|
Orthodontics
|
$1,870
|
| Package Name |
|
| Disc One Jaw Expander |
$168
|
| Disc Two Jaw Expander |
$210
|
| Expander Control Plate Fee |
$28
|
| External Aesthetic (china) Orthodontics |
$557
|
| External Metal Orthodontia |
$336
|
| Inspection Fee (includes any Material Replacements) |
$42
|
| Invisalign Orthodontics / 2 Jaw Introductory Price (Upfront Payment) |
$1,870
|
| Mandibles Bite Relationship Adjustment Device |
$252
|
| Orthodontia Treatment Plan (Credited) |
$84
|
| Retention Control Device Fee |
$28
|
|
|
Fillings
|
$42
|
| Package Name |
|
| Fillings |
$42
|
| Inlay / Onlay Material and Price |
$134
|
|
|
Ceramic Crown
|
$154
|
| Package Name |
|
| Metal-Ceramic Crown |
$154
|
|
|
Root Canals
|
$14
|
| Package Name |
|
| Root Canal Medication Closing |
$14
|
|
|
Dental X Ray
|
$14
|
| Package Name |
|
| Panoramic Dental X-Ray |
$28
|
| X-ray / Panorama |
$14
|
| X-ray / Tele |
$14
|
|
|
Sinus Treatment
|
$210
|
| Package Name |
|
| Sinus Added |
$420
|
| Sinus Basic Inclusion |
$210
|
|
|
Invisalign
|
$52
|
| Package Name |
|
| Invisalign Monthly Monitoring Fee (Total Fee indicated in the x12) |
$52
|
|
|
Dental Crowns
|
$22
|
| Package Name |
|
| Long-term Temporary crown Member |
$45
|
| Temporary Crown Member |
$22
|
|
|
Extractions
|
$28
|
| Package Name |
|
| Tooth Extraction - Wisdom Tooth I |
$28
|
| Tooth Extraction - Wisdom Tooth II |
$56
|
| Tooth Extraction - Wisdom Tooth III. Covered with Bone |
$28
|
| Tooth Extractions |
$28
|
|
|
Dental Braces
|
$1,259
|
| Package Name |
|
| Damon Inspection Fee (which includes any Material Replacements) |
$84
|
| Damon Metal Device |
$392
|
| Damon Porcelain Device |
$560
|
| Incognito Inspection Fee (which includes any Material Replacements) |
$140
|
| Incognito Lingual Appliance Jaw |
$1,259
|
| STB Inspection Fee (which includes any Material Replacements) |
$140
|
| STB Lingual Appliance |
$420
|
|
|
Hygienist Session
|
$42
|
| Package Name |
|
| Oral Hygiene treatment - Ultrasonic scaling |
$42
|
|
|
Dental Implants
|
$84
|
| Package Name |
|
| Camlog Implant |
$392
|
| Metal Ceramic Implant Crown |
$154
|
| Nobel Biocare / Branemark / Replace Implant |
$615
|
| Nobel Biocare Branemark standard head |
$112
|
| Nobel Biocare Procera Branemark / zirconia head |
$238
|
| SGS / Alphabio Implant |
$336
|
| SGS / Standard Alphabio head |
$84
|
| Standard head Camlog |
$84
|
|
|
Psychotherapist Consultation
|
$14
|
| Package Name |
|
| Consultation |
$14
|
|
|
Dentures
|
$1,063
|
| Package Name |
|
| Overwater Decks Prosthesis Impl. Lower |
$951
|
| Overwater Decks Prosthesis Impl. Upper |
$1,063
|
|
