Santilli Family Dentistry

175 Cottage Street Littleton, NH 03561
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1100%$110 Medium
Dental Cleaning - Child$870%$87 Medium
Dental Exam - Comprehensive$1080%$108 Medium
Dental Exam - Periodic, Established Patient$600%$60 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1770%$177 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3550%$355 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2860%$286 Medium
Dental Filling - White (Resin): One Surface, Anterior$2100%$210 Medium
Dental Filling - White (Resin): One Surface, Posterior$2230%$223 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3550%$355 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2510%$251 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2860%$286 Medium
Flouride - Topical Varnish Application$590%$59 Medium
Fluoride - Topical Application$590%$59 Medium
Maintenance Therapy - Periodontal$1580%$158 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3110%$311 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$960%$96 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2310%$231 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$350%$35 Medium
X-Ray - Complete Intraoral Series$1630%$163 Medium
X-Ray - Four Images, Bitewings$870%$87 Medium
X-Ray - Intraoral, Periapical Radiographic Image$390%$39 Medium
X-Ray - Two Images, Bitewings$610%$61 Medium
X-Ray - Whole Mouth from Outside Mouth$1510%$151 Medium