Piscataqua Dental Partners

288 Lafayette Road, Suite 3, Building A Portsmouth, NH 03801
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1140%$114
Dental Cleaning - Child$790%$79
Dental Exam - Comprehensive$1130%$113
Dental Exam - Periodic, Established Patient$660%$66
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1880%$188
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2740%$274
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2340%$234
Dental Filling - White (Resin): One Surface, Anterior$2140%$214
Dental Filling - White (Resin): One Surface, Posterior$2310%$231
Dental Filling - White (Resin): Three Surfaces, Posterior$3820%$382
Dental Filling - White (Resin): Two Surfaces, Anterior$2610%$261
Dental Filling - White (Resin): Two Surfaces, Posterior$3180%$318
Flouride - Topical Varnish Application$460%$46
Maintenance Therapy - Periodontal$1580%$158
Orthodontic Treatment - Periodic Visit, Part of a Contract$1070%$107
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3090%$309
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1020%$102
Sealant - Placed on Tooth Surface to Prevent Decay$700%$70
Tooth Extraction - Elevation and/or Forceps Removal$2940%$294
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$300%$30
X-Ray - Complete Intraoral Series$1820%$182
X-Ray - Four Images, Bitewings$800%$80
X-Ray - Intraoral, Periapical Radiographic Image$370%$37
X-Ray - Two Images, Bitewings$570%$57
X-Ray - Whole Mouth from Outside Mouth$1730%$173