Manchester Dental

26 West Webster Street Manchester, NH 03104
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1070%$107 Medium
Dental Cleaning - Child$860%$86 Medium
Dental Exam - Comprehensive$980%$98 Medium
Dental Exam - Periodic, Established Patient$500%$50 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1890%$189 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2280%$228 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2630%$263 Medium
Dental Filling - White (Resin): One Surface, Anterior$1710%$171 Medium
Dental Filling - White (Resin): One Surface, Posterior$1890%$189 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3600%$360 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2320%$232 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2800%$280 Medium
Flouride - Topical Varnish Application$430%$43 Medium
Fluoride - Topical Application$430%$43 Medium
Maintenance Therapy - Periodontal$2120%$212 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3950%$395 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$890%$89 Medium
Root Canal - Anterior Tooth$1,3230%$1,323 Medium
Root Canal - Bicuspid Tooth$1,0550%$1,055 Medium
Root Canal - Molar$1,1630%$1,163 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$630%$63 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1860%$186 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$280%$28 Medium
X-Ray - Complete Intraoral Series$1480%$148 Medium
X-Ray - Four Images, Bitewings$720%$72 Medium
X-Ray - Intraoral, Periapical Radiographic Image$380%$38 Medium
X-Ray - Two Images, Bitewings$710%$71 Medium
X-Ray - Whole Mouth from Outside Mouth$1310%$131 Medium