Office Fees

Giving You the Full Picture

At Nashoba Family Dentists, we put you at the center of everything we do, which means being as transparent as possible about not only who we are and the services we offer, but also about how our fees are structured. We’ve listed most of our services with fee structures below. Please understand that each procedure could vary in price from these numbers depending on the need—every patient and every case is different.

Preventative Care

Certain insurance plans may cover up to 100%

Dental Exam

$58-$150

Periodic Exam (D0120) - $58
Limited Exam (D0140) - $112
Exam < 3 years old (D0145) - $90
New Patient Exam (D0150) - $113
Perio Exam (D0180) - $150

Teeth Cleaning (Prophylaxis)

$87-$115

Adult Teeth Cleaning (D1110) - $115
Child Teeth Cleaning (D1120) - $87

Sealants (D1351)

$70

Amalgam (Silver) Fillings

$165-$318

1 Surface (D2140) - $165
2 Surfaces (D2150) - $199
3 Surfaces (D2160) - $242
4+ Surfaces (D2161) - $318

Composite (White) Anterior Fillings

$190-$369

1 Surface (D2330) - $190
2 Surfaces (D2331) - $229
3 Surfaces (D2332) - $289
4+ Surfaces (D2335) - $369

Composite (White) Posterior Fillings

$207-$410

1 Surface (D2391) - $207
2 Surfaces (D2392) - $273
3 Surfaces (D2393) - $333
4+ Surfaces (D2394) - $410

Osseous Surgery

$1,250-$1,650

1-3 Teeth (D4261) - $1,250
Quad (D4260) - $1,650

Tissue Graft (D4273)

$1,510

Scaling & Root Planing

$236-$311

1-3 Teeth (D4342) - $236
Quad (D4341) - $331

Periodontal Maintenance (D4910)

$164

Restorative Dental

Certain insurance plans may cover up to 100%

Dental Crowns

$375-$1,524

Crown - Porcelain/Ceramic (D2740) - $1,524
Crown - Porcelain Fused to Metal (D2750) - $1,384
Crown Build Up (D2950) - $375

Root Canal

$1,100-$1,600

Anterior (D3310) - $1,100
Bicuspid (D3320) - $1,400
Molar (D3330) - $1,600

Dentures

$1,956-$2,001

Partial Upper Denture (D5213) - $1,956
Partial Lower Denture (D5214) - $1,956
Complete Upper Denture (D5110) - $2,001
Complete Lower Denture (D5120) - $2,001

Dental Bridges

$1,802

Retainer - Porcelain/Ceramic (D6740) - $1,802
Pontic - Porcelain/Ceramic (D6245) - $1,802

Dental Implants

$1,065-$2,450

Custom Abutment (D6057) - $1,065
Implant Crown - Porcelain/Ceramic (D6058) - $1,778
Surgical Place Implant (D6010) - $2,450

Tooth Extractions

$246-$387

Simple Extraction (D7140) - $246
Surgical Extraction (D7210) - $387

Sinus Augmentation (D7952)

$1,500

Augmentation w/Bone (D7951) - $2,500

Bone Graft

$751-785

w/Implant (D6104) - $751
w/Extraction Only (D7953) - $785

Additional Services

Certain insurance plans may cover up to 100%

Fluoride (D1206)

$58

Dental X-rays

$33-$180

FMX (D0210) - $164
PA (D0220) - $39
Addt’l PAs (D0230) - $33
2 BWX (D0272) - $57
4 BWX (D0274) - $82
Panoramic X-ray (D0330) - $180

Exterior of Nashoba Family Dentists

Nashoba Family Dentists

256 Great Road, Suite 5
Littleton, MA 01460
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Hours

Monday: 8:00 a.m. - 5:00 p.m.
Tuesday: 7:15 a.m. - 6:00 p.m.
Wednesday - Friday: 7:15 a.m. - 5:00 p.m.

Phone

978-486-8261

Email Address

[email protected]