Village Green Family Dentistry

33 Indian Rock Road Windham, NH 03087
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$116N/A$116
Dental Cleaning - Child$86N/A$86
Dental Exam - Comprehensive$102N/A$102
Dental Exam - Periodic, Established Patient$56N/A$56
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$228N/A$228
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$298N/A$298
Dental Filling - White (Resin): One Surface, Anterior$213N/A$213
Dental Filling - White (Resin): One Surface, Posterior$228N/A$228
Dental Filling - White (Resin): Three Surfaces, Posterior$377N/A$377
Dental Filling - White (Resin): Two Surfaces, Anterior$261N/A$261
Dental Filling - White (Resin): Two Surfaces, Posterior$298N/A$298
Flouride - Topical Varnish Application$56N/A$56
Fluoride - Topical Application$51N/A$51
Maintenance Therapy - Periodontal$166N/A$166
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$316N/A$316
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$97N/A$97
Root Canal - Bicuspid Tooth$1,613N/A$1,613
Sealant - Placed on Tooth Surface to Prevent Decay$70N/A$70
Tooth Extraction - Elevation and/or Forceps Removal$222N/A$222
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$29N/A$29
X-Ray - Complete Intraoral Series$170N/A$170
X-Ray - Four Images, Bitewings$83N/A$83
X-Ray - Intraoral, Periapical Radiographic Image$38N/A$38
X-Ray - Two Images, Bitewings$59N/A$59
X-Ray - Whole Mouth from Outside Mouth$140N/A$140