Tooth extraction fees - How much does it cost to get a tooth pulled?

- Fee estimates for routine, surgical and baby tooth extractions. | Details about insurance coverage and benefits (with example calculations).

This page gives price estimates of how much you might pay a general dentist to remove one or more of your teeth (arranged by extraction type: simple, surgical or deciduous tooth).

It also provides details about dental insurance coverage for oral surgery. And works through some sample calculations that explain what your expected costs might be, both when insurance is and isn't involved.

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A) "Simple" tooth extraction - permanent tooth.

     $102.00 to $206.00

Range: Low fee = Small rural city / High fee = Large metropolitan area.
How did we come up with this estimate?

What is a "simple" extraction?

A "simple" extraction refers to the standard, uncomplicated removal of a permanent tooth. (The "typical" or "routine" tooth extraction.)

The tooth being pulled ...

  • Is erupted (meaning it has substantially penetrated through the gum tissue).
  • Is in relatively normal orientation and positioning in the jawbone.
  • May or may not have portions missing due to fracture, tooth decay or a lost restoration.

What's included in an extraction's cost?

The fee should include the local anesthetic (dental "shots") needed during the procedure and, at its completion, the placement of sutures (stitches) if needed.

Cost / Insurance


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do you need?

Additionally, it should include whatever routine aftercare the patient requires for 30 days after their surgery. This would include services such as removing stitches and the treatment of common post-op complications such as dry sockets.

What's not included.

The fee does not include the cost of whatever examination and/or x-rays are needed to initially diagnose the tooth's condition. Nor does it include the cost of supplementary services such the use of sedation during the procedure.


B) "Surgical" tooth extraction - permanent tooth.

     $179.00 to $353.00

What is a "surgical" extraction?

This classification refers to the situation where the tooth being pulled ...

  • Is erupted and has a fairly normal positioning in the jaw.
  • Requires additional steps such as trimming surrounding bone or sectioning (cutting the tooth into pieces). (This page discusses the topic of surgical extractions.)

As an example of when this procedure might be needed, a tooth that has broken off at or below the gum line might have to be removed "surgically."

(This category is not the classification used for the removal of "impacted" teeth.)

C) "Simple" tooth extraction - deciduous tooth (baby tooth).

     $51.00 to $94.00

The fee estimate shown here may seem high considering that so many baby teeth are either wiggled out by children or else just fall out on their own.

Keep in mind however that the familiar "rootless" state of these teeth is actually their end-stage. For most of a deciduous tooth's existence, it does have a root system and its presence does add to the difficulty of extracting it.

An x-ray a tooth socket after having its tooth pulled.

Reasons why your dentist's fee may vary.

Exactly how much it costs to have your tooth pulled may vary due to circumstances such the following.

Higher costs.

If your tooth presents challenges that exceed the norm, your dentist may feel that a higher fee is warranted. Making this type of adjustment is not a terribly uncommon in dentistry.

If dental coverage is involved, the dentist must typically submit details to the insurance company justifying the increase.

Lower costs.

There can be times when a dentist may charge less for extractions.

As examples:

  1. A patient has opted for a big-ticket item (like complete dentures). The extractions required for their treatment plan are included at a reduced fee as a loss leader. (Dentists who advertise often use this tactic.)
  2. Multiple teeth that pose little challenge for the dentist are removed during a single appointment. Since less treatment time has been required, the fee is reduced.

    With this type of situation, the teeth might be easy to remove due to their small size and simple root form (as is the case with lower incisors). Or due to an existing condition, such as tooth loosening caused by advanced gum disease.

Does dental insurance cover tooth extractions?

Yes, you can expect that most dental plans will provide some level of coverage for routine dental extractions.

Coverage rates.

This procedure is typically categorized as a "basic dental service." As such, it is often covered at a rate of 70 to 80% of the dentist's UCR fee. The patient will likely have had to meet the policy's deductible to receive full benefits.

Common policy limitations and restrictions.

  • Classification issues sometimes crop up with "surgical" vs. "simple" extractions. The patient may be charged a "surgical" fee by their dentist but only receive benefits from their insurance company at the "simple" level.

    The solution is for the dentist to submit additional information that explains why a surgical approach was required. The insurance company will then make a decision as to whether the procedure's circumstances meet their coverage guidelines.

  • Some policies stipulate that an extraction must be "medically" necessary. This term typically includes all of the common reasons why a troublesome tooth would need to be pulled.

    But, for example, this clause might exclude the removal of asymptomatic wisdom teeth or teeth taken out in preparation for orthodontic treatment.

Cost calculations for extractions.

Examples, with and without dental insurance coverage.

Here are some sample calculations that can help to give you an idea of how much your tooth extraction might end up costing, both when dental insurance is and is not involved.

As you know from reading above, the cost for pulling a tooth will vary according to its type (baby vs. permanent) and the level of difficulty of the procedure (simple vs. surgical). For the sake of simplification however, in the calculations below we've arbitrarily set this fee at $150.

If only one tooth is removed -
  • Total charges by your dentist for your work: $150 X 1 (tooth) = $1000.
  • If insurance is involved: As a "Basic" dental service, it's common for insurance plans to cover 80% of the cost of this procedure, after the policy's deductible has been met. But only up to the amount of its maximum annual benefits.

    For our examples, we'll set the deductible at $100 and the policy's maximum benefits at $1000. Both of these numbers are fairly common.

