|
Dentist Consultation
|
$22
|
| Package Name |
|
| Dental consultation |
$22
|
|
|
Dermatologist Consultation
|
$76
|
| Package Name |
|
| Dermatologist Consultation |
$76
|
|
|
Dental Crowns
|
$22
|
| Package Name |
|
| Acrylic crown |
$22
|
| Acrylic Temporary crown (direct method) |
$59
|
| Acrylic Temporary crown (indirect method) |
$59
|
| Cemented crown on tooth |
$32
|
| Ceramic facet |
$216
|
| Ceramic pontic crown |
$415
|
| Ceramic pontic crown |
$243
|
| Disassembly of single crown |
$22
|
| Metal crown |
$216
|
| PFM Crown |
$22
|
| PFM crown pillar |
$256
|
| Preformed metal crown |
$22
|
| Provisional acrylic crown pillar (direct method) |
$59
|
| Provisional acrylic crown pillar (indirect method) |
$59
|
| Provisional pontic crown in acrylic resin (direct method) |
$59
|
| Provisional pontic crown in acrylic resin (indirect method) |
$59
|
| Tooth preparation for crown fixed prostheses |
$256
|
| Tooth preparation for crown pillar fixed prosthesis |
$256
|
|
|
Acupuncture Treatment
|
$38
|
| Package Name |
|
| Acupuncture Treatment |
$38
|
| Acupuncture Treatment at Home |
$49
|
|
|
Chiropractor Consultation
|
$43
|
| Package Name |
|
| Chiropractice (1 hour) |
$43
|
|
|
Dental Braces
|
$108
|
| Package Name |
|
| Extra-oral orthopedic appliance |
$108
|
| Full braces jaw |
$487
|
| Lingual bar |
$116
|
| Mandibular complete fixed appliance |
$487
|
| Palatal bar |
$116
|
| Partial fixed appliance |
$379
|
| The apparatus of expanded fixed |
$476
|
| Transition from partial to full fixed appliance |
$270
|
|
|
Cardiologist Consultation
|
$76
|
| Package Name |
|
| Cardiologist Consultation |
$76
|
|
|
Ceramic Crown
|
$256
|
| Package Name |
|
| Ceramic crown |
$256
|
| Ceramic crown pillar |
$256
|
|
|
Root Canals
|
$21
|
| Package Name |
|
| Canalar tooth removal procedure with a channel |
$72
|
| Canalar tooth removal procedure with five channels |
$83
|
| Canalar tooth removal procedure with four channels |
$81
|
| Canalar tooth removal procedure with three channels |
$79
|
| Canalar tooth removal procedure with two channels |
$76
|
| Removal of root spike |
$22
|
| Scaling and root planing |
$21
|
|
|
Gingival Flap Surgery
|
$49
|
| Package Name |
|
| Closure of oro-antral communication |
$141
|
| Deepening the hall - bedroom sextant |
$49
|
| Deepening the hall - third sextant |
$49
|
| Deepening the vestibule - fifth sextant |
$49
|
| Deepening the vestibule - first quadrant |
$65
|
| Deepening the vestibule - first sextant |
$49
|
| Deepening the vestibule - fourth quadrant |
$65
|
| Deepening the vestibule - Quadrant |
$65
|
| Deepening the vestibule - second sextant |
$49
|
| Deepening the vestibule - sixth sextant |
$49
|
| Flap surgery |
$49
|
| Flap surgery - 1st Quadrant |
$365
|
| Flap surgery - 1st Sextant |
$274
|
| Flap surgery - 2nd Quadrant |
$365
|
| Flap surgery - 2nd Sextant |
$274
|
| Flap surgery - 3rd Quadrant |
$365
|
| Flap surgery - 3rd Sextant |
$274
|
| Flap surgery - 4th Quadrant |
$365
|
| Flap surgery - 4th Sextant |
$274
|
| Flap surgery - 5th Sextant |
$274
|
| Flap surgery - 6 Sextant |
$274
|
| Gingival graft or connective tissue to increase adherent gingiva and alveolar ridge |
$325
|
| Gingival or connective tissue graft for root coverage |
$325
|
|
|
Extractions
|
$34
|
| Package Name |
|
| Extraction of deciduous tooth monorradicular |
$34
|
| Extraction of deciduous tooth monorradicular included |
$132
|
| Extraction of deciduous tooth monorradicular with odontossecção and osteotomy |
$59
|
| Extraction of deciduous tooth monorradicular with osteotomy |
$54
|
