Manchester Walk In Dental Clinic

25 South Maple Street Manchester, NH 03103
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1050%$105
Dental Cleaning - Child$840%$84
Dental Exam - Comprehensive$950%$95
Dental Exam - Periodic, Established Patient$530%$53
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1890%$189
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3410%$341
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2630%$263
Dental Filling - White (Resin): One Surface, Anterior$1680%$168
Dental Filling - White (Resin): One Surface, Posterior$1890%$189
Dental Filling - White (Resin): Three Surfaces, Posterior$3410%$341
Dental Filling - White (Resin): Two Surfaces, Anterior$2100%$210
Dental Filling - White (Resin): Two Surfaces, Posterior$2630%$263
Fluoride - Topical Application$470%$47
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2730%$273
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$890%$89
Root Canal - Anterior Tooth$8610%$861
Root Canal - Bicuspid Tooth$1,2590%$1,259
Root Canal - Molar$1,2080%$1,208
Sealant - Placed on Tooth Surface to Prevent Decay$580%$58
Tooth Extraction - Elevation and/or Forceps Removal$1890%$189
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$280%$28
X-Ray - Complete Intraoral Series$1470%$147
X-Ray - Four Images, Bitewings$740%$74
X-Ray - Intraoral, Periapical Radiographic Image$370%$37
X-Ray - Two Images, Bitewings$530%$53
X-Ray - Whole Mouth from Outside Mouth$1370%$137