Pamela Lynn Weitzel, DMD

656 Main Street Contoocook, NH 03229
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$950%$95
Dental Cleaning - Child$700%$70
Dental Exam - Comprehensive$770%$77
Dental Exam - Periodic, Established Patient$440%$44
Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent$1260%$126
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$3530%$353
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2170%$217
Dental Filling - White (Resin): One Surface, Anterior$1400%$140
Dental Filling - White (Resin): One Surface, Posterior$1550%$155
Dental Filling - White (Resin): Three Surfaces, Posterior$2820%$282
Dental Filling - White (Resin): Two Surfaces, Anterior$1710%$171
Dental Filling - White (Resin): Two Surfaces, Posterior$2170%$217
Flouride - Topical Varnish Application$360%$36
Maintenance Therapy - Periodontal$2540%$254
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$4620%$462
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$740%$74
Root Canal - Anterior Tooth$7350%$735
Root Canal - Bicuspid Tooth$8400%$840
Sealant - Placed on Tooth Surface to Prevent Decay$480%$48
Tooth Extraction - Elevation and/or Forceps Removal$1540%$154
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$230%$23
X-Ray - Complete Intraoral Series$1260%$126
X-Ray - Four Images, Bitewings$630%$63
X-Ray - Intraoral, Periapical Radiographic Image$290%$29
X-Ray - Two Images, Bitewings$430%$43
X-Ray - Whole Mouth from Outside Mouth$1160%$116