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 Typical Patient Complexity
Dental Cleaning - Adult$1040%$104 Medium
Dental Cleaning - Child$840%$84 Medium
Dental Exam - Comprehensive$1000%$100 Medium
Dental Exam - Periodic, Established Patient$550%$55 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2000%$200 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3410%$341 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2730%$273 Medium
Dental Filling - White (Resin): One Surface, Anterior$2000%$200 Medium
Dental Filling - White (Resin): One Surface, Posterior$2000%$200 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3410%$341 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2730%$273 Medium
Flouride - Topical Varnish Application$420%$42 Medium
Fluoride - Topical Application$430%$43 Medium
Maintenance Therapy - Periodontal$1500%$150 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2990%$299 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$880%$88 Medium
Root Canal - Bicuspid Tooth$1,2080%$1,208 Medium
Root Canal - Molar$1,3650%$1,365 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$580%$58 Medium
Tooth Extraction - Elevation and/or Forceps Removal$3470%$347 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$340%$34 Medium
X-Ray - Complete Intraoral Series$1470%$147 Medium
X-Ray - Four Images, Bitewings$760%$76 Medium
X-Ray - Intraoral, Periapical Radiographic Image$340%$34 Medium
X-Ray - Two Images, Bitewings$580%$58 Medium
X-Ray - Whole Mouth from Outside Mouth$1470%$147 Medium