Manchester Smiles Youth Dentistry

8 Vinton Street 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$1680%$168 Medium
Dental Cleaning - Child$930%$93 Medium
Dental Exam - Comprehensive$1370%$137 Medium
Dental Exam - Periodic, Established Patient$610%$61 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2150%$215 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3260%$326 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2730%$273 Medium
Dental Filling - White (Resin): One Surface, Anterior$1870%$187 Medium
Dental Filling - White (Resin): One Surface, Posterior$2150%$215 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4600%$460 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2710%$271 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3800%$380 Medium
Flouride - Topical Varnish Application$930%$93 Medium
Fluoride - Topical Application$550%$55 Medium
Maintenance Therapy - Periodontal$2330%$233 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3160%$316 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1370%$137 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$890%$89 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2730%$273 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$330%$33 Medium
X-Ray - Complete Intraoral Series$2310%$231 Medium
X-Ray - Four Images, Bitewings$1200%$120 Medium
X-Ray - Intraoral, Periapical Radiographic Image$530%$53 Medium
X-Ray - Two Images, Bitewings$760%$76 Medium
X-Ray - Whole Mouth from Outside Mouth$1490%$149 Medium