Complete-cost guide

Full-mouth extraction cost

A full-mouth extraction bill is several bills under one name: the extractions, bone smoothing, anesthesia, the replacement teeth and the follow-up. Get one itemized estimate from the exam to the final denture, and a second opinion first.

Updated August 20, 2026Not clinically reviewed · status

Part of Cost guides. Related: See Full-arch implant cost · More on Braces and orthodontic treatment cost · Gum grafting cost · Night guard cost guide

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

Fee per unit of the procedure code, in US dollars
ServiceDelta Dental of Washington plan, 2023Maryland Medicaid, 2025
Erupted tooth or exposed root, each (D7140)$63$135.23
Erupted tooth requiring bone removal, each (D7210)$127Not listed
Alveoloplasty with extractions, 4 or more teeth (D7310)$106$90
Immediate upper denture (D5130)$528Not 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

FactorDetail
How each tooth comes outSimple and surgical removals are priced differently, and impacted or broken-down teeth cost more than loose ones.
One visit or severalStaged removal spreads the fees across visits and may change the sedation costs.
Sedation or anesthesiaLocal anesthesia, sedation and general anesthesia are different services, sometimes billed by different providers.
Bone smoothingReshaping the ridge at the time of surgery may be priced separately.
The replacementAn immediate denture, a conventional denture and an implant-supported option differ in cost and in the follow-up they need.
Setting and providerAn oral and maxillofacial surgeon, a general dentist and a surgery center have different fee structures.
Follow-upAdjustments, relines and a final denture are part of the total, not extras.

Complete cost

What belongs in a full-mouth extraction estimate

01

Examination, X-rays and any three-dimensional scan

02

A second-opinion consultation, if you seek one

03

The extractions, by tooth, simple or surgical

04

Bone smoothing, where needed

05

Sedation or general anesthesia, and who bills it

06

Facility fees, if any

07

The immediate or conventional denture and the laboratory fee

08

Follow-up visits, adjustments and the first reline

09

A final or replacement denture, if the plan includes one

10

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

  1. Why does every tooth need to go, and would keeping a few for an overdenture be an option?
  2. Is the fee per tooth, and does it cover surgical and simple removals alike?
  3. Who provides the anesthesia, and is it in the quote?
  4. Is the denture immediate or conventional, and is the reline included?
  5. What follow-up is covered, and for how long?
  6. 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

01

Call a dental school or advanced-education program to find out whether it treats full-mouth extraction cases and how fees are set

02

Ask a community health center about income-based dental care

03

Get a second opinion, and compare both the diagnosis and the estimate

04

Ask whether staging the removal across visits changes the total

05

Ask what a reline and a final denture will cost, so you can budget the whole path

Questions people ask

Common questions

01

How much does a full-mouth extraction cost?

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.

02

Is a full-mouth extraction covered by insurance?

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.

03

Does the denture price include the extractions?

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.

04

Will I need a reline or a new denture?

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.

05

Can a dental school do full-mouth extractions?

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.

06

Is sedation included in the price?

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.

07

Should I get a second opinion before removing all my teeth?

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.

08

Can I spread the cost over two years?

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.

09

What is cheaper, a denture or implants?

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.

10

Is the immediate denture removed on the first day?

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.

11

How do I prepare financially for the whole path?

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.

12

Can I keep some teeth to lower the cost?

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

  1. Oral Health TopicsAmerican Dental AssociationAccessed 2026-08-17
  2. Medicare Dental CoverageCenters for Medicare & Medicaid ServicesAccessed 2026-08-17
  3. DenturesAmerican Dental Association (MouthHealthy)Accessed 2026-09-24
  4. What Are Dentures? Types, Care & BenefitsCleveland ClinicAccessed 2026-09-24
  5. What Is a Dental PPO Plan?MetLife Oral Fitness LibraryAccessed 2026-09-24
  6. Dental InsuranceGuardianAccessed 2026-09-24
  7. Dental HMO vs. PPO PlansCigna HealthcareAccessed 2026-09-24
  8. Dental HMO (DHMO) Insurance: Dental Value PlanHumanaAccessed 2026-09-24
  9. Medicare Dental CoverageCenters for Medicare & Medicaid ServicesAccessed 2026-08-17
  10. Finding Dental CareNational Institute of Dental and Craniofacial ResearchAccessed 2026-09-23