Charles Hamman Henry, DDS
40 Mechanic Street Keene, NH 03431
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $107 | 0% | $107 | Medium |
| Dental Exam - Comprehensive | $205 | 0% | $205 | Medium |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $89 | 0% | $89 | Medium |
| Tooth Extraction - Elevation and/or Forceps Removal | $205 | 0% | $205 | Medium |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $47 | 0% | $47 | Medium |
| X-Ray - Complete Intraoral Series | $151 | 0% | $151 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $32 | 0% | $32 | Medium |
| X-Ray - Whole Mouth from Outside Mouth | $147 | 0% | $147 | Medium |
