Southern New Hampshire Orthodontics & Pediatric Dentistry
Dental Procedures
| Procedure | Estimate of Total Cost | Number of Visits | What You Will Pay Uninsured Discount: 0% |
|---|---|---|---|
| Dental Cleaning - Adult | $147 | N/A | $147 |
| Dental Cleaning - Child | $120 | N/A | $120 |
| Dental Exam - Comprehensive | $116 | N/A | $116 |
| Dental Exam - Periodic, Established Patient | $74 | N/A | $74 |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $242 | N/A | $242 |
| Flouride - Topical Varnish Application | $63 | N/A | $63 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $158 | N/A | $158 |
| Root Canal - Anterior Tooth | $1,050 | N/A | $1,050 |
| Root Canal - Molar | $1,523 | N/A | $1,523 |
| Sealant - Placed on Tooth Surface to Prevent Decay | $77 | N/A | $77 |
| Tooth Extraction - Elevation and/or Forceps Removal | $210 | N/A | $210 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $51 | N/A | $51 |
| X-Ray - Intraoral, Periapical Radiographic Image | $50 | N/A | $50 |
| X-Ray - Whole Mouth from Outside Mouth | $158 | N/A | $158 |