Manchester Smiles Youth Dentistry

8 Vinton Street Manchester, NH 03103
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$155N/A$155
Dental Cleaning - Child$120N/A$120
Dental Exam - Comprehensive$120N/A$120
Dental Exam - Periodic, Established Patient$74N/A$74
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$208N/A$208
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$358N/A$358
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$303N/A$303
Dental Filling - White (Resin): One Surface, Anterior$233N/A$233
Dental Filling - White (Resin): One Surface, Posterior$233N/A$233
Dental Filling - White (Resin): Three Surfaces, Posterior$460N/A$460
Dental Filling - White (Resin): Two Surfaces, Anterior$271N/A$271
Dental Filling - White (Resin): Two Surfaces, Posterior$321N/A$321
Flouride - Topical Varnish Application$56N/A$56
Fluoride - Topical Application$69N/A$69
Maintenance Therapy - Periodontal$239N/A$239
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$335N/A$335
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$113N/A$113
Sealant - Placed on Tooth Surface to Prevent Decay$80N/A$80
Tooth Extraction - Elevation and/or Forceps Removal$260N/A$260
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$34N/A$34
X-Ray - Complete Intraoral Series$218N/A$218
X-Ray - Four Images, Bitewings$102N/A$102
X-Ray - Intraoral, Periapical Radiographic Image$50N/A$50
X-Ray - Two Images, Bitewings$76N/A$76
X-Ray - Whole Mouth from Outside Mouth$156N/A$156