Stiles Family Dentistry

32 Stiles Road, Suite 205 Salem, NH 03079
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1310%$131 Medium
Dental Cleaning - Child$1010%$101 Medium
Dental Exam - Comprehensive$1260%$126 Medium
Dental Exam - Periodic, Established Patient$610%$61 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2650%$265 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$4570%$457 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$3360%$336 Medium
Dental Filling - White (Resin): One Surface, Anterior$2320%$232 Medium
Dental Filling - White (Resin): One Surface, Posterior$2570%$257 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$4570%$457 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$3190%$319 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3360%$336 Medium
Flouride - Topical Varnish Application$530%$53 Medium
Maintenance Therapy - Periodontal$1840%$184 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3570%$357 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1470%$147 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$760%$76 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2490%$249 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$350%$35 Medium
X-Ray - Complete Intraoral Series$2060%$206 Medium
X-Ray - Four Images, Bitewings$890%$89 Medium
X-Ray - Intraoral, Periapical Radiographic Image$290%$29 Medium
X-Ray - Two Images, Bitewings$600%$60 Medium
X-Ray - Whole Mouth from Outside Mouth$2000%$200 Medium