Monadnock Dental Associates

123 Main Street Jaffrey, NH 03452
Dental Procedures
Cancel
Edit My Insurance Details

My Health Insurance:

  • I do not have dental insurance
ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1160%$116 Medium
Dental Cleaning - Child$890%$89 Medium
Dental Exam - Comprehensive$1050%$105 Medium
Dental Exam - Periodic, Established Patient$510%$51 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2230%$223 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3600%$360 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2820%$282 Medium
Dental Filling - White (Resin): One Surface, Anterior$2090%$209 Medium
Dental Filling - White (Resin): One Surface, Posterior$2230%$223 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3600%$360 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2400%$240 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2820%$282 Medium
Flouride - Topical Varnish Application$370%$37 Medium
Fluoride - Topical Application$370%$37 Medium
Maintenance Therapy - Periodontal$1560%$156 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2600%$260 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1050%$105 Medium
Root Canal - Anterior Tooth$1,6150%$1,615 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$680%$68 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2610%$261 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$420%$42 Medium
X-Ray - Complete Intraoral Series$1580%$158 Medium
X-Ray - Four Images, Bitewings$810%$81 Medium
X-Ray - Intraoral, Periapical Radiographic Image$440%$44 Medium
X-Ray - Two Images, Bitewings$650%$65 Medium
X-Ray - Whole Mouth from Outside Mouth$1580%$158 Medium