Manchester Dental

26 West Webster Street Manchester, NH 03104
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1070%$107
Dental Cleaning - Child$860%$86
Dental Exam - Comprehensive$910%$91
Dental Exam - Periodic, Established Patient$500%$50
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1890%$189
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2280%$228
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2630%$263
Dental Filling - White (Resin): One Surface, Anterior$1710%$171
Dental Filling - White (Resin): One Surface, Posterior$2330%$233
Dental Filling - White (Resin): Three Surfaces, Posterior$3600%$360
Dental Filling - White (Resin): Two Surfaces, Anterior$2180%$218
Dental Filling - White (Resin): Two Surfaces, Posterior$2800%$280
Flouride - Topical Varnish Application$430%$43
Fluoride - Topical Application$430%$43
Maintenance Therapy - Periodontal$2120%$212
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2800%$280
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$890%$89
Root Canal - Anterior Tooth$8770%$877
Root Canal - Bicuspid Tooth$1,0550%$1,055
Root Canal - Molar$1,2190%$1,219
Sealant - Placed on Tooth Surface to Prevent Decay$630%$63
Tooth Extraction - Elevation and/or Forceps Removal$1860%$186
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$280%$28
X-Ray - Complete Intraoral Series$1790%$179
X-Ray - Four Images, Bitewings$720%$72
X-Ray - Intraoral, Periapical Radiographic Image$380%$38
X-Ray - Two Images, Bitewings$720%$72
X-Ray - Whole Mouth from Outside Mouth$1310%$131