Siddhi Mehta, DMD

581 2nd Street Manchester, NH 03102
Dental Procedures
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My Health Insurance:

  • I do not have dental insurance
ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1130%$113 Medium
Dental Cleaning - Child$910%$91 Medium
Dental Exam - Comprehensive$990%$99 Medium
Dental Exam - Periodic, Established Patient$550%$55 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1920%$192 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3480%$348 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2860%$286 Medium
Dental Filling - White (Resin): One Surface, Anterior$1790%$179 Medium
Dental Filling - White (Resin): One Surface, Posterior$1800%$180 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3710%$371 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2180%$218 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2860%$286 Medium
Fluoride - Topical Application$470%$47 Medium
Maintenance Therapy - Periodontal$1640%$164 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2990%$299 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1030%$103 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$630%$63 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1560%$156 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$300%$30 Medium
X-Ray - Complete Intraoral Series$1590%$159 Medium
X-Ray - Four Images, Bitewings$780%$78 Medium
X-Ray - Intraoral, Periapical Radiographic Image$370%$37 Medium
X-Ray - Two Images, Bitewings$560%$56 Medium