Last updated: March 2026
How Much Does Amalgam Filling Removal Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Standard Amalgam Removal (per tooth) | $150 – $350 | $50 – $125 |
| SMART Amalgam Removal (per tooth) | $250 – $500 | $100 – $200 |
| Amalgam Removal with Composite Replacement | $200 – $500 | $75 – $200 |
CPT/ADA Code: D2330
What Affects the Cost
- Geographic location (urban areas cost 20-40% more)
- Dentist experience and specialization
- Type of dental insurance plan (PPO vs HMO/DHMO)
- Whether the procedure is classified as preventive, basic, or major
- Lab and material costs
- Number of teeth or surfaces involved
Insurance Coverage
Typical coverage: Typically covered as a filling replacement; SMART removal protocol (holistic) is not covered
Most dental PPO plans have an annual maximum of $1,000-$2,500. Preventive care (cleanings, exams, X-rays) is typically covered at 100%. Basic procedures (fillings, simple extractions) at 70-80%. Major procedures (crowns, bridges, implants) at 50%. Many plans have a 6-12 month waiting period for major work.
How to Save Money
- Dental schools offer procedures at 50-70% discount
- Dental discount plans save 20-50% for $80-$200/year
- Ask about payment plans — many dentists offer CareCredit 0% financing
- Community health centers provide sliding-scale pricing
- Get quotes from 2-3 dentists in your area
- Consider dental tourism for expensive procedures
Related Procedures & Costs
Frequently Asked Questions
When done properly, amalgam removal is safe. The SMART (Safe Mercury Amalgam Removal Technique) protocol minimizes mercury exposure using barriers, suction, and ventilation.
The ADA and FDA consider amalgam fillings safe. Removal is recommended if fillings are damaged, leaking, or causing problems. Elective removal for mercury concerns is a personal choice.
SMART is a protocol by the IAOMT that uses rubber dams, external suction, charcoal rinsing, and other precautions to minimize mercury vapor exposure during amalgam removal.