John R Herrin, DDS MS
170 South River Road Bedford, NH 03110
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $206 | 0% | $206 | Medium |
| Dental Exam - Comprehensive | $208 | 0% | $208 | Medium |
| Dental Exam - Periodic, Established Patient | $54 | 0% | $54 | Medium |
| Maintenance Therapy - Periodontal | $206 | 0% | $206 | Medium |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $473 | 0% | $473 | Medium |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $169 | 0% | $169 | Medium |
| Tooth Extraction - Elevation and/or Forceps Removal | $433 | 0% | $433 | Medium |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $32 | 0% | $32 | Medium |
| X-Ray - Complete Intraoral Series | $209 | 0% | $209 | Medium |
| X-Ray - Four Images, Bitewings | $103 | 0% | $103 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $63 | 0% | $63 | Medium |
