Dental Visit Calculator

Get accurate estimates for dental procedures with this comprehensive calculator. Whether you need a routine cleaning or a complex procedure, this tool covers all common dental services. Calculate costs with and without insurance, see out-of-pocket estimates, and plan your dental care budget. Perfect for dental practices looking to provide transparent pricing and patients planning their dental expenses.

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Dental Visit Cost Calculator
๐Ÿฆท Visit Type
 
๐Ÿชฅ Preventive Services
๐Ÿฅ Insurance Information
 

๐Ÿ’ฐ Cost Estimate
$ 285.00
๐Ÿงพ Your Estimate
$ 285.00
This is an estimate only. Actual costs may vary based on treatment complexity. Ask about payment plans and financing options.
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export function dentalVisitCalculator(form: FormTs) {
form.addRow(row => {
row.addTextPanel('header', {
computedValue: () => 'Dental Visit Cost Calculator',
customStyles: { 'font-size': '1.5rem', 'font-weight': '600', 'color': '#1e293b' }
});
});
 
form.addSpacer({ height: 20 });
 
// Visit Type Section
const visitSection = form.addSubform('visit', { title: '๐Ÿฆท Visit Type' });
 
visitSection.addRow(row => {
row.addRadioButton('visitType', {
label: 'Type of Visit',
options: [
{ id: 'preventive', name: 'Preventive Care (Cleaning, Exam)' },
{ id: 'restorative', name: 'Restorative (Fillings, Crowns)' },
{ id: 'cosmetic', name: 'Cosmetic (Whitening, Veneers)' },
{ id: 'emergency', name: 'Emergency Visit' },
{ id: 'orthodontic', name: 'Orthodontic Consultation' }
],
defaultValue: 'preventive',
orientation: 'vertical',
isRequired: true
});
});
 
// Preventive Care Section
const preventiveSection = form.addSubform('preventive', {
title: '๐Ÿชฅ Preventive Services',
isVisible: () => visitSection.radioButton('visitType')?.value() === 'preventive'
});
 
preventiveSection.addRow(row => {
row.addCheckbox('exam', {
label: 'Comprehensive Exam',
defaultValue: true
}, '1fr');
row.addCheckbox('cleaning', {
label: 'Teeth Cleaning (Prophylaxis)',
defaultValue: true
}, '1fr');
});
 
preventiveSection.addRow(row => {
row.addCheckbox('xrays', {
label: 'X-Rays',
defaultValue: true
}, '1fr');
row.addDropdown('xrayType', {
label: 'X-Ray Type',
options: [
{ id: 'bitewing', name: 'Bitewing (4 films)' },
{ id: 'full-mouth', name: 'Full Mouth Series' },
{ id: 'panoramic', name: 'Panoramic' }
],
defaultValue: 'bitewing',
isVisible: () => preventiveSection.checkbox('xrays')?.value() === true
}, '1fr');
});
 
preventiveSection.addRow(row => {
row.addCheckbox('fluoride', {
label: 'Fluoride Treatment',
defaultValue: false
}, '1fr');
row.addCheckbox('sealants', {
label: 'Dental Sealants (per tooth)',
defaultValue: false
}, '1fr');
});
 
preventiveSection.addRow(row => {
row.addInteger('sealantTeeth', {
label: 'Number of Teeth for Sealants',
min: 1,
max: 8,
defaultValue: 4,
isVisible: () => preventiveSection.checkbox('sealants')?.value() === true
}, '1fr');
});
 
