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Calcimator

Pediatric Dental Fee Calculator

Estimate pediatric dental procedure costs by CDT category, surfaces, anesthesia type, regional adjustment, and insurance coverage.

Inputs

%

Results

Total estimated fee

$100.00

≈ 7 movie tickets

Procedure fee$45.00
Anesthesia fee$55.00
Insurance pays$80.00
Patient responsibility$20.00
Cost per tooth/surface$45.00
How to Use This Calculator
  1. Select the Procedure category (1 = diagnostic, 2 = preventive, 3 = restorative, 4 = endodontic, 5 = extraction, 6 = interceptive ortho, 7 = sedation only).
  2. Enter the number of Surfaces or teeth involved for the procedure.
  3. Select the Anesthesia type (0 = none, 1 = local, 2 = N2O, 3 = moderate oral sedation, 4 = general anesthesia).
  4. Enter the Regional cost multiplier (default 1.0; use higher values for high-cost markets) and your Insurance coverage percentage.
  5. Review the Procedure fee, Anesthesia fee, Total estimated fee, Insurance pays amount, and Patient owes to prepare your estimate or pre-authorization.

How the result changes with Regional cost multiplier

Regional cost multiplierTotal estimated fee
0.65$65.00
1.02$102.00
1.48$148.00
1.85$185.00

What each input means

Procedure category
1=Diagnostic, 2=Preventive, 3=Restorative, 4=Endodontic, 5=Extraction, 6=Interceptive ortho, 7=Sedation only.
Surfaces or teeth involved
Number of surfaces (restorative) or teeth (preventive/surgical).
Anesthesia type
0=None, 1=Local, 2=Nitrous oxide, 3=Moderate oral sedation, 4=General anesthesia.
Regional cost multiplier
0.7=Rural/low-cost, 1.0=National average, 1.3–1.5=Urban/coastal.
Insurance coverage (%)
Percentage of fee covered by dental insurance (0% for self-pay).

What each result means

Total estimated fee
Combined procedure and anesthesia fee with regional adjustment.
Procedure fee
Fee for the dental procedure (regionally adjusted).
Anesthesia fee
Additional cost for selected anesthesia type.
Insurance pays
Estimated amount covered by insurance.
Patient responsibility
Out-of-pocket amount after insurance.
Cost per tooth/surface
Procedure fee divided by number of surfaces or teeth.

How this is calculated

Worked example, using the default values

  1. Identify Input Parameters
    4 parameters
    Procedure category = 2, Surfaces or teeth involved = 1, Anesthesia type = 1, Regional cost multiplier = 1 = 5 input(s) provided
  2. Calculate Total estimated fee
    Total estimated fee
    100 = $100
  3. Calculate Procedure fee
    Procedure fee = round(procedureFee * regionMult * 100) / 100
    45 = $45
  4. Calculate Anesthesia fee
    Anesthesia fee = round(anesthesiaFee * regionMult * 100) / 100
    55 = $55

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