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 |
|---|---|---|---|
| Dental Cleaning - Adult | $218 | 0% | $218 |
| Dental Exam - Comprehensive | $208 | 0% | $208 |
| Dental Exam - Periodic, Established Patient | $57 | 0% | $57 |
| Maintenance Therapy - Periodontal | $230 | 0% | $230 |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $541 | 0% | $541 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $176 | 0% | $176 |
| Tooth Extraction - Elevation and/or Forceps Removal | $433 | 0% | $433 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $42 | 0% | $42 |
| X-Ray - Complete Intraoral Series | $209 | 0% | $209 |
| X-Ray - Four Images, Bitewings | $76 | 0% | $76 |
| X-Ray - Intraoral, Periapical Radiographic Image | $32 | 0% | $32 |