Vanguard Dental Group

19d Manchester Road, Suite 3 Derry, NH 03038
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1320%$132
Dental Cleaning - Child$1050%$105
Dental Exam - Comprehensive$1320%$132
Dental Exam - Periodic, Established Patient$790%$79
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2780%$278
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$4040%$404
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$3310%$331
Dental Filling - White (Resin): One Surface, Anterior$2650%$265
Dental Filling - White (Resin): One Surface, Posterior$2780%$278
Dental Filling - White (Resin): Three Surfaces, Posterior$4040%$404
Dental Filling - White (Resin): Two Surfaces, Anterior$2940%$294
Dental Filling - White (Resin): Two Surfaces, Posterior$3310%$331
Fluoride - Topical Application$480%$48
Maintenance Therapy - Periodontal$1960%$196
Orthodontic Treatment - Periodic Visit, Part of a Contract$1740%$174
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3680%$368
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1130%$113
Root Canal - Anterior Tooth$1,0510%$1,051
Root Canal - Bicuspid Tooth$1,2030%$1,203
Root Canal - Molar$1,4580%$1,458
Sealant - Placed on Tooth Surface to Prevent Decay$790%$79
Tooth Extraction - Elevation and/or Forceps Removal$2840%$284
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$370%$37
X-Ray - Complete Intraoral Series$2100%$210
X-Ray - Four Images, Bitewings$920%$92
X-Ray - Intraoral, Periapical Radiographic Image$470%$47
X-Ray - Two Images, Bitewings$630%$63
X-Ray - Whole Mouth from Outside Mouth$1630%$163