Village Dental of New England

89 Main Street, Suite 1 Plaistow, NH 03865
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1160%$116 Medium
Dental Cleaning - Child$880%$88 Medium
Dental Exam - Comprehensive$1050%$105 Medium
Dental Exam - Periodic, Established Patient$560%$56 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2370%$237 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3470%$347 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2980%$298 Medium
Dental Filling - White (Resin): One Surface, Posterior$2430%$243 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3470%$347 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2730%$273 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2840%$284 Medium
Fluoride - Topical Application$490%$49 Medium
Maintenance Therapy - Periodontal$1710%$171 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$5960%$596 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$950%$95 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$660%$66 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2100%$210 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$290%$29 Medium
X-Ray - Complete Intraoral Series$1540%$154 Medium
X-Ray - Four Images, Bitewings$780%$78 Medium
X-Ray - Intraoral, Periapical Radiographic Image$390%$39 Medium
X-Ray - Two Images, Bitewings$1050%$105 Medium
X-Ray - Whole Mouth from Outside Mouth$1500%$150 Medium