You call for a quote and hear a single number. It sounds manageable-until the visit adds X-rays, imaging and exam fees. Sedation, surgical tools and follow-up checks often sit outside the “extraction” line. If a tooth breaks during removal, surgical time expands and so does the invoice. When quotes skip details, patients compare apples to oranges and delay care. Pain escalates, urgency rises and last-minute scheduling adds premiums you didn’t plan for.