Perry Family Dental Care

18 Elm Street Antrim, NH 03440
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$116N/A$116
Dental Cleaning - Child$93N/A$93
Dental Exam - Comprehensive$108N/A$108
Dental Exam - Periodic, Established Patient$62N/A$62
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$219N/A$219
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$379N/A$379
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$292N/A$292
Dental Filling - White (Resin): One Surface, Anterior$200N/A$200
Dental Filling - White (Resin): One Surface, Posterior$219N/A$219
Dental Filling - White (Resin): Three Surfaces, Posterior$379N/A$379
Dental Filling - White (Resin): Two Surfaces, Anterior$249N/A$249
Dental Filling - White (Resin): Two Surfaces, Posterior$292N/A$292
Flouride - Topical Varnish Application$45N/A$45
Maintenance Therapy - Periodontal$163N/A$163
Oral Hygiene Instructions$47N/A$47
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$316N/A$316
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$98N/A$98
Root Canal - Anterior Tooth$1,066N/A$1,066
Root Canal - Bicuspid Tooth$1,315N/A$1,315
Root Canal - Molar$3,005N/A$3,005
Sealant - Placed on Tooth Surface to Prevent Decay$64N/A$64
Tooth Extraction - Elevation and/or Forceps Removal$225N/A$225
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$30N/A$30
X-Ray - Complete Intraoral Series$163N/A$163
X-Ray - Four Images, Bitewings$81N/A$81
X-Ray - Intraoral, Periapical Radiographic Image$38N/A$38
X-Ray - Two Images, Bitewings$56N/A$56
X-Ray - Whole Mouth from Outside Mouth$143N/A$143