All-on-X⁶ Dental Implants: ClearChoice vs Nuvia Guide
A patient-first comparison of full-mouth All-on-X dental implants — costs, ownership, recovery, and what to ask before you sign.
How much does All-on-X full-arch dental implant treatment cost?
Doctor-owned All-on-X⁶ starts at $9,999.99 per arch through the 1-800-VENEERS™ network, versus $25,000–$35,000 per arch commonly quoted by ClearChoice and $28,000–$35,000 by Nuvia. The difference is ownership and overhead, not implant quality — the same major implant systems and robotic guidance are used.
Starting prices, not quotes. Grafting, extractions, sedation, and final prosthetic material change the total; a written quote follows an exam and CBCT.
Last reviewed by Dr. James W. Dunnavant, DDS.
| Provider | Per-arch price | Ownership | Robotic guidance |
|---|---|---|---|
| 1-800-VENEERS™ All-on-X⁶ | from $9,999.99 | Doctor-owned | Yes (Yomi) |
| ClearChoice | $25,000–$35,000 | Corporate (Aspen) | No |
| Nuvia | $28,000–$35,000 | Corporate | No |
| Dental tourism (MX/CR) | $7,000–$12,000 | Offshore clinic | Rare |
Corporate ranges reflect commonly published consumer quotes; offshore totals exclude travel, revision risk, and follow-up care.
Questions people ask
- Why is doctor-owned All-on-X cheaper than a corporate chain?
- Corporate full-arch centers carry national advertising, private-equity return targets, and centralized lab overhead inside the case fee. A doctor-owned practice using the same implant systems removes that layer, which is why per-arch pricing can start near $9,999.99.
- How many implants does All-on-X⁶ use?
- Typically four to six implants per arch. Six adds redundancy and load distribution where bone volume allows; the plan is driven by the CBCT scan, not a fixed number.
- How long does the whole process take?
- Consult and CBCT, then surgical placement with a fixed same-day provisional, then three to six months of healing before the final prosthesis. Grafting extends the timeline.
1. Executive Summary
This evaluation compares ClearChoice and Nuvia, two national dental implant options in the United States, across key dimensions including ownership structure, physician involvement, cost, overhead, and follow-up care. Each operates under a distinct business model that significantly impacts patient experience and treatment outcomes.
All-on-X⁶ (All-on-4 to All-on-8) is a full-arch dental implant procedure that replaces an entire arch of teeth using four to eight strategically placed implants. This approach provides a fixed, permanent prosthesis that restores both function and aesthetics.
2. Ownership Structure
ClearChoice — Corporate-Owned
Private equity-backed network founded in 2004, acquired by The Aspen Group in 2020. Raised approximately $271M from investors including L Catterton and Sun Capital Partners.
Nuvia — Independent, Locally Owned
Each Nuvia center is independently owned and operated by local, licensed dental professionals. Non-clinical support is provided by Nuvia MSO, LLC (a Dental Support Organization).
3. Physician Ownership & Practice Model
ClearChoice — Employed Specialists
- Oral surgeons & prosthodontists as employees
- Shared clinical affiliation across the national network
- National Panel of Doctors meets regularly for protocol review
- Standardized protocols across all locations
Nuvia — Owner-Physicians
- Treating physicians own the practice
- Three-provider approach: surgeon, restorative dentist, CRNA
- Local clinical autonomy for each center
- Direct ownership creates personal investment in outcomes
4. Cost Comparison
ClearChoice Pricing
| Treatment Type | Average Cost Range |
|---|---|
| Fixed Full Arch (per arch) | $14,000 – $36,000 |
| Custom Implant Dentures (per arch) | $8,000 – $13,500 |
| Single Tooth Implants | $5,000 – $7,500 |
ClearChoice includes: Consultation, 3D CBCT scan, titanium implants (4–6), guided surgery, sedation, extractions (if needed), same-day teeth, final customized smile, and post-operative check-ins. Lifetime Zirconia Warranty available at participating centers (treatment on or after March 21, 2025).
