Perry Family Dental Care

18 Elm Street Antrim, NH 03440
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$1080%$108 Medium
Dental Exam - Periodic, Established Patient$620%$62 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2190%$219 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3790%$379 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2920%$292 Medium
Dental Filling - White (Resin): One Surface, Anterior$2000%$200 Medium
Dental Filling - White (Resin): One Surface, Posterior$2190%$219 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3790%$379 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2490%$249 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2920%$292 Medium
Flouride - Topical Varnish Application$450%$45 Medium
Maintenance Therapy - Periodontal$1630%$163 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3160%$316 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$980%$98 Medium
Root Canal - Anterior Tooth$1,0660%$1,066 Medium
Root Canal - Bicuspid Tooth$1,3150%$1,315 Medium
Root Canal - Molar$1,5030%$1,503 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$640%$64 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2250%$225 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$300%$30 Medium
X-Ray - Complete Intraoral Series$1630%$163 Medium
X-Ray - Four Images, Bitewings$810%$81 Medium
X-Ray - Intraoral, Periapical Radiographic Image$380%$38 Medium
X-Ray - Two Images, Bitewings$560%$56 Medium
X-Ray - Whole Mouth from Outside Mouth$1430%$143 Medium