White Mountain Dental

2759 White Mountain Highway North Conway, NH 03860
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$990%$99
Dental Cleaning - Child$790%$79
Dental Exam - Comprehensive$950%$95
Dental Exam - Periodic, Established Patient$470%$47
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1890%$189
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2990%$299
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2360%$236
Dental Filling - White (Resin): One Surface, Anterior$1600%$160
Dental Filling - White (Resin): One Surface, Posterior$1680%$168
Dental Filling - White (Resin): Three Surfaces, Posterior$2990%$299
Dental Filling - White (Resin): Two Surfaces, Anterior$1950%$195
Dental Filling - White (Resin): Two Surfaces, Posterior$2360%$236
Fluoride - Topical Application$390%$39
Maintenance Therapy - Periodontal$1530%$153
Orthodontic Treatment - Periodic Visit, Part of a Contract$890%$89
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2390%$239
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$790%$79
Root Canal - Anterior Tooth$8770%$877
Root Canal - Bicuspid Tooth$9710%$971
Root Canal - Molar$1,2080%$1,208
Sealant - Placed on Tooth Surface to Prevent Decay$590%$59
Tooth Extraction - Elevation and/or Forceps Removal$2210%$221
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$280%$28
X-Ray - Complete Intraoral Series$1470%$147
X-Ray - Four Images, Bitewings$690%$69
X-Ray - Intraoral, Periapical Radiographic Image$380%$38
X-Ray - Two Images, Bitewings$460%$46
X-Ray - Whole Mouth from Outside Mouth$1520%$152