Tri-Town Family Dental

50 Pinwood Road Suncook, NH 03275
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1240%$124 Medium
Dental Cleaning - Child$920%$92 Medium
Dental Exam - Comprehensive$1080%$108 Medium
Dental Exam - Periodic, Established Patient$590%$59 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1880%$188 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$5650%$565 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2630%$263 Medium
Dental Filling - White (Resin): One Surface, Anterior$1640%$164 Medium
Dental Filling - White (Resin): One Surface, Posterior$2330%$233 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3910%$391 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2710%$271 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$3210%$321 Medium
Flouride - Topical Varnish Application$490%$49 Medium
Fluoride - Topical Application$450%$45 Medium
Maintenance Therapy - Periodontal$1810%$181 Medium
Orthodontic Treatment - Periodic Visit, Part of a Contract$1430%$143 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3340%$334 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1060%$106 Medium
Root Canal - Anterior Tooth$1,1550%$1,155 Medium
Root Canal - Bicuspid Tooth$2,0030%$2,003 Medium
Root Canal - Molar$1,4960%$1,496 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$580%$58 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2110%$211 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$140%$14 Medium
X-Ray - Complete Intraoral Series$1740%$174 Medium
X-Ray - Four Images, Bitewings$860%$86 Medium
X-Ray - Intraoral, Periapical Radiographic Image$400%$40 Medium
X-Ray - Two Images, Bitewings$560%$56 Medium
X-Ray - Whole Mouth from Outside Mouth$1530%$153 Medium