Northeastern Pediatric Dental

78 Northeastern Boulevard, Suite 6 Nashua, NH 03062
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1550%$155 Medium
Dental Cleaning - Child$1200%$120 Medium
Dental Exam - Comprehensive$1200%$120 Medium
Dental Exam - Periodic, Established Patient$740%$74 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2450%$245 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3260%$326 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2650%$265 Medium
Dental Filling - White (Resin): One Surface, Anterior$1890%$189 Medium
Dental Filling - White (Resin): One Surface, Posterior$2330%$233 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3910%$391 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2710%$271 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3210%$321 Medium
Flouride - Topical Varnish Application$430%$43 Medium
Fluoride - Topical Application$560%$56 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1130%$113 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$750%$75 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2600%$260 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$350%$35 Medium
X-Ray - Complete Intraoral Series$2450%$245 Medium
X-Ray - Four Images, Bitewings$950%$95 Medium
X-Ray - Intraoral, Periapical Radiographic Image$500%$50 Medium
X-Ray - Two Images, Bitewings$760%$76 Medium
X-Ray - Whole Mouth from Outside Mouth$1490%$149 Medium