Stefan H Wittner, DMD
31 Hanson Street Rochester, NH 03867
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $110 | 0% | $110 | Medium |
| Dental Cleaning - Child | $97 | 0% | $97 | Medium |
| Dental Exam - Periodic, Established Patient | $58 | 0% | $58 | Medium |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $170 | 0% | $170 | Medium |
| Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent | $259 | 0% | $259 | Medium |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $211 | 0% | $211 | Medium |
| Dental Filling - White (Resin): One Surface, Anterior | $196 | 0% | $196 | Medium |
| Dental Filling - White (Resin): One Surface, Posterior | $196 | 0% | $196 | Medium |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $235 | 0% | $235 | Medium |
| Fluoride - Topical Application | $50 | 0% | $50 | Medium |
| Tooth Extraction - Elevation and/or Forceps Removal | $212 | 0% | $212 | Medium |
| X-Ray - Complete Intraoral Series | $171 | 0% | $171 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $39 | 0% | $39 | Medium |
| X-Ray - Two Images, Bitewings | $59 | 0% | $59 | Medium |
