Central New Hampshire Oral Surgery
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Exam - Comprehensive | $142 | 0% | $142 | Medium |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $110 | 0% | $110 | Medium |
| Tooth Extraction - Elevation and/or Forceps Removal | $389 | 0% | $389 | Medium |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $33 | 0% | $33 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $40 | 0% | $40 | Medium |
| X-Ray - Whole Mouth from Outside Mouth | $153 | 0% | $153 | Medium |
