Benjamin Theodore Selle, DDS

51 Mill Street Wolfeboro, NH 03894
Dental Procedures
Cancel
Edit My Insurance Details

My Health Insurance:

  • I do not have dental insurance
ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1040%$104 Medium
Dental Cleaning - Child$840%$84 Medium
Dental Exam - Comprehensive$840%$84 Medium
Dental Exam - Periodic, Established Patient$570%$57 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2130%$213 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3590%$359 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2820%$282 Medium
Dental Filling - White (Resin): One Surface, Anterior$1660%$166 Medium
Dental Filling - White (Resin): One Surface, Posterior$2130%$213 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3590%$359 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2020%$202 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2820%$282 Medium
Flouride - Topical Varnish Application$380%$38 Medium
Maintenance Therapy - Periodontal$1420%$142 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2680%$268 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$860%$86 Medium
Root Canal - Bicuspid Tooth$9560%$956 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$560%$56 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2260%$226 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$360%$36 Medium
X-Ray - Complete Intraoral Series$1720%$172 Medium
X-Ray - Four Images, Bitewings$900%$90 Medium
X-Ray - Intraoral, Periapical Radiographic Image$480%$48 Medium
X-Ray - Two Images, Bitewings$550%$55 Medium
X-Ray - Whole Mouth from Outside Mouth$1490%$149 Medium