White Mountain Community Health Center

298 White Mt Hwy Conway, NH 03818
Dental Procedures
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Preventive Care

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Adult Dental Cleaning$870%$87 Medium
Child Dental Cleaning$700%$70 Medium
Fluoride - Topical Application$260%$26 Medium
Plaque and tartar removal from around teeth and gums-per quadrant$2310%$231 Medium
Sealant placed on the tooth surface to prevent decay$530%$53 Medium

Other Dental Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Maintenance Therapy - Periodontal$1260%$126 Medium
Tooth Extraction (Elevation and/or forceps removal)$1530%$153 Medium