Pediatric Dentistry of Salem

389 Main Street Salem, NH 03079
Dental Procedures
Cancel
Edit My Insurance Details

My Health Insurance:

  • I do not have dental insurance
ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1160%$116 Medium
Dental Cleaning - Child$930%$93 Medium
Dental Exam - Comprehensive$1000%$100 Medium
Dental Exam - Periodic, Established Patient$610%$61 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1870%$187 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2990%$299 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2310%$231 Medium
Dental Filling - White (Resin): One Surface, Anterior$1850%$185 Medium
Dental Filling - White (Resin): One Surface, Posterior$1870%$187 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$2990%$299 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2260%$226 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2310%$231 Medium
Fluoride - Topical Application$430%$43 Medium
Orthodontic Treatment - Periodic Visit, Part of a Contract$950%$95 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$980%$98 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$620%$62 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2100%$210 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$350%$35 Medium
X-Ray - Complete Intraoral Series$1980%$198 Medium
X-Ray - Four Images, Bitewings$790%$79 Medium
X-Ray - Intraoral, Periapical Radiographic Image$400%$40 Medium
X-Ray - Two Images, Bitewings$570%$57 Medium
X-Ray - Whole Mouth from Outside Mouth$1470%$147 Medium