    Insurance benefits: [$150 (total charges) - $100 (policy deductible)] X 80% = $40. Note, this number is smaller than the maximum yearly benefit limitation.

    Amount you pay: $150 (total charges) - $40 (insurance benefits) = $110.

If two teeth are removed -
  • Total charges by your dentist for your work: $150 X 2 (teeth) = $300.
  • Insurance benefits: Using the same policy values given above, the calculation for treating two teeth would be [$300 (total charges) - $100 (the policy deductible)] X 80% = $160 (a number smaller than the maximum yearly benefits limit).

    Amount you pay: $300 (total charges) - $160 (insurance benefits) = $140.

If three teeth are removed -
  • Total charges by your dentist for your work: $150 X 3 (teeth) = $450.
  • Insurance benefits: Using the same policy values stated previously, the calculation for extracting three teeth would be [$450 (total charges) - $100 (the policy deductible)] X 80% = $280 (a number smaller than the maximum yearly benefits limit).

    Amount you pay: $450 (total charges) - $280 (insurance benefits) = $170.

If four teeth are removed -
  • Total charges by your dentist for your work: $150 X 4 (teeth) = $600.
  • Insurance benefits: Using the same policy values stated above, the calculation for extracting three teeth would be [$600 (total charges) - $100 (the policy deductible)] X 80% = $400 (a number smaller than the maximum yearly benefits limit).

    Amount you pay: $600 (total charges) - $400 (insurance benefits) = $200.

Maximum annual benefits limitations.

As you can see from our example calculations above, when it comes to extractions, it takes having several teeth pulled before the problem of exceeding a policy's maximum yearly benefits usually comes into play.

Using our hypothetical values above, it would take 9. And while that may seem like a fairly large number of teeth, in cases where dentures are planned this number can be exceeded quite easily.

Compounding this issue is the fact that after the extractions have been performed the new dentures must be paid for too. All totaled, the sum of the patient's expenses can dwarf the benefits that the policy pays by a substantial amount. [Related pages- Costs for partial and complete dentures.]

A possible work around.

Discuss matters with your dentist. It may be that your treatment plan can be divided up between policy years, so the total amount of benefits you receive can be maximized.

For example, when a denture is planned (full or partial), the more the bone immediately surrounding the extraction sites has "cured" (healed) before the final impression for the new prosthesis is taken the better.

So possibly having your extractions performed during one policy year and then some weeks or months later your other work performed in the following one could work out to your advantage.

Of course, stretching your treatment out like this might be unacceptable (loss of function, poor aesthetics). But there's no reason not to discuss different approaches with your dentist so to see what alternatives might be possible.

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I went to a Dentist about a yr ago, but started the work for implants but i couldn't pay the bill. Do i have to go back to that same dentist or can i go to another dentist to complete to work?

If the implant has been placed but not restored (not yet had the "tooth" portion mounted on top of it), in theory any dentist should be able to complete the work.

Since there are different brands of implant systems, as well as sizes and matched parts, there might be an issue of getting the right abutment to screw onto the implant you have. (Your previous dental records should have that information if things can't be figured out.)

And also, the new dentist would need to feel comfortable with the work that had already been performed, since the success of their treatment would be predicated upon that.

Go back to your previous dentist and man up.
Explain your financials and he will work with you.
He probably has a family that depends on him getting paid for his work done
just like you. If you want to be a deadbeat find another sucker for a dentist and
promise to pay him and then run away again.

what if extractions are more complicated due to severe tooth decay or broken teeth?

A broken tooth or one with advanced decay doesn't necessarily pose a greater challenge to the dentist.

If it does, the procedure might fall under the category "surgical extraction" (see above).

Or if extra time or effort is required the dentist might simply charge a higher "simple extraction" fee.

In either case, the dentist might have to document for the insurance company involved why the higher fee is justified.

I have a tooth that's decaying and I don't know if it needs a simple crown or to be pulled out. Ky only problem is I go into severe panic attacks at the sight of needles near my mouth. What can bi do?

You should make a consultation-type appointment with a dentist. One where you are just examined (and x-rayed) and a treatment plan is then developed.

1) They can investigate the tooth you are concerned about and advise you as to what solutions you have (extraction, crown, etc...).
2) You should let them evaluate the remainder of your mouth too. Many dental problems are easily corrected if just discovered early enough. If something is found, possibly its repair can be performed during the same visit as your extraction/crown appointment(s).

In regard to having the work done, ask your dentist about what sedation techniques might be used during your procedure(s). (General dentist who routinely use these techniques frequently advertise as practicing "sedation dentistry." All oral surgeons will offer sedation services too.)

Sedation can make experiencing the work you need more tolerable. In some cases you take the medicine before leaving your home (someone else drives you to your dentist's office and brings you home). Some sedation medicines have an "amnesic" effect, meaning you don't even really remember much about having an appointment at all.

Good luck with this.

Just wondering if you could give an approximate cost of having my back tooth removed as it us loose. There is no damage or decay, its just loose and I have constant aching there... Thank You

You'll usually find that a dentist bills for the procedures they perform according to a standard set of procedure code numbers (used industry wide in dentistry). So, our "simple" and "surgical" categories above would each have their own unique number, and your dentist would have assigned to them the standard fee they choose to charge for each one.

There really isn't a "loose tooth" code number, so you would have to anticipate that your dentist will bill your tooth as a regular "simple" extraction.

A dentist can always choose to lower their fee (like in the case of your loose tooth) and some do. But there is no standard "deduction" for that type of consideration.

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