Thomas G. Schell & Patrick C. Noble

31 Old Etna Road, Suite N1 Lebanon, NH 03766
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$1290%$129 Medium
Dental Cleaning - Child$1010%$101 Medium
Dental Exam - Comprehensive$1060%$106 Medium
Dental Exam - Periodic, Established Patient$570%$57 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2170%$217 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2390%$239 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2080%$208 Medium
Dental Filling - White (Resin): One Surface, Anterior$1940%$194 Medium
Dental Filling - White (Resin): One Surface, Posterior$2260%$226 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$3770%$377 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$2330%$233 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2940%$294 Medium
Flouride - Topical Varnish Application$460%$46 Medium
Fluoride - Topical Application$470%$47 Medium
Maintenance Therapy - Periodontal$1740%$174 Medium
Orthodontic Treatment - Periodic Visit, Part of a Contract$810%$81 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3180%$318 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$970%$97 Medium
Root Canal - Anterior Tooth$1,1790%$1,179 Medium
Root Canal - Bicuspid Tooth$1,4460%$1,446 Medium
Root Canal - Molar$1,6410%$1,641 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$690%$69 Medium
Tooth Extraction - Elevation and/or Forceps Removal$2020%$202 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$830%$83 Medium
X-Ray - Intraoral, Periapical Radiographic Image$370%$37 Medium
X-Ray - Two Images, Bitewings$570%$57 Medium
X-Ray - Whole Mouth from Outside Mouth$1510%$151 Medium