// Restorative Section
const restorativeSection = form.addSubform('restorative', {
title: '๐Ÿ”ง Restorative Procedures',
isVisible: () => visitSection.radioButton('visitType')?.value() === 'restorative'
});
 
restorativeSection.addRow(row => {
row.addCheckbox('filling', {
label: 'Dental Filling',
defaultValue: false
}, '1fr');
row.addDropdown('fillingType', {
label: 'Filling Type',
options: [
{ id: 'amalgam', name: 'Amalgam (Silver)' },
{ id: 'composite', name: 'Composite (Tooth-Colored)' }
],
defaultValue: 'composite',
isVisible: () => restorativeSection.checkbox('filling')?.value() === true
}, '1fr');
});
 
restorativeSection.addRow(row => {
row.addDropdown('fillingSurfaces', {
label: 'Filling Size',
options: [
{ id: '1', name: 'Small (1 surface)' },
{ id: '2', name: 'Medium (2 surfaces)' },
{ id: '3', name: 'Large (3+ surfaces)' }
],
defaultValue: '1',
isVisible: () => restorativeSection.checkbox('filling')?.value() === true
}, '1fr');
row.addInteger('fillingCount', {
label: 'Number of Fillings',
min: 1,
max: 10,
defaultValue: 1,
isVisible: () => restorativeSection.checkbox('filling')?.value() === true
}, '1fr');
});
 
restorativeSection.addRow(row => {
row.addCheckbox('crown', {
label: 'Dental Crown',
defaultValue: false
}, '1fr');
row.addDropdown('crownType', {
label: 'Crown Material',
options: [
{ id: 'porcelain', name: 'Porcelain/Ceramic' },
{ id: 'pfm', name: 'Porcelain-Fused-to-Metal' },
{ id: 'gold', name: 'Gold' },
{ id: 'zirconia', name: 'Zirconia' }
],
defaultValue: 'porcelain',
isVisible: () => restorativeSection.checkbox('crown')?.value() === true
}, '1fr');
});
 
restorativeSection.addRow(row => {
row.addCheckbox('rootCanal', {
label: 'Root Canal',
defaultValue: false
}, '1fr');
row.addDropdown('rootCanalTooth', {
label: 'Tooth Type',
options: [
{ id: 'anterior', name: 'Front Tooth (Anterior)' },
{ id: 'premolar', name: 'Premolar' },
{ id: 'molar', name: 'Molar' }
],
defaultValue: 'molar',
isVisible: () => restorativeSection.checkbox('rootCanal')?.value() === true
}, '1fr');
});
 
restorativeSection.addRow(row => {
row.addCheckbox('extraction', {
label: 'Tooth Extraction',
defaultValue: false
}, '1fr');
row.addDropdown('extractionType', {
label: 'Extraction Type',
options: [
{ id: 'simple', name: 'Simple Extraction' },
{ id: 'surgical', name: 'Surgical Extraction' },
{ id: 'wisdom', name: 'Wisdom Tooth' }
],
defaultValue: 'simple',
isVisible: () => restorativeSection.checkbox('extraction')?.value() === true
}, '1fr');
});
 
// Cosmetic Section
const cosmeticSection = form.addSubform('cosmetic', {
title: 'โœจ Cosmetic Procedures',
isVisible: () => visitSection.radioButton('visitType')?.value() === 'cosmetic'
});
 
cosmeticSection.addRow(row => {
row.addCheckbox('whitening', {
label: 'Teeth Whitening',
defaultValue: false
}, '1fr');
row.addDropdown('whiteningType', {
label: 'Whitening Type',
options: [
{ id: 'in-office', name: 'In-Office Treatment' },
{ id: 'take-home', name: 'Take-Home Kit' },
{ id: 'both', name: 'Both (Best Results)' }
],
defaultValue: 'in-office',
isVisible: () => cosmeticSection.checkbox('whitening')?.value() === true
}, '1fr');
});
 
cosmeticSection.addRow(row => {
row.addCheckbox('veneers', {
label: 'Porcelain Veneers',
defaultValue: false
}, '1fr');
row.addInteger('veneerCount', {
label: 'Number of Veneers',
min: 1,
max: 10,
defaultValue: 4,
isVisible: () => cosmeticSection.checkbox('veneers')?.value() === true
}, '1fr');
});
 
cosmeticSection.addRow(row => {
row.addCheckbox('bonding', {
label: 'Dental Bonding',
defaultValue: false
}, '1fr');
row.addInteger('bondingTeeth', {
label: 'Number of Teeth',
min: 1,
max: 6,
defaultValue: 1,
isVisible: () => cosmeticSection.checkbox('bonding')?.value() === true
}, '1fr');
});
 