| Extraction of deciduous tooth multirradicular |
$39
|
| Extraction of deciduous tooth multirradicular included |
$132
|
| Extraction of deciduous tooth multirradicular with odontossecção and osteotomy |
$59
|
| Extraction of deciduous tooth multirradicular with osteotomy |
$54
|
| Extraction of supernumerary tooth |
$39
|
| Extraction of supernumerary tooth with odontossecção |
$45
|
| Extraction of supernumerary tooth with odontossecção and osteotomy |
$59
|
| Extraction of supernumerary tooth with osteotomy |
$54
|
| Extraction of tooth monorradicular |
$34
|
| Extraction of tooth multirradicular |
$36
|
| Extraction of tooth with monorradicular odontossecção |
$45
|
| Extraction of tooth with monorradicular odontossecção and osteotomy |
$59
|
| Extraction of tooth with multirradicular odontossecção |
$45
|
| Extraction of tooth with multirradicular odontossecção and osteotomy |
$59
|
| Monorradicular extraction of tooth with osteotomy |
$54
|
| Monorradicular included extraction of tooth |
$132
|
| Multirradicular extraction of tooth with osteotomy |
$54
|
| Multirradicular included extraction of tooth |
$137
|
| ncluded extraction of supernumerary tooth |
$132
|
|
|
Teeth Cleaning
|
$22
|
| Package Name |
|
| Prophylaxis in adult |
$22
|
| Prophylaxis in children |
$22
|
| Topical application of fluoride varnish |
$22
|
|
|
Pulpotomy
|
$39
|
| Package Name |
|
| Tooth pulpotomy monorradicular |
$39
|
| Tooth Pulpotomy multirradicular |
$43
|
|
|
Dental X Ray
|
$10
|
| Package Name |
|
| Performance and interpretation of periapical |
$10
|
| Performing and interpreting radiographs |
$10
|
|
|
Emergency Dentist
|
$5
|
| Package Name |
|
| Emergency appointment |
$5
|
|
|
Dentures
|
$52
|
| Package Name |
|
| Cobalt chrome prosthesis with eight teeth |
$609
|
| Cobalt chrome prosthesis with eleven teeth |
$682
|
| Cobalt chrome prosthesis with five teeth |
$529
|
| Cobalt chrome prosthesis with four teeth |
$490
|
| Cobalt chrome prosthesis with fourteen teeth |
$728
|
| Cobalt chrome prosthesis with nine teeth |
$642
|
| Cobalt chrome prosthesis with seven teeth |
$582
|
| Cobalt chrome prosthesis with six teeth |
$563
|
| Cobalt chrome prosthesis with ten teeth |
$661
|
| Cobalt chrome prosthesis with thirteen teeth |
$714
|
| Cobalt chrome prosthesis with three teeth |
$423
|
| Cobalt chrome prosthesis with twelve teeth |
$707
|
| Denture acrylic resin with a tooth |
$193
|
| Denture acrylic resin with eight teeth |
$351
|
| Denture acrylic resin with five teeth |
$278
|
| Denture acrylic resin with four teeth |
$265
|
| Denture acrylic resin with seven teeth |
$331
|
| Denture acrylic resin with six teeth |
$297
|
| Denture acrylic resin with three teeth |
$244
|
| Denture acrylic resin with two teeth |
$212
|
| DenturesCobalt chrome prosthesis with two teeth |
$384
|
| In acrylic resin denture teeth with eleven |
$410
|
| In acrylic resin denture teeth with fourteen |
$463
|
| In acrylic resin denture teeth with nine |
$371
|
| In acrylic resin denture teeth with ten |
$391
|
| In acrylic resin denture teeth with thirteen |
$444
|
| In acrylic resin denture teeth with twelve |
$431
|
| Nylon prosthesis with five teeth |
$389
|
| Prosthesis in nylon with a tooth |
$270
|
| Prosthesis in nylon with eleven teeth |
$563
|
| Prosthesis in nylon with four teeth |
$368
|
| Prosthesis in nylon with fourteen teeth |
$638
|
| Prosthesis in nylon with nine teeth |
$519
|
| Prosthesis in nylon with seven teeth |
$460
|
| Prosthesis in nylon with six teeth |
$416
|
| Prosthesis in nylon with ten teeth |
$541
|
