Richard Michael Roy, DDS

103 Main Street. Wilton, NH 03086
Dental Procedures
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My Health Insurance:

  • I do not have dental insurance

Preventive Care

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Adult Dental Cleaning$1220%$122 Medium
Child Dental Cleaning$900%$90 Medium
Fluoride - Topical Application$550%$55 Medium
Plaque and tartar removal from around teeth and gums-per quadrant$2930%$293 Medium
Sealant placed on the tooth surface to prevent decay$530%$53 Medium
Topical fluoride varnish application$530%$53 Medium

Other Dental Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Tooth Extraction (Elevation and/or forceps removal)$2040%$204 Medium