Honest pricing
All-on-4 cost in California — what you actually pay
Itemized breakdown of what's included, what's optional, and where the money goes. No bundled hidden fees. No sales pressure.
Itemized breakdown
What goes into the total cost of a single arch All-on-4 procedure. These are typical ranges in Northern California; your exact quote depends on your case.
| Component | Typical range | Notes |
|---|---|---|
| 4 dental implants (premium brand) | $1,500 – $3,000 | Nobel Biocare, Straumann, or equivalent. Includes warranty. |
| Surgical placement & IV sedation | $6,000 – $9,000 | Surgeon time, anesthesia, surgical suite, instruments. |
| 3D CT planning & surgical guide | $800 – $1,500 | Pre-surgical digital workflow. |
| Immediate temporary prosthesis | $2,500 – $4,500 | Worn for 3-6 months while implants integrate. |
| Final prosthesis (zirconia) | $8,000 – $15,000 | Custom-milled, lasts 20+ years. |
| Tooth extractions (if needed) | $200 – $600 per tooth | Often performed simultaneously with implants. |
| Bone grafting (if needed) | $1,000 – $4,000 | Sometimes avoidable with angled or zygomatic implants. |
| Follow-up visits & maintenance | Included | First year of care typically bundled. |
Factors that change your quote
- Whether one or both arches are being treated
- Number of teeth requiring extraction
- Whether bone grafting is needed
- Brand of implants and prosthesis material
- Sedation type (local, IV, or general anesthesia)
- Complexity of the case (e.g., severe atrophy may require zygomatic implants)
- Geographic location (Northern California pricing is mid-range vs coastal areas)
Financing makes it accessible
$99
/month starting
CareCredit
Promotional periods of 0% interest for 18-24 months on qualifying balances.
84 mo
extended terms
Lending Club
Larger loans up to 7-year terms. Fixed rates based on credit profile.
5%
prepay discount
Cash / check
5% discount on cases paid in full before treatment begins.
See full details on our insurance and financing page.
What is actually included in the All-on-4 price
The number you should care about is the all-inclusive arch price — the total cost from consultation to a permanent prosthesis in your mouth. A line-item All-on-4 fee at our practice covers:
- 3D CT scan and virtual surgical planning — included, no separate diagnostic fee.
- Pre-surgical extractions of any remaining failing teeth (some practices charge $200–$500 per tooth on top of the implant fee).
- 4 to 6 titanium implants per arch, premium brand (Neodent, Nobel Biocare, or Straumann depending on the case).
- Custom navigation guide for precise implant placement.
- IV sedation performed by the surgeon (no separate anesthesiologist fee).
- Same-day fixed temporary prosthesis (PMMA / acrylic) attached to the implants on the day of surgery.
- Permanent prosthesis — zirconia or titanium-reinforced PMMA — delivered 4–6 months later after osseointegration.
- Follow-up visits at days 7, 30, 90 and 6 months plus a 12-month integration check.
Compare this to the “teaser” pricing you may see advertised at $9,995 per arch — that figure typically excludes extractions, the final prosthesis, sedation, and follow-up care. When those are added, the true all-in cost lands in the same $25K–$35K range as a transparent quote.
Financing & insurance — the honest version
Most U.S. dental insurance plans treat All-on-4 the same way they treat dentures: they reimburse the “denture equivalent” portion, typically $1,500–$3,000 per arch. The implant placement portion is usually not covered by dental insurance. A handful of medical plans cover oral surgery components if there is a documented medical necessity (severe edentulism, post-trauma reconstruction, post-oncology) — we provide the documentation needed for those claims.
For the patient-paid portion, we work with CareCredit, LendingClub Patient Solutions and Proceed Finance for monthly payment plans starting around $99/month with terms up to 84 months. Patients with strong credit qualify for 0% promotional APR periods on shorter terms (typically 6–24 months).
Why prices vary between practices
The most common reasons one All-on-4 quote is $18,000 and another is $45,000:
- Surgeon credentials. A general dentist placing implants typically charges less than a board-certified oral and maxillofacial surgeon (Diplomate, ABOMS), but case complexity and complication-rate differ accordingly.
- Implant brand. Premium brands (Nobel, Straumann, Neodent) cost the practice 2–4× more than generic implants but have decades of peer-reviewed outcome data.
- Prosthesis material. Zirconia ($5,000+ premium over acrylic) is more durable, more esthetic, and lasts 15–25 years versus 5–10 for acrylic.
- Anesthesia type. IV sedation delivered by the surgeon adds $800–$1,500. General anesthesia in a hospital OR adds $3,000–$5,000.
- Pre-surgical work. Sinus lift, bone grafting, zygomatic implants for severe atrophy — each adds $2,000–$8,000 depending on scope.
- Geography. Major coastal metros (SF, NY, LA, Seattle) run 20–30% above the U.S. median; rural Midwest runs 15–25% below.
When you compare quotes, ask for an itemized breakdown and confirm what is and is not included. A free consultation and CT scan at our Roseville office gives you a firm written quote with no surprises later.
Frequently asked
Why does All-on-4 cost so much?
All-on-4 includes: surgical placement of 4 implants, immediate temporary prosthesis the same day, 3D CT planning, IV sedation, a custom-milled final prosthesis (usually zirconia), and multiple follow-up visits over 6-12 months. The implant components alone (Nobel Biocare or Straumann) cost the practice $1,500-$3,000 per arch. The total reflects both materials and skilled labor over a year of treatment.
Can I split the procedure between arches?
Yes. Many patients treat the upper arch first, then the lower 6-12 months later. This spreads cost and recovery time. Combined treatment of both arches at the same surgery often qualifies for a discount.
Does insurance cover any of this?
Most dental insurance has annual maximums of $1,500-$3,000 and may cover the extraction phase only. Medical insurance occasionally covers components related to functional rehabilitation. We help verify your specific policy at no charge.
What financing is available?
We work with CareCredit and Lending Club. Plans start at $99/month with promotional periods of 0% interest for 18-24 months. Larger loans extend up to 84 months. We can pre-qualify you during consultation.
Is the cheapest All-on-4 a good deal?
Be cautious of pricing below $20,000 per arch. Look for: brand of implants used (avoid generic), surgeon's board certification, whether the price includes bone grafting if needed, what the final prosthesis is made of (acrylic ages poorly, zirconia lasts 20+ years), and whether follow-up care is included.
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Meet Dr. Antipov and discuss your treatment options. Every consultation includes a complimentary 3D CT scan and personalized treatment plan.
Free 3D CT Scan · No Obligation · Flexible Financing · Roseville, CA