| Prosthesis in nylon with thirteen teeth |
$617
|
| Prosthesis in nylon with three teeth |
$341
|
| Prosthesis in nylon with twelve teeth |
$595
|
| Prosthesis in nylon with two teeth |
$297
|
| Prosthetic cobalt-chrome with a tooth |
$297
|
| Repair prosthesis with printing |
$70
|
| Repair prosthesis without printing |
$52
|
| Welding in skeletal prosthesis |
$93
|
|
|
Splints
|
$47
|
| Package Name |
|
| Splinting with composite resin and means of strengthening |
$51
|
| Splinting with composite resin without reinforcement means |
$47
|
| Surgical splint |
$119
|
|
|
Sinus Treatment
|
$411
|
| Package Name |
|
| Surgery for sinus floor elevation with side window and use of allograft |
$433
|
| Surgery for sinus floor elevation with side window and use of autograft |
$411
|
|
|
Ent Specialist Consultations
|
$49
|
| Package Name |
|
| Consultation Speech Therapy |
$59
|
| Consultation Speech Therapy (Rehabilitation) |
$49
|
|
|
Dental Checkups
|
$5
|
| Package Name |
|
| Application developer board |
$11
|
| Application of desensitizing agent |
$5
|
|
|
Fillings
|
$11
|
| Package Name |
|
| Canalar tooth fillings with five channels |
$56
|
| Canalar tooth fillings with four channels |
$54
|
| Canalar tooth fillings with three channels |
$49
|
| Canalar tooth fillings with two channels |
$43
|
| Cementation of fixed prosthesis on ancient teeth |
$34
|
| Ceramic inlay four dental faces |
$249
|
| Ceramic inlay in a dental face |
$216
|
| Definite direct composite resin restoration in five faces |
$47
|
| Definite direct composite resin restoration in four faces |
$47
|
| Definite direct composite resin restoration in two-sided |
$40
|
| Definite direct composite resin restoration of a face |
$35
|
| Definite direct composite resin restoration of three faces |
$47
|
| Direct final restoration in cement modified glass ionomer five faces |
$47
|
| Direct final restoration in cement modified glass ionomer three faces |
$47
|
| Direct final restoration in glass ionomer cement modified a face |
$35
|
| Direct final restoration in glass ionomer cement modified four faces |
$47
|
| Direct final restoration in glass ionomer cement modified with two faces |
$40
|
| Fouling in ceramic faces two dental |
$227
|
| Inlay ceramic dental five faces |
$249
|
| Inlay metal dental five faces |
$227
|
| Inlay metal faces four dental |
$227
|
| Metal inlay of a tooth face |
$195
|
| Metal inlay of two dental faces |
$206
|
| Polishing amalgam restoration |
$13
|
| Polishing amalgam restoration and marginal sealing |
$16
|
| Polishing composite resin restoration |
$11
|
| Polishing composite resin restoration and surface sealing |
$16
|
| Preparation for dental inlay |
$141
|
| Provisional inlay |
$22
|
| Provisional restoration in glass ionomer cement a face |
$24
|
| Provisional restoration in glass ionomer cement with two faces |
$25
|
| Sealing cracks |
$11
|
| Sealing cracks (for quatrante) |
$38
|
| Shutter canalar tooth with a channel |
$72
|
| Temporary restoration cement glass ionomer five faces |
$26
|
| Temporary restoration cement glass ionomer four faces |
$26
|
| Temporary restoration cement glass ionomer three faces |
$26
|
| Three ceramic inlay dental faces |
$238
|
| Three metal inlay dental faces |
$216
|
|
|
Teeth Bleaching
|
$49
|
| Package Name |
|
| External bleaching ambulatory |
$162
|
| External bleaching assisted in the office |
$162
|
| Intensive external bleaching in office |
$195
|
| Session intensive internal bleaching in office |
$49
|
|
|
Orthodontics
|
$54
|
| Package Name |
|
| Fixed space maintainers |
$162
|
