Windham Dental Center

25 Indian Rock Road Windham, NH 03087
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1310%$131
Dental Cleaning - Child$1050%$105
Dental Exam - Comprehensive$1000%$100
Dental Exam - Periodic, Established Patient$580%$58
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2050%$205
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2840%$284
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$5250%$525
Dental Filling - White (Resin): One Surface, Anterior$2130%$213
Dental Filling - White (Resin): One Surface, Posterior$2050%$205
Dental Filling - White (Resin): Three Surfaces, Posterior$3420%$342
Dental Filling - White (Resin): Two Surfaces, Anterior$2260%$226
Dental Filling - White (Resin): Two Surfaces, Posterior$2630%$263
Flouride - Topical Varnish Application$410%$41
Maintenance Therapy - Periodontal$1500%$150
Orthodontic Treatment - Periodic Visit, Part of a Contract$910%$91
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3410%$341
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$2000%$200
Sealant - Placed on Tooth Surface to Prevent Decay$630%$63
Tooth Extraction - Elevation and/or Forceps Removal$3890%$389
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$270%$27
X-Ray - Complete Intraoral Series$2050%$205
X-Ray - Four Images, Bitewings$1050%$105
X-Ray - Intraoral, Periapical Radiographic Image$340%$34
X-Ray - Two Images, Bitewings$790%$79
X-Ray - Whole Mouth from Outside Mouth$2050%$205