Manchester Dental

26 West Webster Street Manchester, NH 03104
Dental Procedures
Cancel
Edit My Insurance Details

My Health Insurance:

  • I do not have dental insurance
ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$107N/A$107
Dental Cleaning - Child$86N/A$86
Dental Exam - Comprehensive$98N/A$98
Dental Exam - Periodic, Established Patient$50N/A$50
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$189N/A$189
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$326N/A$326
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$263N/A$263
Dental Filling - White (Resin): One Surface, Anterior$169N/A$169
Dental Filling - White (Resin): One Surface, Posterior$233N/A$233
Dental Filling - White (Resin): Three Surfaces, Posterior$360N/A$360
Dental Filling - White (Resin): Two Surfaces, Anterior$219N/A$219
Dental Filling - White (Resin): Two Surfaces, Posterior$280N/A$280
Flouride - Topical Varnish Application$43N/A$43
Fluoride - Topical Application$43N/A$43
Maintenance Therapy - Periodontal$212N/A$212
Oral Hygiene Instructions$44N/A$44
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$280N/A$280
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$89N/A$89
Root Canal - Anterior Tooth$885N/A$885
Root Canal - Bicuspid Tooth$979N/A$979
Root Canal - Molar$1,219N/A$1,219
Sealant - Placed on Tooth Surface to Prevent Decay$63N/A$63
Tooth Extraction - Elevation and/or Forceps Removal$186N/A$186
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$28N/A$28
X-Ray - Complete Intraoral Series$204N/A$204
X-Ray - Four Images, Bitewings$72N/A$72
X-Ray - Intraoral, Periapical Radiographic Image$38N/A$38
X-Ray - Two Images, Bitewings$72N/A$72
X-Ray - Whole Mouth from Outside Mouth$131N/A$131