Plymouth General Dentistry

65 Highland Street Plymouth, NH 03264
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1060%$106 Medium
Dental Cleaning - Child$850%$85 Medium
Dental Exam - Comprehensive$890%$89 Medium
Dental Exam - Periodic, Established Patient$510%$51 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1710%$171 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2510%$251 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2020%$202 Medium
Dental Filling - White (Resin): One Surface, Anterior$2040%$204 Medium
Dental Filling - White (Resin): One Surface, Posterior$2090%$209 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3620%$362 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2280%$228 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2860%$286 Medium
Flouride - Topical Varnish Application$510%$51 Medium
Maintenance Therapy - Periodontal$1470%$147 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2600%$260 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$850%$85 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$610%$61 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1940%$194 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$290%$29 Medium
X-Ray - Complete Intraoral Series$1470%$147 Medium
X-Ray - Four Images, Bitewings$740%$74 Medium
X-Ray - Intraoral, Periapical Radiographic Image$320%$32 Medium
X-Ray - Two Images, Bitewings$490%$49 Medium
X-Ray - Whole Mouth from Outside Mouth$1240%$124 Medium