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
Dental Cleaning - Adult$1160%$116
Dental Cleaning - Child$930%$93
Dental Exam - Comprehensive$1080%$108
Dental Exam - Periodic, Established Patient$620%$62
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2190%$219
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3790%$379
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2920%$292
Dental Filling - White (Resin): One Surface, Anterior$2000%$200
Dental Filling - White (Resin): One Surface, Posterior$2190%$219
Dental Filling - White (Resin): Three Surfaces, Posterior$3790%$379
Dental Filling - White (Resin): Two Surfaces, Anterior$2490%$249
Dental Filling - White (Resin): Two Surfaces, Posterior$2920%$292
Flouride - Topical Varnish Application$450%$45
Maintenance Therapy - Periodontal$1630%$163
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3160%$316
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$980%$98
Root Canal - Anterior Tooth$1,0660%$1,066
Root Canal - Bicuspid Tooth$1,3150%$1,315
Root Canal - Molar$1,5030%$1,503
Sealant - Placed on Tooth Surface to Prevent Decay$640%$64
Tooth Extraction - Elevation and/or Forceps Removal$2250%$225
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$300%$30
X-Ray - Complete Intraoral Series$1630%$163
X-Ray - Four Images, Bitewings$810%$81
X-Ray - Intraoral, Periapical Radiographic Image$380%$38
X-Ray - Two Images, Bitewings$560%$56
X-Ray - Whole Mouth from Outside Mouth$1430%$143