Manchester Walk In Dental Clinic

25 South Maple 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$105N/A$105
Dental Cleaning - Child$84N/A$84
Dental Exam - Comprehensive$95N/A$95
Dental Exam - Periodic, Established Patient$53N/A$53
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$189N/A$189
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$341N/A$341
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$263N/A$263
Dental Filling - White (Resin): One Surface, Posterior$200N/A$200
Dental Filling - White (Resin): Three Surfaces, Posterior$341N/A$341
Dental Filling - White (Resin): Two Surfaces, Anterior$236N/A$236
Dental Filling - White (Resin): Two Surfaces, Posterior$263N/A$263
Fluoride - Topical Application$47N/A$47
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$273N/A$273
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$89N/A$89
Root Canal - Anterior Tooth$861N/A$861
Root Canal - Bicuspid Tooth$1,050N/A$1,050
Root Canal - Molar$1,208N/A$1,208
Sealant - Placed on Tooth Surface to Prevent Decay$58N/A$58
Tooth Extraction - Elevation and/or Forceps Removal$189N/A$189
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$28N/A$28
X-Ray - Complete Intraoral Series$147N/A$147
X-Ray - Four Images, Bitewings$74N/A$74
X-Ray - Intraoral, Periapical Radiographic Image$37N/A$37
X-Ray - Two Images, Bitewings$53N/A$53
X-Ray - Whole Mouth from Outside Mouth$137N/A$137