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
Dental Cleaning - Adult$1330%$133
Dental Cleaning - Child$1040%$104
Dental Exam - Comprehensive$1090%$109
Dental Exam - Periodic, Established Patient$590%$59
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$2320%$232
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3160%$316
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2210%$221
Dental Filling - White (Resin): One Surface, Anterior$2010%$201
Dental Filling - White (Resin): One Surface, Posterior$2320%$232
Dental Filling - White (Resin): Three Surfaces, Posterior$3890%$389
Dental Filling - White (Resin): Two Surfaces, Anterior$2400%$240
Dental Filling - White (Resin): Two Surfaces, Posterior$3020%$302
Flouride - Topical Varnish Application$470%$47
Fluoride - Topical Application$480%$48
Maintenance Therapy - Periodontal$1800%$180
Orthodontic Treatment - Periodic Visit, Part of a Contract$930%$93
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$3280%$328
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$1000%$100
Root Canal - Anterior Tooth$1,2150%$1,215
Root Canal - Bicuspid Tooth$1,4890%$1,489
Root Canal - Molar$1,6910%$1,691
Sealant - Placed on Tooth Surface to Prevent Decay$710%$71
Tooth Extraction - Elevation and/or Forceps Removal$2160%$216
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$370%$37
X-Ray - Complete Intraoral Series$1770%$177
X-Ray - Four Images, Bitewings$850%$85
X-Ray - Intraoral, Periapical Radiographic Image$380%$38
X-Ray - Two Images, Bitewings$590%$59
X-Ray - Whole Mouth from Outside Mouth$1550%$155