DENTAL COST INTELLIGENCE FROM PEARL
How much does dental work cost in New Hampshire?
New Hampshire dental fees run about 4% above the national average — the southern tier (Manchester, Nashua, Portsmouth) prices like Massachusetts commuter suburbs, with the North Country running noticeably lower.
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| Procedure | Typical range | State average |
|---|---|---|
| Preventive | ||
| Dental Cleaning | $103–$274 | $160 |
| Dental Exam | $67–$171 | $103 |
| Dental Sealants | $57–$145 | $83 |
| Emergency Dental Exam | $72–$191 | $114 |
| Mouth Guard / Sports Guard | $310–$818 | $476 |
| Diagnostics | ||
| Dental X-Rays | $129–$347 | $202 |
| Restorative | ||
| Cavity Filling | $176–$466 | $269 |
| Composite Filling | $176–$466 | $269 |
| Dental Bridge | $3,115–$8,176 | $4,782 |
| Dental Crown | $1,051–$2,763 | $1,615 |
| Inlay / Onlay | $657–$1,723 | $1,009 |
| Night Guard | $445–$1,164 | $678 |
| Same-Day Crowns (CEREC) | $1,040–$2,722 | $1,594 |
| Cosmetic | ||
| Cosmetic Dentistry | $1,728–$4,544 | $2,655 |
| Dental Veneers | $963–$2,525 | $1,475 |
| Smile Makeover | $8,311–$21,797 | $12,751 |
| Teeth Whitening | $409–$1,071 | $626 |
| Tooth Bonding | $223–$580 | $342 |
| Endodontics | ||
| Apicoectomy | $900–$2,360 | $1,382 |
| Root Canal | $709–$1,863 | $1,087 |
| Periodontics | ||
| Crown Lengthening | $1,040–$2,722 | $1,594 |
| Deep Cleaning | $228–$590 | $347 |
| Gum Grafting | $621–$1,625 | $952 |
| Periodontal Treatment | $310–$818 | $476 |
| Oral Surgery | ||
| Bone Graft (Dental) | $704–$1,853 | $1,082 |
| Frenectomy | $621–$1,635 | $957 |
| Sinus Lift | $1,521–$3,995 | $2,339 |
| Tooth Extraction | $176–$466 | $269 |
| Wisdom Teeth Removal | $414–$1,092 | $637 |
| Orthodontics | ||
| Braces | $3,809–$9,988 | $5,843 |
| Invisalign / Clear Aligners | $3,535–$9,279 | $5,429 |
| Implants | ||
| All-on-4 Dental Implants | $15,235–$39,961 | $23,381 |
| Dental Implants | $2,075–$5,439 | $3,183 |
| Prosthodontics | ||
| Dentures | $1,408–$3,690 | $2,158 |
| Full Dentures | $1,516–$3,980 | $2,329 |
| Full Mouth Reconstruction | $20,772–$54,493 | $31,878 |
| Partial Dentures | $1,294–$3,395 | $1,987 |
| Other | ||
| Sedation Dentistry | $347–$911 | $533 |
| Sleep Apnea Oral Appliance | $1,247–$3,271 | $1,915 |
| TMJ Treatment | $1,728–$4,544 | $2,655 |
- Southern tier vs. North Country: Manchester, Nashua, and Portsmouth price like Massachusetts commuter suburbs, reflecting strong cross-border employment ties; Concord runs slightly below; the North Country (Coos County) runs 10–15% lower.
- No dental school: New Hampshire has no in-state DDS program. NH residents typically attend Boston-area schools (Tufts, BU, Harvard) or Maine's UNE.
- Anthem BCBS and Delta Dental of NH: The two dominant in-state PPO carriers.
- Massachusetts commuter overlap: Many NH residents carry MA-employer dental plans via the southern-tier commuter workforce.
- Tourism-corridor pricing: Lakes Region (Laconia) and Mt. Washington Valley see seasonal cash-pay demand.
NH Medicaid expanded adult dental in 2023 — coverage now includes preventive, basic restorative, and limited major work. Children are covered comprehensively.
Private insurance in New Hampshire is PPO-dominant. Anthem BCBS and Delta Dental of New Hampshire are the two largest carriers; many NH residents carry MA-employer plans via the cross-border commuter workforce.
No in-state dental school — NH residents typically attend Boston-area schools (Tufts, BU, Harvard) or Maine's UNE for dental school. UNE in Portland is the closest reduced-fee patient clinic.
Does New Hampshire Medicaid cover dental for adults?
Yes — New Hampshire expanded adult dental in 2023 and now covers preventive, basic restorative, and limited major work. Children are covered comprehensively.
Are NH dental costs really like Massachusetts?
Manchester, Nashua, and Portsmouth price like Massachusetts commuter suburbs — strong cross-border employment ties pull prices up to MA levels in the southern tier. The North Country (Coos County) runs 10–15% lower.
Does New Hampshire have a dental school?
No. NH residents seeking reduced-fee dental school care typically travel to Boston (Tufts, BU, Harvard) or Portland, Maine (UNE). UNE in Portland is the closest reduced-fee patient clinic to most of New Hampshire.
Should NH commuters use MA-employer dental plans?
Many NH residents who work in Massachusetts carry MA-employer dental plans, which are usable across state lines. Boston-area employer plans are typically richer than NH-only plans — confirm in-network status of your NH dentist before relying on the MA plan.
Is dental coverage thin in northern New Hampshire?
Yes — the North Country (Coos County) and Mt. Washington Valley have thin specialist coverage. Patients often travel to Manchester, Concord, or across the border to Vermont or Maine for specialist work.
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