Pamela Lynn Weitzel, DMD

656 Main Street Contoocook, NH 03229
Dental Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$950%$95 Medium
Dental Cleaning - Child$700%$70 Medium
Dental Exam - Comprehensive$770%$77 Medium
Dental Exam - Periodic, Established Patient$420%$42 Medium
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1260%$126 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$1890%$189 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$1530%$153 Medium
Dental Filling - White (Resin): One Surface, Anterior$1400%$140 Medium
Dental Filling - White (Resin): One Surface, Posterior$1530%$153 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$2820%$282 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$1710%$171 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2170%$217 Medium
Flouride - Topical Varnish Application$360%$36 Medium
Fluoride - Topical Application$360%$36 Medium
Maintenance Therapy - Periodontal$2540%$254 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2310%$231 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$740%$74 Medium
Root Canal - Anterior Tooth$1,1030%$1,103 Medium
Root Canal - Bicuspid Tooth$8400%$840 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$480%$48 Medium
Tooth Extraction - Elevation and/or Forceps Removal$3070%$307 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$230%$23 Medium
X-Ray - Complete Intraoral Series$1260%$126 Medium
X-Ray - Four Images, Bitewings$630%$63 Medium
X-Ray - Intraoral, Periapical Radiographic Image$290%$29 Medium
X-Ray - Two Images, Bitewings$430%$43 Medium
X-Ray - Whole Mouth from Outside Mouth$1160%$116 Medium