Nuvia Pricing
Nuvia does not publicly list specific price ranges but emphasizes cost efficiency through:
- In-house lab reduces third-party lab markups
- In-house CRNA avoids separate anesthesia bills
- 92% of patients use financing plans to manage costs
- Pricing varies by location, case complexity, materials, and provider experience
1-800-VENEERS™ Network Pricing
| Treatment Type | Published Price |
|---|---|
| All-on-X⁶ Full Arch (per arch) | $9,999 |
| Veneers (per tooth) | $900 |
Typically includes: Consultation, CBCT/3D imaging, titanium implants (4–6), guided or robot-assisted surgery, sedation, extractions when needed, same-day provisional teeth, final zirconia bridge, and follow-up care. Pricing is published; financing is available and final cost depends on candidacy and the treating independent office.
Industry Context: ClearChoice full-arch cases generally start around $25,000 and can exceed $50,000 depending on case complexity (independent practice comparison data).
5. Overhead & Operational Model
ClearChoice — Centralized
- All-in-one facilities with on-site 3D CAT scan
- Full-service on-site dental labs with master technicians
- Specialist teams under one roof
- Corporate management services via CCMS
- PE-backed ($271M) enabling national expansion
Nuvia — Local + DSO Support
- In-house labs at every center (24-hour permanent teeth)
- In-house CRNA teams reduce third-party costs
- Three-provider collaborative model
- Local ownership reduces corporate overhead layers
- Nuvia MSO, LLC provides non-clinical support
6. Follow-Up Care & National Network
ClearChoice
- Shared clinical affiliation enables cross-location collaboration
- National Panel of Doctors reviews protocols regularly
- Lifetime Warranty requires staying within ClearChoice network
- Patients need a separate general dentist for routine care
Nuvia
- Owner-physicians hold direct investment in long-term outcomes
- Continuity of care with the same team throughout treatment
- Follow-up appointments confirm implant integration
- Smaller network may limit geographic coverage
7. Side-by-Side Comparison
| Factor | ClearChoice | Nuvia |
|---|---|---|
| Ownership | Corporate-owned; acquired by The Aspen Group (2020) | Independently owned by local licensed dentists |
| PE Backing | $271M raised (L Catterton, Sun Capital) | Not publicly available |
| Physician Model | Employed specialists | Owner-physicians |
| Provider Continuity | Potentially rotating staff | Same owner-doctor team |
| Full Arch Cost | $14,000 – $36,000 per arch | Not publicly listed |
| Pricing Model | All-inclusive fixed price | All-inclusive; varies by location |
| In-House Lab | Yes, on-site at each center | Yes, on-site at each center |
| Anesthesia | Included; administered by specialists | In-house CRNAs; included |
| Technology | Conventional guided surgery | Conventional guided surgery |
| Warranty | Lifetime Zirconia Warranty (participating) | Not publicly available |
| National Network | Yes; shared affiliation; national panel | Professional network with DSO support |
| Follow-Up | Post-op check-ins; requires network for warranty | Follow-up appointments required |
| Routine Care | Not provided; separate general dentist needed | Not specified |
| Founded | 2004 | Not publicly available |
ClearChoice and Nuvia details reflect published corporate disclosures. 1-800-VENEERS™ is not affiliated with, endorsed by, or in any partnership or joint venture with these companies.
8. Advantages Summary
ClearChoice Advantages
- National network enables collaboration and standardized protocols
- Shared clinical affiliation across locations
- Lifetime Zirconia Warranty at participating locations
- 20+ years established track record
- Published cost ranges and transparent pricing
Nuvia Advantages
- Local physician ownership creates direct investment in outcomes
- In-house CRNA model reduces third-party costs
- Owner-physician continuity throughout treatment
- 24-hour permanent teeth delivery
- Three-provider team model for safety and efficiency
9. Important Considerations for Patients
- Verify Information Locally: Both networks may have location-specific variations in staffing, costs, and warranty availability. Direct consultation with individual centers is recommended.
- Financing: Both organizations offer third-party financing options (e.g., CareCredit). ClearChoice does not accept insurance payments directly but provides documentation for patient reimbursement claims.
- Warranty Limitations: ClearChoice's Lifetime Warranty applies only to cracks or breaks in the zirconia arch, not to implant integration complications or wear and tear. The warranty is void if patients receive treatment outside the ClearChoice network.
- Routine Care: ClearChoice does not provide general dental care (cleanings, fillings). Patients must maintain a separate general dentist.
- Second Opinion: Independent dental professionals recommend obtaining a second opinion before committing to treatment with any corporate dental chain.
