Mill Plaza Dental Associates
14 Bishop Road Belmont, NH 03220
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $122 | 0% | $122 | Medium |
| Dental Exam - Periodic, Established Patient | $113 | 0% | $113 | Medium |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $433 | 0% | $433 | Medium |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $460 | 0% | $460 | Medium |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $433 | 0% | $433 | Medium |
| Flouride - Topical Varnish Application | $70 | 0% | $70 | Medium |
| Maintenance Therapy - Periodontal | $219 | 0% | $219 | Medium |
| Root Canal - Anterior Tooth | $1,932 | 0% | $1,932 | Medium |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $47 | 0% | $47 | Medium |
| X-Ray - Complete Intraoral Series | $161 | 0% | $161 | Medium |
| X-Ray - Four Images, Bitewings | $88 | 0% | $88 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $48 | 0% | $48 | Medium |