// Emergency Section
const emergencySection = form.addSubform('emergency', {
title: '๐Ÿšจ Emergency Services',
isVisible: () => visitSection.radioButton('visitType')?.value() === 'emergency'
});
 
emergencySection.addRow(row => {
row.addDropdown('emergencyType', {
label: 'Emergency Type',
options: [
{ id: 'pain', name: 'Severe Toothache/Pain' },
{ id: 'broken', name: 'Broken/Chipped Tooth' },
{ id: 'abscess', name: 'Dental Abscess/Infection' },
{ id: 'knocked-out', name: 'Knocked Out Tooth' },
{ id: 'lost-filling', name: 'Lost Filling/Crown' }
],
defaultValue: 'pain'
}, '1fr');
row.addCheckbox('afterHours', {
label: 'After-Hours Visit',
defaultValue: false
}, '1fr');
});
 
// Insurance Section
const insuranceSection = form.addSubform('insurance', { title: '๐Ÿฅ Insurance Information' });
 
insuranceSection.addRow(row => {
row.addRadioButton('hasInsurance', {
label: 'Do you have dental insurance?',
options: [
{ id: 'yes', name: 'Yes' },
{ id: 'no', name: 'No' }
],
defaultValue: 'no',
orientation: 'horizontal'
});
});
 
insuranceSection.addRow(row => {
row.addDropdown('insurancePlan', {
label: 'Insurance Type',
options: [
{ id: 'ppo', name: 'PPO Plan' },
{ id: 'hmo', name: 'HMO/DMO Plan' },
{ id: 'discount', name: 'Discount Plan' }
],
defaultValue: 'ppo',
isVisible: () => insuranceSection.radioButton('hasInsurance')?.value() === 'yes'
}, '1fr');
row.addCheckbox('deductibleMet', {
label: 'Annual deductible already met',
defaultValue: false,
isVisible: () => insuranceSection.radioButton('hasInsurance')?.value() === 'yes'
}, '1fr');
});
 
insuranceSection.addRow(row => {
row.addMoney('deductible', {
label: 'Annual Deductible',
defaultValue: 50,
isVisible: () => insuranceSection.radioButton('hasInsurance')?.value() === 'yes' && !insuranceSection.checkbox('deductibleMet')?.value()
}, '1fr');
row.addMoney('annualMax', {
label: 'Annual Maximum',
defaultValue: 1500,
isVisible: () => insuranceSection.radioButton('hasInsurance')?.value() === 'yes'
}, '1fr');
});
 
form.addSpacer({ height: 20, showLine: true, lineStyle: 'dashed' });
 
// Pricing Section
const pricingSection = form.addSubform('pricing', { title: '๐Ÿ’ฐ Cost Estimate', isCollapsible: false });
 
const calculatePrice = () => {
const visitType = visitSection.radioButton('visitType')?.value() || 'preventive';
const hasInsurance = insuranceSection.radioButton('hasInsurance')?.value() === 'yes';
const insurancePlan = insuranceSection.dropdown('insurancePlan')?.value() || 'ppo';
const deductibleMet = insuranceSection.checkbox('deductibleMet')?.value() || false;
const deductible = insuranceSection.money('deductible')?.value() || 50;
const annualMax = insuranceSection.money('annualMax')?.value() || 1500;
 
let totalCost = 0;
let preventiveCost = 0;
let basicCost = 0;
let majorCost = 0;
 
// Preventive costs
if (visitType === 'preventive') {
if (preventiveSection.checkbox('exam')?.value()) preventiveCost += 95;
if (preventiveSection.checkbox('cleaning')?.value()) preventiveCost += 125;
if (preventiveSection.checkbox('xrays')?.value()) {
const xrayType = preventiveSection.dropdown('xrayType')?.value() || 'bitewing';
const xrayPrices: Record<string, number> = {
'bitewing': 65,
'full-mouth': 150,
'panoramic': 125
};
preventiveCost += xrayPrices[xrayType] || 65;
}
if (preventiveSection.checkbox('fluoride')?.value()) preventiveCost += 40;
if (preventiveSection.checkbox('sealants')?.value()) {
const teeth = preventiveSection.integer('sealantTeeth')?.value() || 4;
preventiveCost += 50 * teeth;
}
}
 
