Plaistow Dental

157 Main Street Plaistow, NH 03865
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1140%$114 Medium
Dental Cleaning - Child$910%$91 Medium
Dental Exam - Comprehensive$1060%$106 Medium
Dental Exam - Periodic, Established Patient$610%$61 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2130%$213 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3550%$355 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2730%$273 Medium
Dental Filling - White (Resin): One Surface, Anterior$1800%$180 Medium
Dental Filling - White (Resin): One Surface, Posterior$2130%$213 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3950%$395 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2470%$247 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2840%$284 Medium
Flouride - Topical Varnish Application$490%$49 Medium
Fluoride - Topical Application$460%$46 Medium
Maintenance Therapy - Periodontal$1810%$181 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3140%$314 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$970%$97 Medium
Root Canal - Anterior Tooth$8860%$886 Medium
Root Canal - Bicuspid Tooth$1,0710%$1,071 Medium
Root Canal - Molar$1,3520%$1,352 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$650%$65 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1900%$190 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$300%$30 Medium
X-Ray - Complete Intraoral Series$1590%$159 Medium
X-Ray - Four Images, Bitewings$780%$78 Medium
X-Ray - Intraoral, Periapical Radiographic Image$370%$37 Medium
X-Ray - Two Images, Bitewings$560%$56 Medium
X-Ray - Whole Mouth from Outside Mouth$1600%$160 Medium