Mark Wirant, DDS

650 Court Street Keene, NH 03431
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Dental Cleaning - Adult$1030%$103
Dental Cleaning - Child$790%$79
Dental Exam - Comprehensive$1000%$100
Dental Exam - Periodic, Established Patient$490%$49
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1790%$179
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2940%$294
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1890%$189
Dental Filling - White (Resin): One Surface, Anterior$1790%$179
Dental Filling - White (Resin): One Surface, Posterior$1790%$179
Dental Filling - White (Resin): Three Surfaces, Posterior$2940%$294
Dental Filling - White (Resin): Two Surfaces, Anterior$2220%$222
Dental Filling - White (Resin): Two Surfaces, Posterior$2470%$247
Flouride - Topical Varnish Application$400%$40
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2360%$236
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$830%$83
Root Canal - Anterior Tooth$7880%$788
Root Canal - Bicuspid Tooth$9400%$940
Root Canal - Molar$1,0450%$1,045
Sealant - Placed on Tooth Surface to Prevent Decay$470%$47
Tooth Extraction - Elevation and/or Forceps Removal$1860%$186
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$210%$21
X-Ray - Complete Intraoral Series$1420%$142
X-Ray - Four Images, Bitewings$690%$69
X-Ray - Intraoral, Periapical Radiographic Image$320%$32
X-Ray - Two Images, Bitewings$500%$50
X-Ray - Whole Mouth from Outside Mouth$1280%$128