Vitali Bondar, DDS

15 Rye Street Portsmouth, NH 03801
Dental Procedures
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My Health Insurance:

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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Dental Cleaning - Adult$870%$87 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$1550%$155 Medium
Dental Filling - Silver (Amalgam): Three Surfaces, Primary or Permanent$2820%$282 Medium
Dental Filling - Silver (Amalgam): Two Surfaces, Primary or Permanent$2170%$217 Medium
Dental Filling - White (Resin): One Surface, Anterior$1400%$140 Medium
Dental Filling - White (Resin): One Surface, Posterior$1550%$155 Medium
Dental Filling - White (Resin): Three Surfaces, Posterior$2810%$281 Medium
Dental Filling - White (Resin): Two Surfaces, Anterior$1710%$171 Medium
Dental Filling - White (Resin): Two Surfaces, Posterior$2160%$216 Medium
Fluoride - Topical Application$370%$37 Medium
Maintenance Therapy - Periodontal$1270%$127 Medium
Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant$2300%$230 Medium
Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint$740%$74 Medium
Root Canal - Anterior Tooth$8090%$809 Medium
Sealant - Placed on Tooth Surface to Prevent Decay$480%$48 Medium
Tooth Extraction - Elevation and/or Forceps Removal$1540%$154 Medium
X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth$230%$23 Medium
X-Ray - Complete Intraoral Series$1250%$125 Medium
X-Ray - Four Images, Bitewings$600%$60 Medium
X-Ray - Intraoral, Periapical Radiographic Image$280%$28 Medium
X-Ray - Two Images, Bitewings$430%$43 Medium
X-Ray - Whole Mouth from Outside Mouth$1270%$127 Medium