Point #1:
A dentist's fee schedule is typically based on ADA procedure codes (the set of procedure code numbers used to file insurance claims).

Permanent and baby teeth both fall under the same code number, and therefore removing either would involve the same fee.

Separately, there is a code number that applies to the removal baby teeth where some root resorption has taken place but the tooth has not yet fallen out (i.e. the tooth has started to loosen up). The fee associated with this type of extraction can be expected to be less, possibly much so.

Point #2:
With either procedure code, a dentist always has the option of charging less if that seems appropriate to them.

In dentistry, as much as anything you are paying for "chair time" when a procedure is performed. As in the case where the difficulty of the extraction is unknown and enough appointment time has been set aside to accomodate all difficulties, then we can see how the dentist may need to charge the full regular fee (be it either of the two mentioned above).

On the other hand, if the dentist beforehand knew how simple the extractions would be and scheduled them accordingly, then charging the full fee seems unvirtuous on their part.

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