// Restorative costs
if (visitType === 'restorative') {
if (restorativeSection.checkbox('filling')?.value()) {
const fillingType = restorativeSection.dropdown('fillingType')?.value() || 'composite';
const surfaces = parseInt(restorativeSection.dropdown('fillingSurfaces')?.value() || '1');
const count = restorativeSection.integer('fillingCount')?.value() || 1;
 
let fillPrice = fillingType === 'amalgam' ? 150 : 200;
fillPrice += (surfaces - 1) * 50;
basicCost += fillPrice * count;
}
 
if (restorativeSection.checkbox('crown')?.value()) {
const crownType = restorativeSection.dropdown('crownType')?.value() || 'porcelain';
const crownPrices: Record<string, number> = {
'porcelain': 1200,
'pfm': 1000,
'gold': 1300,
'zirconia': 1400
};
majorCost += crownPrices[crownType] || 1200;
}
 
if (restorativeSection.checkbox('rootCanal')?.value()) {
const toothType = restorativeSection.dropdown('rootCanalTooth')?.value() || 'molar';
const rootCanalPrices: Record<string, number> = {
'anterior': 700,
'premolar': 850,
'molar': 1100
};
majorCost += rootCanalPrices[toothType] || 1100;
}
 
if (restorativeSection.checkbox('extraction')?.value()) {
const extractType = restorativeSection.dropdown('extractionType')?.value() || 'simple';
const extractionPrices: Record<string, number> = {
'simple': 150,
'surgical': 300,
'wisdom': 400
};
basicCost += extractionPrices[extractType] || 150;
}
}
 
// Cosmetic costs (usually not covered by insurance)
let cosmeticCost = 0;
if (visitType === 'cosmetic') {
if (cosmeticSection.checkbox('whitening')?.value()) {
const whiteningType = cosmeticSection.dropdown('whiteningType')?.value() || 'in-office';
const whiteningPrices: Record<string, number> = {
'in-office': 500,
'take-home': 300,
'both': 700
};
cosmeticCost += whiteningPrices[whiteningType] || 500;
}
 
if (cosmeticSection.checkbox('veneers')?.value()) {
const veneerCount = cosmeticSection.integer('veneerCount')?.value() || 4;
cosmeticCost += 1200 * veneerCount;
}
 
if (cosmeticSection.checkbox('bonding')?.value()) {
const bondingTeeth = cosmeticSection.integer('bondingTeeth')?.value() || 1;
cosmeticCost += 350 * bondingTeeth;
}
}
 
// Emergency costs
let emergencyCost = 0;
if (visitType === 'emergency') {
const emergencyType = emergencySection.dropdown('emergencyType')?.value() || 'pain';
const emergencyPrices: Record<string, number> = {
'pain': 200,
'broken': 250,
'abscess': 300,
'knocked-out': 400,
'lost-filling': 175
};
emergencyCost = emergencyPrices[emergencyType] || 200;
if (emergencySection.checkbox('afterHours')?.value()) {
emergencyCost *= 1.5;
}
basicCost += emergencyCost;
}
 
// Orthodontic consultation
if (visitType === 'orthodontic') {
preventiveCost += 150;
}
 
totalCost = preventiveCost + basicCost + majorCost + cosmeticCost;
 
// Insurance calculations
let insurancePays = 0;
let patientPays = totalCost;
let deductibleApplied = 0;
 
if (hasInsurance && visitType !== 'cosmetic') {
// Coverage percentages by plan type
const coverage = insurancePlan === 'ppo' ? {
preventive: 1.0,
basic: 0.8,
major: 0.5
} : insurancePlan === 'hmo' ? {
preventive: 1.0,
basic: 0.7,
major: 0.4
} : {
preventive: 0.2,
basic: 0.2,
major: 0.2
};
 
