Cost table: composite replacement + SMART protocol
These ranges reflect typical mid-range US market pricing in 2026. All figures are out-of-pocket estimates assuming standard SMART protocol and composite resin replacement. Regional pricing varies — see the notes below.
| # Fillings | Removal Cost | SMART Premium | Composite Replacement | Total Estimate |
|---|---|---|---|---|
| 1 filling | $120–$300 | $50–$150 | $150–$400 | $320–$850 |
| 2 fillings | $240–$600 | $100–$300 | $300–$800 | $640–$1,700 |
| 3 fillings | $360–$900 | $150–$450 | $450–$1,200 | $960–$2,550 |
| 4 fillings | $480–$1,200 | $200–$600 | $600–$1,600 | $1,280–$3,400 |
| 5 fillings | $600–$1,500 | $250–$750 | $750–$2,000 | $1,600–$4,250 |
| 6 fillings | $720–$1,800 | $300–$900 | $900–$2,400 | $1,920–$5,100 |
| 7 fillings | $840–$2,100 | $350–$1,050 | $1,050–$2,800 | $2,240–$5,950 |
| 8 fillings | $960–$2,400 | $400–$1,200 | $1,200–$3,200 | $2,560–$6,800 |
What these estimates assume
- Midwest/South pricing (reduce by ~10% for rural areas, increase by 30–60% for major metros)
- Standard SMART protocol (rubber dam, HVE, air filtration, sectioning)
- Direct composite resin replacement (chair-side, same visit)
- No sedation
- Consultation/X-ray fees not included (add $75–$200)
- Assumes simple to moderately complex restorations — large fillings covering multiple surfaces cost more
Ceramic replacement cost adjustment
If you choose ceramic inlays/onlays instead of direct composite — which may be recommended for larger or more complex restorations — the replacement cost per tooth increases substantially:
| # Fillings | Ceramic Replacement Add-On | Revised Total Estimate |
|---|---|---|
| 1 filling | Add $550–$1,400 | $870–$2,250 |
| 2 fillings | Add $1,100–$2,800 | $1,740–$4,500 |
| 4 fillings | Add $2,200–$5,600 | $3,480–$9,000 |
| 6 fillings | Add $3,300–$8,400 | $5,220–$13,500 |
Insurance offset estimates
If your fillings are clinically failing and you have dental insurance with a $1,500–$2,000 annual maximum at 50–80% coverage, you might expect:
- 1–2 clinically failing fillings: Insurance may cover $300–$800 of the total cost
- 4+ fillings: You'll likely hit your annual maximum; budget for the remainder out of pocket
- Elective removal: No coverage to offset — budget the full estimate
See our complete Insurance Coverage Guide for how to verify your specific benefits before scheduling.
Get a personalized estimate
The table above gives ranges. For an estimate adjusted for your specific region, protocol choice, and replacement material, use our interactive calculator.