A full-mouth extraction bill is several bills wearing one name. There are the extractions, priced simple or surgical for each tooth, then any bone smoothing at the sites, then sedation or general anesthesia, which may be billed by a different provider, and finally the replacement teeth. The American Dental Association describes an immediate denture as one placed the same day the remaining teeth are removed, and notes it may need relining or remaking once the jaw has healed. That means follow-up visits and a reline belong in the estimate. Insurance treats extractions and dentures under different rules, and Original Medicare does not cover dentures. The most useful step is to get one itemized estimate that runs from the first exam to the final denture, and to seek a second opinion first. Ask what the estimate says about relines, because an immediate denture usually needs one as the jaw heals.
Published fees for the coded services
| Service | Delta Dental of Washington plan, 2023 | Maryland Medicaid, 2025 |
|---|---|---|
| Erupted tooth or exposed root, each (D7140) | $63 | $135.23 |
| Erupted tooth requiring bone removal, each (D7210) | $127 | Not listed |
| Alveoloplasty with extractions, 4 or more teeth (D7310) | $106 | $90 |
| Immediate upper denture (D5130) | $528 | Not listed |
Private offices can charge more, and fees differ by region and case. Sources: the Delta Dental of Washington fee schedule (as of June 8, 2023) and the Maryland Healthy Smiles 2025 fee schedule. For a fee lookup by ZIP code, see FAIR Health Consumer.
What moves the number
What drives the cost of removing all teeth
| Factor | Detail |
|---|---|
| How each tooth comes out | Simple and surgical removals are priced differently, and impacted or broken-down teeth cost more than loose ones. |
| One visit or several | Staged removal spreads the fees across visits and may change the sedation costs. |
| Sedation or anesthesia | Local anesthesia, sedation and general anesthesia are different services, sometimes billed by different providers. |
| Bone smoothing | Reshaping the ridge at the time of surgery may be priced separately. |
| The replacement | An immediate denture, a conventional denture and an implant-supported option differ in cost and in the follow-up they need. |
| Setting and provider | An oral and maxillofacial surgeon, a general dentist and a surgery center have different fee structures. |
| Follow-up | Adjustments, relines and a final denture are part of the total, not extras. |
Complete cost
What belongs in a full-mouth extraction estimate
Examination, X-rays and any three-dimensional scan
A second-opinion consultation, if you seek one
The extractions, by tooth, simple or surgical
Bone smoothing, where needed
Sedation or general anesthesia, and who bills it
Facility fees, if any
The immediate or conventional denture and the laboratory fee
Follow-up visits, adjustments and the first reline
A final or replacement denture, if the plan includes one
Implants and their components, if part of the plan
Ask for a single itemized estimate from the exam to the final teeth.
Where surprises come from
Things people do not expect
A denture priced with nothing said about surgery, anesthesia or follow-up
A separate bill from an anesthesia provider
Relines and a remake that the first quote did not include, even though the American Dental Association says an immediate denture may need them
A plan that pays for the extractions but reaches its annual maximum before the denture
Extra visits for sore spots as the mouth heals
Compare like for like
Questions that make two quotes comparable
- Why does every tooth need to go, and would keeping a few for an overdenture be an option?
- Is the fee per tooth, and does it cover surgical and simple removals alike?
- Who provides the anesthesia, and is it in the quote?
- Is the denture immediate or conventional, and is the reline included?
- What follow-up is covered, and for how long?
- What would a second opinion cost, and what could it change?
Insurance
How dental plans usually treat a full-mouth extraction
MetLife lists simple extractions as basic care and impacted-tooth extractions as major, Guardian and Cigna list extractions as basic, and Cigna lists oral surgery as major. Dentures are major on MetLife, Guardian, Cigna and Humana. A full-mouth plan therefore lands in more than one tier, with more than one share, and it can reach the annual maximum quickly. Sedation may be treated as major, and some plans exclude it unless it is medically necessary. Original Medicare does not cover dentures. The practical answer is to ask for a phased, itemized estimate and to check whether spreading the work across two benefit years helps.
Check with the plan how it will classify each code, and get its position in writing before the day of surgery.
