Mountain View Dental

8 Clover Lane, Suite 2 Whitefield, NH 03598
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1000%$100
Dental Cleaning - Child$740%$74
Dental Exam - Comprehensive$890%$89
Dental Exam - Periodic, Established Patient$530%$53
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1840%$184
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3150%$315
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2420%$242
Dental Filling - White (Resin): One Surface, Anterior$1670%$167
Dental Filling - White (Resin): One Surface, Posterior$1840%$184
Dental Filling - White (Resin): Three Surfaces, Posterior$3150%$315
Dental Filling - White (Resin): Two Surfaces, Anterior$2130%$213
Dental Filling - White (Resin): Two Surfaces, Posterior$2420%$242
Flouride - Topical Varnish Application$420%$42
Fluoride - Topical Application$420%$42
Maintenance Therapy - Periodontal$1420%$142
Orthodontic Treatment - Periodic Visit, Part of a Contract$830%$83
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2630%$263
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$790%$79
Root Canal - Anterior Tooth$7880%$788
Root Canal - Bicuspid Tooth$8930%$893
Root Canal - Molar$1,1550%$1,155
Sealant - Placed on Tooth Surface to Prevent Decay$550%$55
Tooth Extraction - Elevation and/or Forceps Removal$1790%$179
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$260%$26
X-Ray - Complete Intraoral Series$1590%$159
X-Ray - Four Images, Bitewings$680%$68
X-Ray - Intraoral, Periapical Radiographic Image$320%$32
X-Ray - Two Images, Bitewings$500%$50
X-Ray - Whole Mouth from Outside Mouth$1260%$126