Silva Family Dentistry

16 Lehner Street Wolfeboro, NH 03894
Dental Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$105N/A$105
Dental Cleaning - Child$85N/A$85
Dental Exam - Comprehensive$110N/A$110
Dental Exam - Periodic, Established Patient$55N/A$55
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$218N/A$218
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$342N/A$342
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$273N/A$273
Dental Filling - White (Resin): One Surface, Anterior$200N/A$200
Dental Filling - White (Resin): One Surface, Posterior$200N/A$200
Dental Filling - White (Resin): Three Surfaces, Posterior$353N/A$353
Dental Filling - White (Resin): Two Surfaces, Anterior$273N/A$273
Dental Filling - White (Resin): Two Surfaces, Posterior$273N/A$273
Flouride - Topical Varnish Application$42N/A$42
Fluoride - Topical Application$43N/A$43
Maintenance Therapy - Periodontal$153N/A$153
Oral Hygiene Instructions$43N/A$43
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$302N/A$302
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$90N/A$90
Sealant - Placed on Tooth Surface to Prevent Decay$58N/A$58
Tooth Extraction - Elevation and/or Forceps Removal$347N/A$347
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$35N/A$35
X-Ray - Complete Intraoral Series$153N/A$153
X-Ray - Four Images, Bitewings$79N/A$79
X-Ray - Intraoral, Periapical Radiographic Image$37N/A$37
X-Ray - Two Images, Bitewings$58N/A$58
X-Ray - Whole Mouth from Outside Mouth$147N/A$147