Pamela Z Baldassarre, DMD
404 Riverway Place Bedford, NH 03110
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $191 | 0% | $191 | Medium |
| Dental Exam - Periodic, Established Patient | $89 | 0% | $89 | Medium |
| Maintenance Therapy - Periodontal | $191 | 0% | $191 | Medium |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $368 | 0% | $368 | Medium |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $131 | 0% | $131 | Medium |
| Tooth Extraction - Elevation and/or Forceps Removal | $368 | 0% | $368 | Medium |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $58 | 0% | $58 | Medium |
| X-Ray - Complete Intraoral Series | $289 | 0% | $289 | Medium |
| X-Ray - Four Images, Bitewings | $89 | 0% | $89 | Medium |
| X-Ray - Intraoral, Periapical Radiographic Image | $68 | 0% | $68 | Medium |