10. Disadvantages Comparison
| Category | ClearChoice | Nuvia |
|---|---|---|
| Sedation Customization | Rigid protocols; documented reports of inadequate sedation for patients with opioid tolerance or complex medical needs | CRNA model varies by location; no uniform standard across centers; patients must verify credentials individually |
| Sales Pressure | Aggressive sales tactics; high-pressure seminars; reports of recommending extraction of healthy teeth to fit corporate protocol | Less documented; owner-physician model may reduce pressure but creates financial incentive to recommend full-arch treatment |
| Treatment Recommendations | Reports of brief exams and push toward full-arch extraction without exploring conservative alternatives | Owner-physicians directly profit from procedures; no corporate oversight to counterbalance treatment recommendations |
| Financial Disputes | Multiple BBB complaints regarding unreturned deposits ($1,000–$5,000), cancellation fees, and ignored refund requests | Limited documented complaints due to smaller network; cost transparency is poor |
| Follow-Up Care | Reports of difficulty reaching providers after payment for adjustments or complications; warranty requires remaining within network | Variable by location; no national warranty program; follow-up protocols differ across centers |
| Provider Continuity | Employed specialists with reported staff turnover; patients may see different providers | Owner-physicians provide continuity but local variability exists |
| Cost Transparency | Published ranges ($14,000–$36,000 per arch); all-inclusive fixed pricing | Not publicly listed; varies by location, complexity, and materials |
| Warranty | Lifetime Zirconia Warranty (participating locations); limited to cracks/breaks; void if treatment outside network | Not publicly disclosed; patients must inquire per location |
| Geographic Coverage | National network with 20+ years experience | Smaller footprint; newer market presence; limited locations |
| Routine Dental Care | Not provided; patients must maintain separate general dentist | Not specified; unclear if routine care is supported |
| Cancellation Policy | Difficult to cancel; reports of ignored calls after deposit paid; some patients required Attorney General assistance | Not publicly disclosed |
11. What to Know Before Choosing
ClearChoice — Key Considerations
- Sales process may feel aggressive. Some patients describe being rushed into decisions after brief exams.
- Sedation may not be tailored to complex medical histories, including opioid tolerance or anxiety disorders.
- Deposits can be difficult to recover if you cancel, even when no work was performed.
- Follow-up care can be hard to access after payment for adjustments or repairs.
- You will need a separate general dentist for routine care (cleanings, fillings).
Questions to Ask
- Can you provide sedation options tailored to my medical history?
- Is extraction of all teeth necessary, or are there conservative alternatives?
- What is your refund policy if I cancel before surgery? (Get it in writing.)
- Who handles follow-up care for complications? How quickly can I be seen?
- What is not covered by the Lifetime Warranty?
Nuvia — Key Considerations
- Cost is not transparent. A consultation is required to obtain pricing, which varies significantly.
- Warranty details are not public — terms must be requested per location.
- Anesthesia providers differ by center. Confirm CRNA credentials before surgery.
- Follow-up protocols are not standardized across independently owned centers.
- Owner-physicians have a financial interest in recommending treatment, with no independent corporate oversight.
Questions to Ask
- What is the total all-inclusive cost? Can I have it in writing before paying a deposit?
- What warranty do you offer? What does it cover and for how long?
- Who will administer anesthesia? What are their credentials?
- What does follow-up care include? Who do I contact for complications?
- If I move, can I receive follow-up care at another location?
12. Universal Recommendations
| Action | Why It Matters |
|---|---|
| Obtain a second opinion | Independent evaluation can confirm whether full-arch extraction is truly necessary or if conservative options exist |
| Get all financial policies in writing | Deposit refund terms, cancellation fees, and warranty limitations should be documented before payment |
| Verify sedation protocols | Patients with complex medical histories should confirm anesthesia customization in advance |
| Confirm follow-up arrangements | Know who to call for adjustments, repairs, or complications and what response time to expect |
| Ask about provider continuity | Clarify whether you will see the same team throughout treatment or if staff may rotate |
| Consider local private practices | Private practices often offer more flexibility, personalized care, and direct access to the treating dentist |
The 1-800-VENEERS™ Provider Ecosystem
Three connected brands working together to send qualified All-on-X⁶ patients to credentialed surgeons — and keep them in your chair.
1-800-VENEERS™
Live U.S.-based concierge that triages All-on-X⁶ candidates, verifies financing, and warm-transfers to the closest credentialed surgeon.
