Ocean Shades Dental

230 Lafayette Road Portsmouth, NH 03801
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1030%$103 Medium
Dental Cleaning - Child$1580%$158 Medium
Dental Exam - Comprehensive$900%$90 Medium
Dental Exam - Periodic, Established Patient$420%$42 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1860%$186 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3370%$337 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2590%$259 Medium
Dental Filling - White (Resin): One Surface, Anterior$1640%$164 Medium
Dental Filling - White (Resin): One Surface, Posterior$1860%$186 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3370%$337 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2040%$204 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2590%$259 Medium
Flouride - Topical Varnish Application$900%$90 Medium
Fluoride - Topical Application$430%$43 Medium
Maintenance Therapy - Periodontal$1630%$163 Medium
Orthodontic Treatment - Periodic Visit, Part of a Contract$1070%$107 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$5440%$544 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$870%$87 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$860%$86 Medium
Tooth Extraction - Elevation and/or Forceps Removal$4310%$431 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$270%$27 Medium
X-Ray - Complete Intraoral Series$1500%$150 Medium
X-Ray - Four Images, Bitewings$820%$82 Medium
X-Ray - Intraoral, Periapical Radiographic Image$340%$34 Medium
X-Ray - Two Images, Bitewings$500%$50 Medium