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$1100%$110 Medium
Dental Exam - Comprehensive$1180%$118 Medium
Dental Exam - Periodic, Established Patient$740%$74 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2080%$208 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3320%$332 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2650%$265 Medium
Dental Filling - White (Resin): One Surface, Anterior$2160%$216 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$570%$57 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1130%$113 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$760%$76 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1840%$184 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$340%$34 Medium
X-Ray - Complete Intraoral Series$2140%$214 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$1850%$185 Medium