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 Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$138N/A$138
Dental Cleaning - Child$97N/A$97
Dental Exam - Comprehensive$105N/A$105
Dental Exam - Periodic, Established Patient$60N/A$60
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$260N/A$260
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$323N/A$323
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$284N/A$284
Dental Filling - White (Resin): One Surface, Anterior$219N/A$219
Dental Filling - White (Resin): One Surface, Posterior$260N/A$260
Dental Filling - White (Resin): Three Surfaces, Posterior$358N/A$358
Dental Filling - White (Resin): Two Surfaces, Anterior$242N/A$242
Dental Filling - White (Resin): Two Surfaces, Posterior$284N/A$284
Fluoride - Topical Application$63N/A$63
Maintenance Therapy - Periodontal$353N/A$353
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$310N/A$310
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$164N/A$164
Root Canal - Anterior Tooth$1,031N/A$1,031
Root Canal - Bicuspid Tooth$1,234N/A$1,234
Root Canal - Molar$1,460N/A$1,460
Sealant - Placed on Tooth Surface to Prevent Decay$85N/A$85
Tooth Extraction - Elevation and/or Forceps Removal$263N/A$263
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$38N/A$38
X-Ray - Complete Intraoral Series$196N/A$196
X-Ray - Four Images, Bitewings$91N/A$91
X-Ray - Intraoral, Periapical Radiographic Image$42N/A$42
X-Ray - Two Images, Bitewings$68N/A$68
X-Ray - Whole Mouth from Outside Mouth$200N/A$200