Sullivan County Oral Health Collaborative

1 Tremont Street Claremont, NH 03743
Dental Procedures
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Preventive Care

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Adult Dental Cleaning$1030%$103 Medium
Child Dental Cleaning$830%$83 Medium
Fluoride - Topical Application$420%$42 Medium
Sealant placed on the tooth surface to prevent decay$570%$57 Medium
Topical fluoride varnish application$430%$43 Medium

Diagnostic Services

Other Dental Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Maintenance Therapy - Periodontal$1460%$146 Medium
Tooth Extraction (Elevation and/or forceps removal)$2010%$201 Medium