Tooth Extraction Cost in Houston
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A simple tooth extraction is one flat fee at Omega Dental Specialists in Midtown Houston, with a surgical one priced above it and wisdom teeth carrying their own per-tooth fee. What changes the number is the tooth itself, whether it comes out simply or surgically, and whether you want sedation. Here is the full picture, including what to plan for if you intend to replace the tooth later - and call (713) 322-7474 for today's exact fees.
Seen in Midtown Houston, Saturday hours: Book an appointment · (713) 322-7474 · Oral Surgery in Houston
What extraction costs at our Midtown office
• Tooth extraction, simple: one flat fee.
• Tooth extraction, surgical: more than a simple one, quoted after the X-ray.
• Wisdom teeth removal: its own fee, per tooth.
• IV sedation, if you would rather be asleep: charged once for the appointment, not per tooth.
• Bone graft to preserve the socket for a future implant: a separate line item.
Local anesthetic is included in the extraction fee. You will not be charged separately for being numb.
We put today's exact figures in writing before treatment - call (713) 322-7474 for the current fees. If several teeth are coming out in one visit, the sedation is charged once rather than per tooth, which is part of why doing them together is usually cheaper than spreading them across appointments.
Simple or surgical, and why it matters
The biggest single factor is how the tooth has to come out.
A simple extraction is a tooth that is fully erupted and can be loosened and lifted out with instruments. Most front teeth and many premolars fall here.
A surgical extraction is a tooth that is broken at the gum line, impacted under bone or gum, or has curved or splayed roots. It may need a small incision, sometimes removal of a little bone, and often sectioning the tooth into pieces to bring it out without damaging what is around it. Wisdom teeth and molars are more often surgical.
Surgical removal takes longer and takes more technique, which is why it is priced above a simple extraction, and why wisdom teeth are priced separately, per tooth. What the scan shows before we start is what determines which category your tooth falls into, not a guess from looking at it.
What else changes the number
Sedation is the main optional variable. Local anesthetic is included. IV sedation is a choice rather than an assumption, and it is charged per appointment.
Infection can change the sequence. A tooth that is actively infected sometimes needs antibiotics before it can be safely and comfortably removed, which adds a step rather than a large cost.
How many teeth come out in one visit affects the total but usually reduces the cost per tooth, particularly where sedation is involved.
Whether you add a socket graft is the decision most people have not thought about before arriving, and it is covered in its own section below because it changes what things cost years later rather than today.
The socket graft decision
This is the part of extraction pricing that actually matters, and it is rarely explained before treatment.
When a tooth comes out, the bone that held its root begins resorbing almost immediately, quickest in the first few months. If you intend to replace that tooth with an implant later, that bone is what the implant needs to sit in.
A bone graft placed into the socket at the time of extraction preserves the ridge while it heals, and it is a fraction of the cost of the implant it protects. Skip it, come back in three years wanting an implant, and you may need a larger, more involved graft, plus a longer healing period before the implant can be placed at all.
If the tooth is a back molar you have no intention of replacing, the graft may be unnecessary and we will say so. If it is anywhere visible, or anywhere you might want an implant, it is usually the cheaper decision to make now.
Our oral surgeons plan extractions with what comes next in mind, which is the point of having the surgeon and the restorative dentist in the same building.
Where insurance lands
It depends entirely on your policy. Extractions are more commonly covered than elective treatment, because they are usually clinically necessary rather than chosen, but the share your plan pays and whether a deductible or waiting period applies are specific to your policy rather than general facts.
Annual maximums matter here if several teeth are coming out, since they cap what a plan pays in a year regardless of what treatment costs.
Some plans process surgical extractions under medical rather than dental benefits, particularly for impacted wisdom teeth, which occasionally works in your favor and is worth checking.
We contact your insurer before treatment, confirm what your specific policy will do, file the claim for you, and give you your out of pocket share in writing beforehand. That check is free.
Paying without insurance
Cherry, Affirm and Sunbit spread the balance into monthly payments, with 0% APR plans available through Affirm and Cherry for those who qualify. Applying takes a few minutes without a hard credit check.
FSA and HSA funds apply and are pre tax.
Our in-house membership plan is a flat annual fee and covers exams, cleanings and X rays, with 15% off other procedures. The discount applies to an extraction, but the plan is not insurance and does not cover the treatment.
