Peterson Family Dental

240 Locust Street Dover, NH 03820
Dental Procedures
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My Health Insurance:

  • I do not have dental insurance
ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$104N/A$104
Dental Cleaning - Child$76N/A$76
Dental Exam - Comprehensive$91N/A$91
Dental Exam - Periodic, Established Patient$50N/A$50
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$187N/A$187
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$332N/A$332
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$258N/A$258
Dental Filling - White (Resin): One Surface, Anterior$167N/A$167
Dental Filling - White (Resin): One Surface, Posterior$187N/A$187
Dental Filling - White (Resin): Three Surfaces, Posterior$332N/A$332
Dental Filling - White (Resin): Two Surfaces, Anterior$205N/A$205
Dental Filling - White (Resin): Two Surfaces, Posterior$258N/A$258
Flouride - Topical Varnish Application$43N/A$43
Fluoride - Topical Application$41N/A$41
Maintenance Therapy - Periodontal$139N/A$139
Oral Hygiene Instructions$44N/A$44
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$254N/A$254
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$89N/A$89
Root Canal - Anterior Tooth$801N/A$801
Root Canal - Bicuspid Tooth$1,394N/A$1,394
Sealant - Placed on Tooth Surface to Prevent Decay$59N/A$59
Tooth Extraction - Elevation and/or Forceps Removal$177N/A$177
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$25N/A$25
X-Ray - Complete Intraoral Series$145N/A$145
X-Ray - Four Images, Bitewings$71N/A$71
X-Ray - Intraoral, Periapical Radiographic Image$35N/A$35
X-Ray - Two Images, Bitewings$51N/A$51
X-Ray - Whole Mouth from Outside Mouth$131N/A$131