Peterson Family Dental PLLC

240 Locust Street Dover, NH 03820
Dental Procedures
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Preventive Care

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Adult Dental Cleaning$930%$93 Medium
Child Dental Cleaning$720%$72 Medium
Fluoride - Topical Application$390%$39 Medium
Plaque and tartar removal from around teeth and gums-per quadrant$2540%$254 Medium
Sealant placed on the tooth surface to prevent decay$560%$56 Medium
Topical fluoride varnish application$390%$39 Medium

Other Dental Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Maintenance Therapy - Periodontal$1390%$139 Medium
Tooth Extraction (Elevation and/or forceps removal)$1770%$177 Medium