I calculated what my ($4,000) Costa Rican dental work in 2021 would have cost in the United States. My back of the envelope math is about $12,000. Previous trips cost about $2,000 if I recall, including the implant, oral surgery with bone graft, panoramic x-ray, deep cleaning and two crowns. Basically, what would have cost more than $18,000 in Dallas was about $6,000 in Costa Rica. The quality is great and it was one-third the price.