Mill Plaza Dental Associates
14 Bishop Road Belmont, NH 03220
Dental Procedures
| Procedure | Estimate of Total Cost | Number of Visits | What You Will Pay Uninsured Discount: 0% |
|---|---|---|---|
| Dental Cleaning - Adult | $122 | N/A | $122 |
| Dental Exam - Comprehensive | $198 | N/A | $198 |
| Dental Exam - Periodic, Established Patient | $64 | N/A | $64 |
| Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent | $460 | N/A | $460 |
| Dental Filling - White (Resin): Three Surfaces, Posterior | $419 | N/A | $419 |
| Flouride - Topical Varnish Application | $70 | N/A | $70 |
| Maintenance Therapy - Periodontal | $302 | N/A | $302 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $49 | N/A | $49 |
| X-Ray - Complete Intraoral Series | $215 | N/A | $215 |
| X-Ray - Four Images, Bitewings | $91 | N/A | $91 |
| X-Ray - Intraoral, Periapical Radiographic Image | $49 | N/A | $49 |