Welnak Dental

Cash prices

1. Silver (Amalgam) Dental Filling - One Surface, Primary or Permanent

   Standard service: Amalgam filling (1 surface)

   Code D2140

   Ask what's included
   $294

   Estimated patient cost of $294 per procedure.

   Source: nhhealthcost.nh.gov · checked Oct 2026
2. Silver (Amalgam) Dental Filling - Two Surfaces, Primary or Permanent

   Standard service: Amalgam filling (2 surfaces)

   Code D2150

   Ask what's included
   $405

   Estimated patient cost of $405 per procedure.

   Source: nhhealthcost.nh.gov · checked Oct 2026
3. Silver (Amalgam) Dental Filling - Three Surfaces, Primary or Permanent

   Standard service: Amalgam filling (3 surfaces)

   Code D2160

   Ask what's included
   $529

   Estimated patient cost of $529 per procedure.

   Source: nhhealthcost.nh.gov · checked Oct 2026
4. Two Bitewing X-Ray Images

   Standard service: Bitewing X-rays (2 images)

   Code D0272

   Ask what's included
   $83

   Estimated patient cost of $83 for two bitewing images.

   Source: nhhealthcost.nh.gov · checked Oct 2026
5. Four Bitewing X-Ray Images

   Standard service: Bitewing X-rays (4 films)

   Code D0274

   Ask what's included
   $117

   Estimated patient cost of $117 for four bitewing images.

   Source: nhhealthcost.nh.gov · checked Oct 2026
6. White (Resin) Dental Filling - One Surface, Anterior

   Standard service: Composite filling (1 surface, anterior)

   Code D2330

   Ask what's included
   $268

   Estimated patient cost of $268 per procedure.

   Source: nhhealthcost.nh.gov · checked Oct 2026
7. White (Resin) Dental Filling - Two Surfaces, Anterior

   Standard service: Composite filling (2 surfaces, anterior)

   Code D2331

   Ask what's included
   $322

   Estimated patient cost of $322 per procedure.

   Source: nhhealthcost.nh.gov · checked Oct 2026
8. White (Resin) Dental Filling - One Surface, Posterior

   Standard service: Composite filling, posterior (1 surface)

   Code D2391

   Ask what's included
   $302

   Estimated patient cost of $302 per procedure.

   Source: nhhealthcost.nh.gov · checked Oct 2026
9. White (Resin) Dental Filling - Two Surfaces, Posterior

   Standard service: Composite filling, posterior (2 surfaces)

   Code D2392

   Ask what's included
   $405

   Estimated patient cost of $405 per procedure.

   Source: nhhealthcost.nh.gov · checked Oct 2026
10. White (Resin) Dental Filling - Three Surfaces, Posterior

    Standard service: Composite filling, posterior (3 surfaces)

    Code D2393

    Ask what's included
    $513

    Estimated patient cost of $513 per procedure.

    Source: nhhealthcost.nh.gov · checked Oct 2026
11. Comprehensive Dental Exam

    Standard service: Comprehensive oral exam

    Code D0150

    Ask what's included
    $151 per visit

    Estimated patient cost of $151 per comprehensive exam.

    Source: nhhealthcost.nh.gov · checked Oct 2026
12. Dental Crown, Porcelain/Ceramic

    Standard service: Dental crown (porcelain)

    Code D2740

    Ask what's included
    $1,744

    Estimated patient cost of $1,744 per crown procedure.

    Source: nhhealthcost.nh.gov · checked Oct 2026
13. Placing Sealant on Tooth Surface to Prevent Decay

    Standard service: Dental sealant (per tooth)

    Code D1351

    Ask what's included
    $92

    Estimated patient cost of $92 per sealant procedure.

    Source: nhhealthcost.nh.gov · checked Oct 2026
14. Topical Varnish Fluoride Application

    Standard service: Fluoride varnish

    Code D1206

    Ask what's included
    $68

    Estimated patient cost of $68 per application.

    Source: nhhealthcost.nh.gov · checked Oct 2026
15. Complete Intraoral X-Ray Series

    Standard service: Full mouth X-rays (FMX)

    Code D0210

    Ask what's included
    $221

    Estimated patient cost of $221 per complete intraoral X-ray series.

    Source: nhhealthcost.nh.gov · checked Oct 2026
16. Periodic Dental Exam for an Established Patient

    Standard service: Periodic oral exam

    Code D0120

    Ask what's included
    $80 per visit

    Estimated patient cost of $80 per periodic exam for an established patient.

    Source: nhhealthcost.nh.gov · checked Oct 2026
17. Maintenance Therapy

    Standard service: Periodontal maintenance

    Code D4910

    Ask what's included
    $201 per visit

    Estimated patient cost of $201 per maintenance therapy procedure.

    Source: nhhealthcost.nh.gov · checked Oct 2026
18. Problem Focused Evaluation, Limited to a Specific Oral Health Problem or Complaint

    Standard service: Problem-focused dental exam

    Code D0140

    Ask what's included
    $135

    Estimated patient cost of $135 per evaluation.

    Source: nhhealthcost.nh.gov · checked Oct 2026
19. Problem Focused Evaluation, Limited to a Specific Oral Health Problem or Complaint

    Standard service: Problem-focused dental exam

    Code D0140

    Ask what's included
    $135 per visit

    Estimated patient cost of $135 per evaluation.

    Source: nhhealthcost.nh.gov · checked Oct 2026
20. Plaque and Tartar Removal Around Teeth and Gums, Per Quadrant

    Standard service: Teeth cleaning

    Ask what's included
    $385 per unit

    Estimated patient cost of $385 per quadrant.

    Source: nhhealthcost.nh.gov · checked Oct 2026
21. Adult Dental Cleaning

    Standard service: Teeth cleaning (adult)

    Code D1110

    Ask what's included
    $155 per visit

    Estimated patient cost of $155 per cleaning.

    Source: nhhealthcost.nh.gov · checked Oct 2026

Prices are published cash prices with their source and the date we last checked. Confirm with the provider before you book. Hospital prices for a billing code are often the facility charge only.