Does My Puppy Really Need His 4th Shot?

my puppy had 3 shots so far. he got his 3rd one yesterday and the vet said he needs a 4th one at 16 weeks. hes 14 weeks right now. does he really need a 4th one. btw hes a 6lb bichon frise.
also im planning to change vets. the vet im taking him at right now only cares about money. they wont even let you go to the back with them while they give him the shot. they told me neutering for my dog would be 200 bucks! and now by law in order to be at the vet he needs to be examed by the doctor. and every shot is 23 bucks. should i change right now and get his 4th one at a different vet. btw the vet i was having in mind was really nice and cheap. neutering:$35 vaccinations:$12 and rabies:8
thank you:)

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