Stiles Family Dentistry

32 Stiles Road, Suite 205 Salem, NH 03079
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$135N/A$135
Dental Cleaning - Child$104N/A$104
Dental Exam - Comprehensive$130N/A$130
Dental Exam - Periodic, Established Patient$61N/A$61
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$265N/A$265
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$470N/A$470
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$347N/A$347
Dental Filling - White (Resin): One Surface, Anterior$232N/A$232
Dental Filling - White (Resin): One Surface, Posterior$265N/A$265
Dental Filling - White (Resin): Three Surfaces, Posterior$470N/A$470
Dental Filling - White (Resin): Two Surfaces, Anterior$319N/A$319
Dental Filling - White (Resin): Two Surfaces, Posterior$347N/A$347
Flouride - Topical Varnish Application$55N/A$55
Maintenance Therapy - Periodontal$189N/A$189
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$357N/A$357
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$151N/A$151
Sealant - Placed on Tooth Surface to Prevent Decay$78N/A$78
Tooth Extraction - Elevation and/or Forceps Removal$249N/A$249
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$36N/A$36
X-Ray - Complete Intraoral Series$206N/A$206
X-Ray - Four Images, Bitewings$92N/A$92
X-Ray - Intraoral, Periapical Radiographic Image$41N/A$41
X-Ray - Two Images, Bitewings$62N/A$62
X-Ray - Whole Mouth from Outside Mouth$206N/A$206