Michael Anthony Vacca, DDS
301 Daniel Webster Highway Merrimack, NH 03054
Dental Procedures
| Procedure | Estimate of Total Cost | Number of Visits | What You Will Pay Uninsured Discount: 0% |
|---|---|---|---|
| Dental Cleaning - Adult | $221 | N/A | $221 |
| Dental Cleaning - Child | $185 | N/A | $185 |
| Dental Exam - Comprehensive | $100 | N/A | $100 |
| Dental Exam - Periodic, Established Patient | $95 | N/A | $95 |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $389 | N/A | $389 |
| Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent | $578 | N/A | $578 |
| Dental Filling - White (Resin): One Surface, Posterior | $420 | N/A | $420 |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $683 | N/A | $683 |
| Fluoride - Topical Application | $84 | N/A | $84 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $189 | N/A | $189 |
| Tooth Extraction - Elevation and/or Forceps Removal | $315 | N/A | $315 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $63 | N/A | $63 |
| X-Ray - Intraoral, Periapical Radiographic Image | $63 | N/A | $63 |
| X-Ray - Two Images, Bitewings | $105 | N/A | $105 |
| X-Ray - Whole Mouth from Outside Mouth | $252 | N/A | $252 |