Increasing social pressure in the region has caused tooth fairy "inflation" to explode.
Dr. Sabrina Magid-Katz, of Harrison, says pressure to "keep up with the Joneses" appears to have spiraled out of control in certain parts of the county this school year.
There are reports of children receiving $20, $50 and even $100 per tooth -- along with special gifts.
According to Visa, the going rate 30 years ago was only 25 cents.
Some people say social media might have to do with the increase in tooth fairy gifts.
Experts say the best way to get kids to not expect so much is to focus on the meaning of a magical milestone -- when the child marks the passage into older childhood.