Plaistow Dental

157 Main Street Plaistow, NH 03865
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1200%$120
Dental Cleaning - Child$910%$91
Dental Exam - Comprehensive$1180%$118
Dental Exam - Periodic, Established Patient$680%$68
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2540%$254
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3820%$382
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$3260%$326
Dental Filling - White (Resin): One Surface, Anterior$2360%$236
Dental Filling - White (Resin): One Surface, Posterior$2540%$254
Dental Filling - White (Resin): Three Surfaces, Posterior$3950%$395
Dental Filling - White (Resin): Two Surfaces, Anterior$2470%$247
Dental Filling - White (Resin): Two Surfaces, Posterior$3260%$326
Flouride - Topical Varnish Application$490%$49
Fluoride - Topical Application$480%$48
Maintenance Therapy - Periodontal$1810%$181
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3630%$363
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1010%$101
Root Canal - Anterior Tooth$1,0450%$1,045
Root Canal - Bicuspid Tooth$1,1810%$1,181
Root Canal - Molar$1,3520%$1,352
Sealant - Placed on Tooth Surface to Prevent Decay$670%$67
Tooth Extraction - Elevation and/or Forceps Removal$1970%$197
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$330%$33
X-Ray - Complete Intraoral Series$1710%$171
X-Ray - Four Images, Bitewings$850%$85
X-Ray - Intraoral, Periapical Radiographic Image$390%$39
X-Ray - Two Images, Bitewings$600%$60
X-Ray - Whole Mouth from Outside Mouth$1660%$166