Last updated: March 2026
How Much Does Pediatric Dental Exam Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Periodic Pediatric Exam | $50 – $150 | $0 – $25 |
| New Patient Pediatric Exam (Comprehensive) | $100 – $200 | $0 – $50 |
| Infant Oral Assessment (under 3) | $50 – $125 | $0 – $25 |
CPT/ADA Code: D0120
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: Preventive — typically covered at 100% twice per year
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
The American Academy of Pediatric Dentistry recommends a child's first dental visit by age 1 or within 6 months of the first tooth erupting.
Children should have dental exams every 6 months. Children at higher risk for cavities may benefit from more frequent visits.
The dentist checks for cavities, examines bite and jaw development, cleans teeth, applies fluoride if needed, and provides guidance on oral hygiene and diet.