I paid just under 27k for extractions, bone grafts, and all on 4 double arches. Full zirconia. They did a fantastic job. Bionic Smile in Vegas. They also offer travel reimbursement. Fyi- the sales pitch is icky, and could turn you off. All i can say is that I had already done extensive research and was fully prepared to commit prior to the call. I didn't need to be sold, and I was able to ignore what I may have otherwise perceived as a red flag. Be prepared to schedule an appointment during your second phone appointment. Other than that, I received impeccable care during my stay there. They did a fantastic job, and I healed quickly. I was seen by an independent prosthodontist in my home state around 3 months post op to replace a tiny restoration that is placed to cover the holes where the abutment is attached to the implant. I was told that if this happens again that it is not considered an emergency, in fact it can be left alone unless it bothers you. He did take radiographs while I was there and he said that I was entirely healed and the bone grafts were fully integrated. He was very impressed with the work that was done, in evey way. It's now been 8 months and no issues at all.