Manchester Dentisry & Implants

1525 South Willow Street, Suite 5 Manchester, NH 03103
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1020%$102 Medium
Dental Cleaning - Child$790%$79 Medium
Dental Exam - Comprehensive$880%$88 Medium
Dental Exam - Periodic, Established Patient$470%$47 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2280%$228 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3270%$327 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2630%$263 Medium
Dental Filling - White (Resin): One Surface, Anterior$1680%$168 Medium
Dental Filling - White (Resin): One Surface, Posterior$2280%$228 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3270%$327 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2060%$206 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2630%$263 Medium
Flouride - Topical Varnish Application$440%$44 Medium
Fluoride - Topical Application$440%$44 Medium
Maintenance Therapy - Periodontal$1970%$197 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2750%$275 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$880%$88 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$590%$59 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1670%$167 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$330%$33 Medium
X-Ray - Complete Intraoral Series$1470%$147 Medium
X-Ray - Four Images, Bitewings$780%$78 Medium
X-Ray - Intraoral, Periapical Radiographic Image$330%$33 Medium
X-Ray - Two Images, Bitewings$560%$56 Medium
X-Ray - Whole Mouth from Outside Mouth$1320%$132 Medium