Texas Medicaid covers extractions for children under 21 and for adults in emergency situations, with coverage for routine adult extractions limited. Contact your Medicaid provider to verify your specific benefits and the current criteria before scheduling.
The most reliable saving is timing. A tooth treated while it is a problem is a planned, predictable fee. The same tooth after it becomes an abscess is an emergency visit, often antibiotics, sometimes a spreading infection, and the extraction anyway.
What the appointment is like
A simple extraction usually takes twenty to forty minutes. The area is numbed, the tooth is loosened and removed, and you should feel pressure but not pain. A surgical extraction takes longer, often forty five to sixty minutes per tooth.
Afterward, bite on the gauze, and let the clot form. For the first twenty four hours, no straws, no smoking, no vigorous rinsing and no spitting, because dislodging the clot is what causes dry socket and dry socket is considerably more unpleasant than the extraction was.
Ice for the first day, soft food, and gentle warm salt water rinses from day two.
Call us rather than waiting if pain increases sharply around day three, if you taste or smell something bad, or if bleeding restarts and will not settle. More detail in our dry socket guide and on what to expect from an extraction.
Extractions in Midtown Houston
Extractions here are done by oral and maxillofacial surgeons. Dr. Jonathan Rosenstein is board certified and a Diplomate of the American Board of Oral and Maxillofacial Surgery, and Dr. Edmund Watkins also practices oral and maxillofacial surgery here.
We are at 106 W Gray Street in Midtown, between Downtown and the Texas Medical Center, with parking on site. Patients come from Montrose, River Oaks, the Heights, EaDo and the Museum District.
Monday to Friday 9 to 5 and Saturday 9 to 3, with same-day emergency slots kept open on weekdays. The Saturday hours exist because nobody wants to spend a working day recovering from an extraction if they can spend a weekend on it instead.
Call (713) 322-7474 or book online. More on oral surgery and wisdom teeth removal.
Frequently asked
How much does a tooth extraction cost in Houston?
The average cost of a tooth extraction in Houston depends mostly on how the tooth has to come out. At Omega Dental Specialists a simple extraction is one flat fee, a surgical one is priced above it and quoted after the X-ray, and wisdom teeth carry their own per-tooth fee. Local anesthetic is included, IV sedation is charged per appointment rather than per tooth, and a socket graft is a separate line item. Today's exact figures are put in writing before treatment - call (713) 322-7474.
Why do wisdom teeth cost more to remove?
Because they are more often surgical. A wisdom tooth is frequently impacted under bone or gum, or has curved roots, so removal may need a small incision, sometimes removal of a little bone, and often sectioning the tooth to bring it out safely. That takes longer and takes more technique than lifting out a fully erupted tooth, which is why wisdom teeth carry their own per-tooth fee above a simple extraction.
Should I get a bone graft when a tooth is extracted?
If you might want an implant there later, usually yes. The bone that held the root starts resorbing as soon as the tooth is gone, quickest in the first months. A socket graft at the time of extraction preserves the ridge, and it is a fraction of the cost of the implant it makes possible. Skipping it and returning in three years can mean a larger graft plus a longer healing period before an implant can be placed. For a back molar you will not replace, it may be unnecessary.
Does insurance cover tooth extractions?
It depends on your policy. Extractions are more commonly covered than elective treatment because they are usually clinically necessary, but the share paid, the deductible and any waiting period are specific to your plan. Annual maximums matter if several teeth are coming out. Some plans process surgical extractions under medical rather than dental benefits. We verify your benefit with your insurer at no charge and give you your share in writing.
Does Medicaid cover tooth extractions in Texas?
Texas Medicaid covers extractions for children under 21 and for adults in emergency situations. Coverage for routine adult extractions is limited. Contact your Medicaid provider to verify your specific benefits and the current criteria before scheduling, since the details change and depend on your plan.
Is it cheaper to have several teeth out at once?
Usually, per tooth. The extractions themselves are priced individually, but IV sedation is charged per appointment rather than per tooth, so having them done together rather than across separate visits avoids paying for sedation more than once. It also means one recovery period instead of several, which most people find matters more than the money.
What happens if I put off an extraction?
A tooth that needs removing does not improve on its own, and the cost of waiting is usually not the extraction fee. An untreated infected tooth can abscess, which turns a planned, predictable procedure into an emergency visit, antibiotics, and sometimes a spreading infection that is genuinely serious. If a tooth is painful or infected, calling sooner is both cheaper and safer.