Mill Plaza Dental Associates
14 Bishop Road Belmont, NH 03220
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $118 | 0% | $118 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Periodic dental exam - established patient | $113 | 0% | $113 | Medium |
| X-Ray Dental - Complete intraoral series | $161 | 0% | $161 | Medium |
| X-Ray Dental - Four images - bitewings | $88 | 0% | $88 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $48 | 0% | $48 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $47 | 0% | $47 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $219 | 0% | $219 | Medium |