New Hampshire Family Dentistry

2626 Brown Avenue Manchester, NH 03103
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$110N/A$110
Dental Cleaning - Child$93N/A$93
Dental Exam - Comprehensive$126N/A$126
Dental Exam - Periodic, Established Patient$60N/A$60
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$197N/A$197
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$348N/A$348
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$278N/A$278
Dental Filling - White (Resin): One Surface, Anterior$176N/A$176
Dental Filling - White (Resin): One Surface, Posterior$197N/A$197
Dental Filling - White (Resin): Three Surfaces, Posterior$348N/A$348
Dental Filling - White (Resin): Two Surfaces, Anterior$209N/A$209
Dental Filling - White (Resin): Two Surfaces, Posterior$278N/A$278
Flouride - Topical Varnish Application$44N/A$44
Fluoride - Topical Application$48N/A$48
Maintenance Therapy - Periodontal$171N/A$171
Orthodontic Treatment - Periodic Visit, Part of a Contract$93N/A$93
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$294N/A$294
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$95N/A$95
Root Canal - Anterior Tooth$877N/A$877
Root Canal - Bicuspid Tooth$1,982N/A$1,982
Root Canal - Molar$1,229N/A$1,229
Sealant - Placed on Tooth Surface to Prevent Decay$63N/A$63
Tooth Extraction - Elevation and/or Forceps Removal$193N/A$193
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$36N/A$36
X-Ray - Complete Intraoral Series$158N/A$158
X-Ray - Four Images, Bitewings$88N/A$88
X-Ray - Intraoral, Periapical Radiographic Image$37N/A$37
X-Ray - Two Images, Bitewings$68N/A$68
X-Ray - Whole Mouth from Outside Mouth$158N/A$158