Locust Street Dental

303 Locust Street Dover, NH 03820
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1050%$105 Medium
Dental Cleaning - Child$860%$86 Medium
Dental Exam - Comprehensive$950%$95 Medium
Dental Exam - Periodic, Established Patient$490%$49 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1880%$188 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2220%$222 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1890%$189 Medium
Dental Filling - White (Resin): One Surface, Anterior$1650%$165 Medium
Dental Filling - White (Resin): One Surface, Posterior$1890%$189 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3510%$351 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2120%$212 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2760%$276 Medium
Flouride - Topical Varnish Application$490%$49 Medium
Fluoride - Topical Application$430%$43 Medium
Maintenance Therapy - Periodontal$1550%$155 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2850%$285 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$880%$88 Medium
Root Canal - Bicuspid Tooth$1,0030%$1,003 Medium
Root Canal - Molar$2,4380%$2,438 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$580%$58 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1830%$183 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$340%$34 Medium
X-Ray - Complete Intraoral Series$1530%$153 Medium
X-Ray - Four Images, Bitewings$710%$71 Medium
X-Ray - Intraoral, Periapical Radiographic Image$380%$38 Medium
X-Ray - Two Images, Bitewings$560%$56 Medium