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Why do full-arch implant prices vary so much, and why won't some practices tell you the price?

Answered by Dr. Daniel R. Noorthoek

The quick answer

Mostly because of how practices are set up. For years this treatment was split between two offices, a surgeon and a dentist who made the teeth. Practices aren't allowed to split fees, so each one billed you for its own part and nobody could give you one number. Quotes built line by line also tend to grow. When everything happens under one roof, as it does here, you get one price for your whole treatment plan. Travel is priced separately.

In this answer

Why quotes arrive in pieces

For most of this treatment's history, two offices were involved. A surgeon placed the implants, and a restorative dentist or prosthodontist made the teeth.

Practices aren't allowed to split fees, so each office had to charge you separately for its own work. That's why so many people heard one number from the first office and then another, just as big, from the second.

It's also why some quotes still come in stages. If your first teeth are temporary and the final teeth are billed later, sometimes by someone else, the first number isn't the whole number.

Why itemized quotes get long

Dentistry uses a billing code for each step, like placing an implant, bone grafting or removing a tooth. List a big case line by line and the total grows fast.

We charge one fee instead. If an extra implant turns out to be the right call during surgery, it goes in, and your price doesn't change.

Where a lower fee comes from

From doing the same thing over and over.

The lab, the mills, the printers, the scanners and the people who run them cost about the same whether a practice does five cases a year or several hundred. Spread over hundreds of cases, the cost per patient drops.

Time works the same way. A team that does this every week moves through a case far faster than one doing it now and then.

I received their call and they scheduled an appointment for me, I loved their transparency, this is not an “Come here, we’ll check you and we’ll tell you…” office, this office is a real what you see is what you’ll get.
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Price and quality are different questions

Some practices charge a lot and do poor work. Others charge less and do excellent work. Price tells you how a business is run. It doesn't tell you what your teeth will be like.

To judge quality, ask:

  • What's included, and what's billed later?
  • Who does each step, and where?
  • What are the first teeth made of?
  • What does the warranty cover, in writing?
  • How many of these has the surgeon done?

We publish our fee

When we started showing our price, people told us nobody does that.

We understand why practices hesitate. When a case varies and a second office is involved, it's hard to promise a number. But without one, you can't tell whether this is within reach, and many people wait years because of it.

If a practice won't give you a number, ask them this: what would have to happen for this price to change? A clear answer tells you they've thought it through.

Quick answers

Why can't some practices give me one price?

Often two offices are involved, and practices aren't allowed to split fees. Each one has to bill you for its own part.

Does a lower price mean lower quality?

Not necessarily. Price mostly reflects how a practice is set up and how often it does this work. Ask what's included and who does each step.

Why is your fee lower than my dentist quoted?

We do this all the time. The lab and equipment cost the same whether a practice does five cases a year or several hundred, and an office doing only a few has to spread that cost over fewer patients.

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Read next

How do people pay for full-arch dental implants?

We work with several lenders, or you can pay outright. This year most of our patients are financing, though a couple of years ago it was closer to the other way around. Applying is a soft credit pull that does not hurt your credit score, and most of our lenders don't charge a prepayment penalty. You don't need your finances sorted before your consultation. And if a lender says no, that's not the end of the road.

Answered by Dr. Daniel R. Noorthoek

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Why does insurance treat teeth as cosmetic, and is dental insurance a scam?

No, dental insurance isn't a scam. It's built differently from medical insurance because almost everyone uses their dental benefits every year, so the coverage has a yearly cap. As for "cosmetic," the thinking goes that a denture lets you eat, so anything fixed counts as a preference. That holds up on paper. We think it's wrong in real life.

Answered by Dr. Daniel R. Noorthoek

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What should a full-arch implant warranty actually cover?

A good warranty covers the things that really go wrong, like chips, breaks, a failed implant and the grafting to replace it, relines, adjustments and X-rays. Our Lifetime Warranty covers all of that, for as long as your membership is active, and it tells you plainly what you need to do to keep it. It's $700 a year for a full mouth ($59 a month), and it includes your annual visit. It renews each year, and we ask two things to keep it running. Keep your annual visit, and hygiene the practice judges adequate.

Answered by Dr. Daniel R. Noorthoek

Read the full answer

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Full Disclosure

Done In One Implant Centers are independently owned and operated within a network of dental practices managed by licensed dentists. The American Dental Association does not recognize any specialty field specifically for dental implant treatment. Done In One providers are proficient in both implant placement and restorative dentistry and may consist of general dentists, prosthodontists, oral surgeons, and periodontists. The Done In One procedure refers to a procedure consisting of extractions (if needed), bone reduction, implant placement, and a permanent (zirconia) implant-supported prosthesis placed on either arch (upper or lower) or both. Done In One specializes in the immediate occlusal-loading protocol, which is defined as an implant-supported restoration in occlusal contact within two (2) weeks of the implant insertion. The Done In One procedure can be offered to qualified patients based on a full examination, radiographs, and initial workup. Not all patients will qualify. In most cases, qualified patients that do not need additional sinus augmentation can have the Done In One procedure completed and typically receive a final zirconia prosthesis within one week after extractions. Patients will receive a provisional prosthesis within 24 hours after surgery that will allow them functionality until their final zirconia prosthesis is fabricated. Results and timeframes of the delivery of a final prosthesis will vary on a case-by-case basis. Done In One exclusively utilizes an implant system that is appropriately registered, listed, and has a 510(k) clearance from the FDA. After many years of clinical studies and evaluations, the success rate of modern dental implants installed by qualified clinicians has been estimated at over 90% after 10 years. With proper hygiene and routine maintenance, the Done In One procedure can provide patients with dental implants that can last decades and potentially a lifetime. The average lifespan of the prostheses will vary depending on patient wear but is covered under a standard warranty for the first two (2) years from the date of surgery, as long as annual recare requirements are met. An optional extended, indefinite warranty is available and can be paid monthly or annually.

Studies show that patients treated with implant-supported prostheses judge their overall psychological health as improved by 80%—due to increased longevity, improved function, and increased bone preservation—over the wearing of traditional dentures. Studies also conclude that the replacement of decaying teeth that are prone to infection with an implant-supported prosthesis will typically result in the improvement of a patient’s overall physical health. Results may vary.

Financing
Loans are subject to eligibility, underwriting, and approval, including credit approval. Eligibility is determined through a pre-qualification application (“soft pull”) with no impact to the applicant’s credit score; not all individuals will qualify. Only upon accepting an offer and agreeing to the credit authorization disclosure will a hard inquiry (“hard pull”) be initiated and a FICO score potentially be affected.

Loan amounts range from $750 to $40,000, depending on creditworthiness, and require no down payment. The offered APR will vary between 3.99% and 35.99% based upon creditworthiness, loan amounts, and term length. Approved borrowers can choose between a longer Installment Loan (12-144 months) or a shorter Interest Promotion (6-12 months), with no interest paid if the loan is settled within the chosen promotional window.

DIO Management Group, LLC, is a registered seller of travel as required by Chapter 559, Florida Statutes. Ref. No. ST45536

For more information about financing or travel options, contact a Done In One representative.

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