How Much Do Periodontal Services Cost Nationally? (2026 Guide)

National Range

$100 – $3,500

Periodontists treat gum disease, gum recession, and place dental implants. Most procedures are billed PER QUADRANT (the mouth has 4 quadrants), so full-mouth treatment is roughly 4x the quadrant rate. Scaling and root planing — the deep-cleaning workhorse — runs $200–$500 per quadrant, with full-mouth around $800–$2,000. Periodontal flap surgery escalates to $1,000–$3,000 per quadrant when SRP and maintenance fail. Gum grafts for recession ($600–$3,000 per site) and crown lengthening ($600–$2,500) round out the mid-tier work, while implants ($3,000–$6,500 all-in for fixture + abutment + crown) overlap with oral surgeons. Dental insurance covers most disease-driven periodontal work at the major-service rate (50%) when pocket depths and bone loss are documented; cosmetic gum work and implants are typically excluded. Annual plan maximums of $1,500–$2,500 routinely cap reimbursement well before full-mouth surgical treatment completes — making accurate phased treatment plans essential. Lifelong periodontal maintenance every 3–4 months ($150–$300) follows treatment and is critical for stability. Urban metros (NYC, SF, Boston) routinely price 25–40% above national averages.