| Maintainer removable space |
$216
|
| Orthodontic Study |
$54
|
|
|
Gum Surgery
|
$10
|
| Package Name |
|
| Deepening the hall - third quadrant |
$65
|
| Excision of gingival flanges - bedroom sextant |
$49
|
| Excision of gingival flanges - fifth sextant |
$49
|
| Excision of gingival flanges - first quadrant |
$65
|
| Excision of gingival flanges - first sextant |
$49
|
| Excision of gingival flanges - fourth quadrant |
$65
|
| Excision of gingival flanges - Quadrant |
$65
|
| Excision of gingival flanges - second sextant |
$49
|
| Excision of gingival flanges - sixth sextant |
$49
|
| Excision of gingival flanges - third quadrant |
$65
|
| Excision of gingival flanges - third sextant |
$49
|
| Gingivectomy |
$10
|
| Gingivectomy - 1st Quadrant |
$56
|
| Gingivectomy - 1st Sextant |
$42
|
| Gingivectomy - 2nd Quadrant |
$56
|
| Gingivectomy - 2nd Sextant |
$42
|
| Gingivectomy - 3rd Quadrant |
$56
|
| Gingivectomy - 3rd Sextant |
$42
|
| Gingivectomy - 4th Quadrant |
$56
|
| Gingivectomy - 4th Sextant |
$42
|
| Gingivectomy - 5th Sextant |
$42
|
| Gingivectomy - 6 Sextant |
$42
|
| Gingivoplasty |
$10
|
| Gingivoplasty - 1st Quadrant |
$56
|
| Gingivoplasty - 1st Sextant |
$42
|
| Gingivoplasty - 2nd Quadrant |
$56
|
| Gingivoplasty - 2nd Sextant |
$42
|
| Gingivoplasty - 3rd Quadrant |
$56
|
| Gingivoplasty - 3rd Sextant |
$42
|
| Gingivoplasty - 4th Quadrant |
$56
|
| Gingivoplasty - 4th Sextant |
$42
|
| Gingivoplasty - 5th Sextant |
$42
|
| Gingivoplasty - 6 Sextant |
$42
|
| Ulectomia |
$27
|
|
|
Dental Implants
|
$1,190
|
| Package Name |
|
| Bone regeneration with simultaneous implant placement |
$108
|
| Cementation of fixed prosthesis old screwed on implants |
$32
|
| Cementation of old fixed prosthesis on implants |
$65
|
| Cemented abutment crown on implant |
$541
|
| Connector ball on implant |
$65
|
| Connector on ball |
$127
|
| Implant explant |
$54
|
| Prior to the placement of bone regeneration implant |
$130
|
| Prosthesis in nylon with eight teeth |
$487
|
| Scraping, smoothing and disinfecting the implant surface with surgical opening and use of bone regeneration materials (implant) |
$162
|
| Screwed crown on implant abutment |
$541
|
| Simultaneous with bone regeneration implant explant |
$162
|
| Surgery for placement of an immediate post-extraction implant |
$703
|
| Surgery for placement of an immediate post-extraction implant with immediate temporization fixed |
$1,190
|
| Surgery to implant placement with immediate temporization fixed full arch |
$9,195
|
| Surgery to implant placement with immediate temporization removable full arch |
$9,195
|
| Surgery to place an implant |
$649
|
| Surgery to place an implant with immediate temporization fixed |
$1,190
|
| Surgery to place more than one implant (implant) |
$622
|
| Surgery to place more than one implant with fixed immediate temporization (implant) |
$1,082
|
| Surgery to place more than one implant with immediate temporization fixed (per element) |
$1,082
|
|
|
Massage Session
|
$22
|
| Package Name |
|
| Massage Tui -In |
$43
|
| Shantala massage |
$22
|
| Massage Tui -In |
$43
|
| Shantala massage |
$22
|
|
|
Relaxing Massage
|
$27
|
| Package Name |
|
| Relaxation massage (30 mins) |
$27
|
| Relaxing Massage (1 hour) |
$49
|
| Relaxation massage (30 mins) |
$27
|
| Relaxing Massage (1 hour) |
$49
|
|
|
Therapeutic Massage
|
$22
|
| Package Name |
|
| therapeutic massage (1 hour 30 mins) |
$22
|
| therapeutic massage (1 hour 30 mins) |
$22
|
|
|
Hot Stone Massage
|
$43
|
| Package Name |
|
| Hot Stone Massage |
$43
|
| Hot Stone Massage |
$43
|
|
