Stefan H Wittner, DMD
31 Hanson Street Rochester, NH 03867
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $116 | 0% | $116 |
| Dental Cleaning - Child | $101 | 0% | $101 |
| Dental Exam - Periodic, Established Patient | $58 | 0% | $58 |
| Dental Filling - Silver (Amalgam): One Surface, Primary or Permanent | $172 | 0% | $172 |
| Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent | $265 | 0% | $265 |
| Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent | $216 | 0% | $216 |
| Dental Filling - White (Resin): One Surface, Anterior | $196 | 0% | $196 |
| Dental Filling - White (Resin): One Surface, Posterior | $196 | 0% | $196 |
| Dental Filling - White (Resin): Two Surfaces, Anterior | $240 | 0% | $240 |
| Dental Filling - White (Resin): Two Surfaces, Posterior | $314 | 0% | $314 |
| Fluoride - Topical Application | $51 | 0% | $51 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $63 | 0% | $63 |
| X-Ray - Complete Intraoral Series | $171 | 0% | $171 |
| X-Ray - Intraoral, Periapical Radiographic Image | $39 | 0% | $39 |
| X-Ray - Two Images, Bitewings | $59 | 0% | $59 |