Monadnock Dental Associates

123 Main Street Jaffrey, NH 03452
Dental Procedures
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My Health Insurance:

  • I do not have dental insurance
ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$116N/A$116
Dental Cleaning - Child$95N/A$95
Dental Exam - Comprehensive$110N/A$110
Dental Exam - Periodic, Established Patient$57N/A$57
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$235N/A$235
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$373N/A$373
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$301N/A$301
Dental Filling - White (Resin): One Surface, Anterior$218N/A$218
Dental Filling - White (Resin): One Surface, Posterior$235N/A$235
Dental Filling - White (Resin): Three Surfaces, Posterior$373N/A$373
Dental Filling - White (Resin): Two Surfaces, Anterior$265N/A$265
Dental Filling - White (Resin): Two Surfaces, Posterior$301N/A$301
Flouride - Topical Varnish Application$37N/A$37
Fluoride - Topical Application$37N/A$37
Maintenance Therapy - Periodontal$177N/A$177
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$318N/A$318
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$105N/A$105
Root Canal - Anterior Tooth$971N/A$971
Root Canal - Bicuspid Tooth$2,300N/A$2,300
Sealant - Placed on Tooth Surface to Prevent Decay$77N/A$77
Tooth Extraction - Elevation and/or Forceps Removal$272N/A$272
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$43N/A$43
X-Ray - Complete Intraoral Series$165N/A$165
X-Ray - Four Images, Bitewings$81N/A$81
X-Ray - Intraoral, Periapical Radiographic Image$45N/A$45
X-Ray - Two Images, Bitewings$66N/A$66
X-Ray - Whole Mouth from Outside Mouth$158N/A$158