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
Dental Cleaning - Adult$1100%$110
Dental Cleaning - Child$890%$89
Dental Exam - Comprehensive$950%$95
Dental Exam - Periodic, Established Patient$510%$51
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1980%$198
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2330%$233
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1890%$189
Dental Filling - White (Resin): One Surface, Anterior$1730%$173
Dental Filling - White (Resin): One Surface, Posterior$1980%$198
Dental Filling - White (Resin): Three Surfaces, Posterior$3590%$359
Dental Filling - White (Resin): Two Surfaces, Anterior$2120%$212
Dental Filling - White (Resin): Two Surfaces, Posterior$2760%$276
Flouride - Topical Varnish Application$510%$51
Fluoride - Topical Application$430%$43
Maintenance Therapy - Periodontal$1590%$159
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2850%$285
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$920%$92
Root Canal - Bicuspid Tooth$1,0280%$1,028
Sealant - Placed on Tooth Surface to Prevent Decay$610%$61
Tooth Extraction - Elevation and/or Forceps Removal$1920%$192
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$360%$36
X-Ray - Complete Intraoral Series$1530%$153
X-Ray - Four Images, Bitewings$750%$75
X-Ray - Intraoral, Periapical Radiographic Image$400%$40
X-Ray - Two Images, Bitewings$640%$64