Pamela Z Baldassarre, DMD
404 Riverway Pl Bedford, NH 03110
Dental Procedures
Preventive Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Adult Dental Cleaning | $191 | 0% | $191 | Medium |
| Plaque and tartar removal from around teeth and gums-per quadrant | $368 | 0% | $368 | Medium |
Diagnostic Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Periodic dental exam - established patient | $89 | 0% | $89 | Medium |
| Problem focused evaluation limited to a specific oral health problem or complaint | $131 | 0% | $131 | Medium |
| X-Ray Dental - Complete intraoral series | $289 | 0% | $289 | Medium |
| X-Ray Dental - Four images - bitewings | $89 | 0% | $89 | Medium |
| X-Ray Dental - Intraoral - periapical radiographic image | $68 | 0% | $68 | Medium |
| X-Ray Dental - Additional image of tooth from crown to root, from inside mouth | $58 | 0% | $58 | Medium |
Other Dental Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Maintenance Therapy - Periodontal | $191 | 0% | $191 | Medium |
| Tooth Extraction (Elevation and/or forceps removal) | $368 | 0% | $368 | Medium |