Perry Family Dental Care

18 Elm Street Antrim, NH 03440
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1120%$112 Medium
Dental Cleaning - Child$900%$90 Medium
Dental Exam - Comprehensive$1050%$105 Medium
Dental Exam - Periodic, Established Patient$600%$60 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2130%$213 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3680%$368 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2840%$284 Medium
Dental Filling - White (Resin): One Surface, Anterior$1930%$193 Medium
Dental Filling - White (Resin): One Surface, Posterior$2130%$213 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3680%$368 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2420%$242 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2840%$284 Medium
Flouride - Topical Varnish Application$440%$44 Medium
Maintenance Therapy - Periodontal$1580%$158 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3110%$311 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$950%$95 Medium
Root Canal - Anterior Tooth$1,0340%$1,034 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$620%$62 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2180%$218 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$290%$29 Medium
X-Ray - Complete Intraoral Series$1580%$158 Medium
X-Ray - Four Images, Bitewings$790%$79 Medium
X-Ray - Intraoral, Periapical Radiographic Image$370%$37 Medium
X-Ray - Two Images, Bitewings$560%$56 Medium
X-Ray - Whole Mouth from Outside Mouth$1390%$139 Medium