// Apply deductible if not met
if (!deductibleMet && (basicCost > 0 || majorCost > 0)) {
deductibleApplied = Math.min(deductible, basicCost + majorCost);
}
 
const eligibleForCoverage = preventiveCost + basicCost + majorCost - deductibleApplied;
 
// Calculate insurance payment
let potentialInsurancePays = 0;
potentialInsurancePays += preventiveCost * coverage.preventive;
potentialInsurancePays += Math.max(0, basicCost - (deductibleMet ? 0 : Math.min(deductible, basicCost))) * coverage.basic;
potentialInsurancePays += Math.max(0, majorCost - (deductibleMet || basicCost >= deductible ? 0 : Math.max(0, deductible - basicCost))) * coverage.major;
 
// Cap at annual maximum
insurancePays = Math.min(potentialInsurancePays, annualMax);
patientPays = totalCost - insurancePays;
}
 
return {
totalCost: Math.round(totalCost),
preventiveCost: Math.round(preventiveCost),
basicCost: Math.round(basicCost),
majorCost: Math.round(majorCost),
cosmeticCost: Math.round(cosmeticCost),
insurancePays: Math.round(insurancePays),
patientPays: Math.round(patientPays),
deductibleApplied: Math.round(deductibleApplied),
hasInsurance
};
};
 
pricingSection.addRow(row => {
row.addPriceDisplay('totalCost', {
label: 'Total Procedure Cost',
computedValue: () => calculatePrice().totalCost,
variant: 'default'
}, '1fr');
row.addPriceDisplay('insurancePays', {
label: 'Insurance Covers',
computedValue: () => calculatePrice().insurancePays,
variant: 'success',
isVisible: () => calculatePrice().hasInsurance && calculatePrice().insurancePays > 0
}, '1fr');
});
 
pricingSection.addRow(row => {
row.addPriceDisplay('deductible', {
label: 'Deductible Applied',
computedValue: () => calculatePrice().deductibleApplied,
variant: 'default',
isVisible: () => calculatePrice().deductibleApplied > 0
}, '1fr');
});
 
// Summary Section
const summarySection = form.addSubform('summary', {
title: '๐Ÿงพ Your Estimate',
isCollapsible: false,
sticky: 'bottom'
});
 
summarySection.addRow(row => {
row.addPriceDisplay('patientPays', {
label: () => calculatePrice().hasInsurance ? 'Your Out-of-Pocket Cost' : 'Total Cost',
computedValue: () => calculatePrice().patientPays,
variant: 'large'
});
});
 
summarySection.addRow(row => {
row.addTextPanel('note', {
computedValue: () => 'This is an estimate only. Actual costs may vary based on treatment complexity. Ask about payment plans and financing options.',
customStyles: { 'font-size': '0.85rem', 'color': '#64748b', 'text-align': 'center' }
});
});
 
form.configureSubmitButton({
label: 'Schedule Appointment'
});
}
 

Frequently Asked Questions

How much does a dental cleaning cost?

A routine dental cleaning typically costs $75-200 without insurance. With insurance, most preventive care including cleanings is covered at 80-100%, making out-of-pocket costs minimal.

What's the average cost of a filling?

Dental fillings range from $150-300 for amalgam (silver) fillings and $200-400 for composite (tooth-colored) fillings. Costs vary based on the tooth location and cavity size.

How much does a dental crown cost?

Dental crowns typically cost $800-1,500 depending on the material (porcelain, ceramic, or metal). Insurance usually covers 50% of major restorative work after meeting your deductible.

Is dental insurance worth it?

Dental insurance typically covers preventive care at 100%, basic procedures at 80%, and major procedures at 50%. If you need regular care or anticipate procedures, insurance often pays for itself.

Can dental practices customize this calculator?

Yes! Dental practices can customize procedures, pricing, and insurance options to match their services and embed it on their website for patient convenience.