Stephen Robert Boone, DDS
85 Spring 301 Laconia, NH 03246
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Dental Cleaning - Adult | $147 | 0% | $147 |
| Dental Exam - Periodic, Established Patient | $60 | 0% | $60 |
| Maintenance Therapy - Periodontal | $147 | 0% | $147 |
| Plaque and Tartar Removal - Around Teeth and Gums, Per Quadrant | $326 | 0% | $326 |
| Problem Focused Evaluation - Limited to a Specific Oral Health Problem or Complaint | $92 | 0% | $92 |
| Tooth Extraction - Elevation and/or Forceps Removal | $218 | 0% | $218 |
| X-Ray - Additional Image of Tooth from Crown to Root from Inside Mouth | $26 | 0% | $26 |
| X-Ray - Complete Intraoral Series | $173 | 0% | $173 |
| X-Ray - Four Images, Bitewings | $84 | 0% | $84 |
| X-Ray - Intraoral, Periapical Radiographic Image | $32 | 0% | $32 |