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 Number of Visits What You Will Pay Uninsured Discount: 0%
Dental Cleaning - Adult$133N/A$133
Dental Cleaning - Child$104N/A$104
Dental Exam - Comprehensive$109N/A$109
Dental Exam - Periodic, Established Patient$59N/A$59
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$232N/A$232
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$254N/A$254
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$221N/A$221
Dental Filling - White (Resin): One Surface, Anterior$201N/A$201
Dental Filling - White (Resin): One Surface, Posterior$232N/A$232
Dental Filling - White (Resin): Three Surfaces, Posterior$389N/A$389
Dental Filling - White (Resin): Two Surfaces, Anterior$240N/A$240
Dental Filling - White (Resin): Two Surfaces, Posterior$302N/A$302
Flouride - Topical Varnish Application$47N/A$47
Fluoride - Topical Application$48N/A$48
Maintenance Therapy - Periodontal$180N/A$180
Oral Hygiene Instructions$46N/A$46
Orthodontic Treatment - Periodic Visit, Part of a Contract$93N/A$93
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$328N/A$328
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$100N/A$100
Root Canal - Anterior Tooth$1,215N/A$1,215
Root Canal - Bicuspid Tooth$1,511N/A$1,511
Root Canal - Molar$1,741N/A$1,741
Sealant - Placed on Tooth Surface to Prevent Decay$71N/A$71
Tooth Extraction - Elevation and/or Forceps Removal$216N/A$216
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$37N/A$37
X-Ray - Complete Intraoral Series$177N/A$177
X-Ray - Four Images, Bitewings$85N/A$85
X-Ray - Intraoral, Periapical Radiographic Image$38N/A$38
X-Ray - Two Images, Bitewings$59N/A$59
X-Ray - Whole Mouth from Outside Mouth$155N/A$155