- Cherry, CareCredit & Sunbit financing pre-qualification
- AISmileSIM + SmileQuiz candidate scoring
- Direct CallRail transfer to in-network providers
CL3ANDENTAL.com
Turn-key clinical brand for premium implant & cosmetic offices — design, marketing, and SOPs that signal trust the moment a patient walks in.
- Branded interior + signage system
- Single-zip territory exclusivity
- Shared SEO domain authority
Explore the All-on-X⁶ Guide
Deep-dive guides on cost, recovery, candidacy, materials, and how All-on-X⁶ compares to ClearChoice and Nuvia.
All-on-X Cost: What You Actually Pay in 2026
What does All-on-X actually cost? Per-arch pricing, what's included, financing, and hidden fees patients miss before signing.
All-on-X vs ClearChoice: What Patients Actually Get
ClearChoice vs independent All-on-X providers: pricing, ownership model, physician availability, follow-up policy, and what patients report.
All-on-X vs Nuvia: The 24-Hour Permanent Claim
Nuvia markets a 24-hour permanent All-on-X. We compare it to standard All-on-X workflows, the zirconia claim, pricing, and patient outcomes.
All-on-X Recovery: Honest Week-by-Week Timeline
Day-by-day and week-by-week All-on-X recovery: pain, swelling, diet, work return, and the 3-6 month osseointegration window.
All-on-X Candidacy: Who Actually Qualifies
All-on-X candidacy: bone density, medical conditions, smoking, age, and the disqualifiers most consultations don't surface upfront.
All-on-X Materials: Acrylic vs PMMA vs Zirconia
All-on-X prosthetic materials compared: acrylic, PMMA, monolithic zirconia, layered zirconia. Cost, durability, esthetics, and lifespan.
All-on-X Failure Rates: Published Data, Honest Read
Published All-on-X implant survival and prosthetic failure rates, what causes failures, and how to minimize your personal risk.
Robotic vs Freehand All-on-X: Does Yomi Matter?
Robotic-guided All-on-X (Yomi by Neocis) vs freehand and static-guided placement: accuracy data, cost difference, and patient outcomes.
Porcelain Veneers: Cost, Process & Candidacy Guide
Compare porcelain, composite, and no-prep veneers. See 2026 pricing, candidacy, and how to finance your smile upgrade.
All-on-X: Frequently Asked Questions
The questions patients ask most before committing to full-arch implants.
14. Sources Referenced
| Source | Type | Verifiability |
|---|---|---|
| ClearChoice Corporate Information | Primary corporate disclosure | High |
| ClearChoice Why Choose | Primary marketing content | High |
| ClearChoice Financing and Costs | Primary pricing disclosure | High |
| ClearChoice Company Profile (PitchBook) | Third-party financial data | High |
| Nuvia Corporate Information | Primary corporate disclosure | High |
| Nuvia Cost Comparison | Primary pricing disclosure | High |
| Nuvia Press Releases | Primary corporate disclosure | High |
| Cosmetic Dentistry Blog (Dr. David A. Hall) | Independent professional opinion | Moderate |
| Better Business Bureau | Verified patient complaints | High |
| Reddit (r/dentures) | Patient experience reports | Low–Moderate |
| Student Doctor Network | Professional forum discussion | Moderate |
| Tucson Prosthodontist Blog | Independent professional opinion | Moderate |
| Innova Smiles Comparison | Independent practice comparison | Moderate |
Download Patient Guide
A neutral, educational summary of all information on this page — suitable for review at home, sharing with family, or bringing to your consultation.
15. Acknowledgment of Understanding
By checking the box below, you confirm that:
- The All-on-X⁶ dental implant procedure, provider comparison, risks, benefits, and alternatives have been explained in a language I understand
- I understand that costs, warranties, and provider availability may vary by location
- I understand that results vary by individual and no guarantees of specific outcomes are implied
- I acknowledge the importance of obtaining a second opinion and verifying information with individual centers
- I voluntarily acknowledge that I have read and understood the information presented on this page
Sources & Citations
- 1.ADA — Dental Implants Overview — American Dental Association
- 2.AAOMS — Dental Implant Surgery — American Association of Oral and Maxillofacial Surgeons
- 3.FAIR Health Consumer — Cost Lookup — FAIR Health, Inc.
- 4.NIH / PubMed — Full-arch Implant Outcomes — National Library of Medicine
This page is for education and does not constitute medical advice. Consult a licensed dentist before making treatment decisions.