - White (Resin): Two Surfaces, Posterior$276N/A$276
Flouride - Topical Varnish Application$51N/A$51
Maintenance Therapy - Periodontal$159N/A$159
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$449N/A$449
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$92N/A$92
Root Canal - Bicuspid Tooth$1,028N/A$1,028
Root Canal - Molar$1,319N/A$1,319
Sealant - Placed on Tooth Surface to Prevent Decay$61N/A$61
Tooth Extraction - Elevation and/or Forceps Removal$192N/A$192
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$36N/A$36
X-Ray - Complete Intraoral Series$153N/A$153
X-Ray - Four Images, Bitewings$75N/A$75
X-Ray - Intraoral, Periapical Radiographic Image$40N/A$40
X-Ray - Two Images, Bitewings$58N/A$58