Portsmouth Pediatric Dentistry

150 Griffin Road, Suite 1 Portsmouth, NH 03801
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$124N/A$124
Dental Cleaning - Child$101N/A$101
Dental Exam - Comprehensive$117N/A$117
Dental Exam - Periodic, Established Patient$64N/A$64
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$213N/A$213
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$302N/A$302
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$265N/A$265
Dental Filling - White (Resin): One Surface, Anterior$218N/A$218
Dental Filling - White (Resin): One Surface, Posterior$236N/A$236
Dental Filling - White (Resin): Three Surfaces, Posterior$404N/A$404
Dental Filling - White (Resin): Two Surfaces, Anterior$253N/A$253
Dental Filling - White (Resin): Two Surfaces, Posterior$311N/A$311
Flouride - Topical Varnish Application$61N/A$61
Fluoride - Topical Application$51N/A$51
Maintenance Therapy - Periodontal$151N/A$151
Oral Hygiene Instructions$51N/A$51
Orthodontic Treatment - Periodic Visit, Part of a Contract$62N/A$62
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$105N/A$105
Sealant - Placed on Tooth Surface to Prevent Decay$74N/A$74
Tooth Extraction - Elevation and/or Forceps Removal$247N/A$247
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$35N/A$35
X-Ray - Complete Intraoral Series$146N/A$146
X-Ray - Four Images, Bitewings$86N/A$86
X-Ray - Intraoral, Periapical Radiographic Image$40N/A$40
X-Ray - Two Images, Bitewings$64N/A$64
X-Ray - Whole Mouth from Outside Mouth$153N/A$153