Silva Family Dentistry

16 Lehner Street Wolfeboro, NH 03894
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1050%$105
Dental Cleaning - Child$850%$85
Dental Exam - Comprehensive$1090%$109
Dental Exam - Periodic, Established Patient$550%$55
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2000%$200
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3420%$342
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2730%$273
Dental Filling - White (Resin): One Surface, Anterior$2000%$200
Dental Filling - White (Resin): One Surface, Posterior$2000%$200
Dental Filling - White (Resin): Three Surfaces, Posterior$3420%$342
Dental Filling - White (Resin): Two Surfaces, Anterior$2730%$273
Dental Filling - White (Resin): Two Surfaces, Posterior$2730%$273
Flouride - Topical Varnish Application$420%$42
Fluoride - Topical Application$430%$43
Maintenance Therapy - Periodontal$1510%$151
Orthodontic Treatment - Periodic Visit, Part of a Contract$1410%$141
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2990%$299
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$880%$88
Sealant - Placed on Tooth Surface to Prevent Decay$580%$58
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$340%$34
X-Ray - Complete Intraoral Series$1470%$147
X-Ray - Four Images, Bitewings$760%$76
X-Ray - Intraoral, Periapical Radiographic Image$340%$34
X-Ray - Two Images, Bitewings$580%$58
X-Ray - Whole Mouth from Outside Mouth$1470%$147