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$1140%$114 Medium
Dental Cleaning - Child$970%$97 Medium
Dental Exam - Comprehensive$1020%$102 Medium
Dental Exam - Periodic, Established Patient$630%$63 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$2670%$267 Medium
Dental Filling - White (Resin): One Surface, Anterior$2540%$254 Medium
Dental Filling - White (Resin): One Surface, Posterior$2260%$226 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4600%$460 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2990%$299 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3210%$321 Medium
Flouride - Topical Varnish Application$770%$77 Medium
Fluoride - Topical Application$690%$69 Medium
Maintenance Therapy - Periodontal$1720%$172 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$1080%$108 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$340%$34 Medium
X-Ray - Complete Intraoral Series$1700%$170 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$1640%$164 Medium