Michael Anthony Vacca, DDS
301 Daniel Webster Highway Merrimack, NH 03054
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $206 | 0% | $206 | Medium |
| Child Dental Cleaning | $164 | 0% | $164 | Medium |
| Fluoride - Topical Application | $71 | 0% | $71 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Comprehensive Dental Exam | $158 | 0% | $158 | Medium |
| Periodic dental exam - established patient | $80 | 0% | $80 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $95 | 0% | $95 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $55 | 0% | $55 | Medium |
| X-Ray Dental - Two images - bitewings | $88 | 0% | $88 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $55 | 0% | $55 | Medium |
| X-Ray Dental - Whole mouth, from outside mouth | $242 | 0% | $242 | Medium |
Dental Fillings
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Silver (Amalgam) Dental Filling - One surface, primary or permanent | $389 | 0% | $389 | Medium |
| Silver (Amalgam) Dental Filling - Two surfaces, primary or permanent | $473 | 0% | $473 | Medium |
| Silver (Amalgam) Dental Filling - Three surfaces, primary or permanent | $433 | 0% | $433 | Medium |
| White (Resin) Dental Filling - Two surfaces, posterior | $263 | 0% | $263 | Medium |
| White (Resin) Dental Filling - Three surfaces, posterior | $683 | 0% | $683 | Medium |
| White (Resin) Dental Filling - Two surfaces, anterior | $263 | 0% | $263 | Medium |