Village Green Family Dentistry

33 Indian Rock Road Windham, NH 03087
Dental Procedures
Cancel
Edit My Insurance Details

My Health Insurance:

  • I do not have dental insurance
ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1160%$116 Medium
Dental Cleaning - Child$860%$86 Medium
Dental Exam - Comprehensive$1020%$102 Medium
Dental Exam - Periodic, Established Patient$560%$56 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2280%$228 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3770%$377 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2980%$298 Medium
Dental Filling - White (Resin): One Surface, Anterior$2210%$221 Medium
Dental Filling - White (Resin): One Surface, Posterior$2280%$228 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3770%$377 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2610%$261 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2980%$298 Medium
Flouride - Topical Varnish Application$560%$56 Medium
Maintenance Therapy - Periodontal$1660%$166 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3160%$316 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$970%$97 Medium
Root Canal - Bicuspid Tooth$1,0050%$1,005 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$700%$70 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2220%$222 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$380%$38 Medium
X-Ray - Complete Intraoral Series$1700%$170 Medium
X-Ray - Four Images, Bitewings$830%$83 Medium
X-Ray - Intraoral, Periapical Radiographic Image$380%$38 Medium
X-Ray - Two Images, Bitewings$590%$59 Medium
X-Ray - Whole Mouth from Outside Mouth$1400%$140 Medium