Webster Dental Association

40 Webster Street Manchester, NH 03104
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1370%$137 Medium
Dental Cleaning - Child$970%$97 Medium
Dental Exam - Comprehensive$1050%$105 Medium
Dental Exam - Periodic, Established Patient$600%$60 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2600%$260 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3570%$357 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2810%$281 Medium
Dental Filling - White (Resin): One Surface, Anterior$2180%$218 Medium
Dental Filling - White (Resin): One Surface, Posterior$2600%$260 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3580%$358 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2390%$239 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2810%$281 Medium
Fluoride - Topical Application$630%$63 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3100%$310 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1640%$164 Medium
Root Canal - Anterior Tooth$1,0240%$1,024 Medium
Root Canal - Bicuspid Tooth$2,4680%$2,468 Medium
Root Canal - Molar$1,4490%$1,449 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$830%$83 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2630%$263 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$370%$37 Medium
X-Ray - Complete Intraoral Series$1950%$195 Medium
X-Ray - Four Images, Bitewings$900%$90 Medium
X-Ray - Intraoral, Periapical Radiographic Image$410%$41 Medium
X-Ray - Two Images, Bitewings$680%$68 Medium
X-Ray - Whole Mouth from Outside Mouth$2000%$200 Medium