Hi Guest!
Great news is there is a good way to indicate tooth numbers on the medical claim form. You do this by using the "JP" qualifier in the supplemental information area on the line item.
In the NUCC's claim form manual, there is an excellent example of this found on page 48, here is the link to the current manual:
https://nucc.org/images/stories/PDF/1500_claim_form_instruction_manual_2021_07-v9.pdfAnd yes, the fee you would submit would be the total for all extraction indicate on that line item.
Hope this helps!