They say I am not an extraction candidate because of the radiation. I don't really understand that... will talk to them again... but root canal on the broken tooth, and new lower bridge. They will write a letter as to the cancer/radiation being the cause, but you have to file it with your major medical and/or cancer policy yourself. So yep, up front and mostly out of pocket. US dental insurance is a joke - it doesn't doesn't pay for much other than basic cleaning and checkups.