Thomas R. Bacon, DDS
200 Broad Street Claremont, NH 03743
Dental Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Dental Cleaning - Adult | $107 | 0% | $107 | Medium |
| Dental Cleaning - Child | $107 | 0% | $107 | Medium |
| Dental Exam - Periodic, Established Patient | $62 | 0% | $62 | Medium |
| Flouride - Topical Varnish Application | $48 | 0% | $48 | Medium |
| X-Ray - Complete Intraoral Series | $224 | 0% | $224 | Medium |
| X-Ray - Four Images, Bitewings | $72 | 0% | $72 | Medium |