Lowering the bill
Ways to reduce cost without lowering the standard
Call a dental school or advanced-education program to find out whether it treats full-mouth extraction cases and how fees are set
Ask a community health center about income-based dental care
Get a second opinion, and compare both the diagnosis and the estimate
Ask whether staging the removal across visits changes the total
Ask what a reline and a final denture will cost, so you can budget the whole path
Questions people ask
Common questions
01How much does a full-mouth extraction cost?
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There is no single figure, and any number quoted without an itemized list is hard to compare. The total depends on the number and difficulty of the extractions, the anesthesia, the replacement teeth and the follow-up. Request an itemized written estimate from the exam to the final denture, and see the complete-cost worksheet.
02Is a full-mouth extraction covered by insurance?
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In part. Extractions may be basic or oral-surgery services depending on the tooth and the plan, and MetLife, Guardian, Cigna and Humana list dentures as major. Original Medicare does not cover dentures. The annual maximum can be reached quickly, so ask for a phased estimate and the plan's position on each code.
03Does the denture price include the extractions?
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Not always. Ask whether the quote covers the extractions, bone smoothing, anesthesia, the immediate denture, follow-up and the first reline, or only the denture. A denture-only figure can look low next to a complete one, so compare like for like.
04Will I need a reline or a new denture?
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Often. The American Dental Association says an immediate denture may need to be relined or remade once the jaw has healed. Find out whether the first reline is in the quote, how many adjustment visits are covered and what a final denture would cost.
05Can a dental school do full-mouth extractions?
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Some dental schools and oral surgery residency programs treat patients at reduced fees under close supervision, according to the National Institute of Dental and Craniofacial Research. Scope varies. Check what the program offers, how sedation is handled and how long treatment takes.
06Is sedation included in the price?
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Often not. Sedation and general anesthesia are separate services, sometimes billed by a different provider, and MetLife says sedation may be treated as major care. Ask who provides it, how it is billed and whether your plan pays for it.
07Should I get a second opinion before removing all my teeth?
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Yes, for a step this large and permanent. A second opinion can confirm the diagnosis, check whether any teeth could be saved and compare estimates. Bring your X-rays and records. It costs a visit, and it may change the plan.
08Can I spread the cost over two years?
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Sometimes, if the clinical plan allows staging. Two benefit years give you two annual maximums, and staged removal can spread the fees. Check with the office whether phasing is safe for your case and the plan when the benefit year resets.
09What is cheaper, a denture or implants?
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A conventional denture usually costs less up front, and implant options cost more and change the follow-up. Compare the whole path for each, including relines, maintenance and replacement parts. See the denture, overdenture and full-arch cost guides for what each involves.
10Is the immediate denture removed on the first day?
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Follow your surgeon's instructions. Many offices ask patients to leave it in for a period so it acts as a covering while healing starts, then give instructions on cleaning. Ask what your office recommends and what a first check visit includes.
11How do I prepare financially for the whole path?
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List each stage: extractions, anesthesia, the denture, follow-up, relines and a final denture. Ask each provider for one itemized estimate and use the denture lifecycle planner to budget relines and replacement.
12Can I keep some teeth to lower the cost?
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Sometimes. An overdenture can fit over a few natural teeth, according to the American Dental Association. Ask whether any of your teeth could be kept, what that would cost and what it would mean for long-term care.
Related glossary terms
Sources
- Oral Health TopicsAmerican Dental AssociationAccessed 2026-08-17
- Medicare Dental CoverageCenters for Medicare & Medicaid ServicesAccessed 2026-08-17
- DenturesAmerican Dental Association (MouthHealthy)Accessed 2026-09-24
- What Are Dentures? Types, Care & BenefitsCleveland ClinicAccessed 2026-09-24
- What Is a Dental PPO Plan?MetLife Oral Fitness LibraryAccessed 2026-09-24
- Dental InsuranceGuardianAccessed 2026-09-24
- Dental HMO vs. PPO PlansCigna HealthcareAccessed 2026-09-24
- Dental HMO (DHMO) Insurance: Dental Value PlanHumanaAccessed 2026-09-24
- Medicare Dental CoverageCenters for Medicare & Medicaid ServicesAccessed 2026-08-17
- Finding Dental CareNational Institute of Dental and Craniofacial ResearchAccessed 2026-09-23