|
Gum Surgery
|
$57
|
| Package Name |
|
| Correction gums, per sextant (one-sixth) |
$150
|
| Crown lengthening per sextant |
$360
|
| Crown lengthening per tooth |
$195
|
| Gums Correction, per Element |
$57
|
| Gums Correction, per Sextant (One-Sixth) |
$152
|
|
|
Dental Checkups
|
$14
|
| Package Name |
|
| Consult for Evaluation of Prevention (5 mins) |
$14
|
| Preventive Education and or Instruction (5 mins) |
$14
|
| Study Models serving treatment |
$30
|
|
|
Fillings
|
$12
|
| Package Name |
|
| Applying retrograde filling |
$24
|
| Biplane Composite Inlay |
$139
|
| Crown of Plastic Material |
$73
|
| Eenvlaks Composite Inlay |
$73
|
| Etching for the Purposes of Composite Filling |
$12
|
| Indirect Pulp-Roofing |
$18
|
| More Flood Fill amalgam |
$73
|
| More Flood Fill Composite |
$96
|
| More Flood Fill glass ionomer or glass carbomer or compomer |
$85
|
| Parapulpaire Pin |
$12
|
| Surface filling amalgam |
$25
|
| Surface filling composite |
$48
|
| Surface filling glass ionomer / glass carbomer |
$37
|
| Three Flood Fill amalgam |
$52
|
| Three Flood Fill glass ionomer or glass carbomer or compomer |
$64
|
| Three surface composite filling |
$75
|
| Three-Side Composite Inlay |
$182
|
| Two Flood Fill amalgam |
$40
|
| Two Flood Fill Composite |
$63
|
| Two Flood Fill glass ionomer / glass carbomer / compomer |
$52
|
|
|
Fluoride Therapy
|
$24
|
| Package Name |
|
| Fluoride Treatment, Method I |
$30
|
| Fluoride Treatment, Method II |
$24
|
|
|
Dentist Consultation
|
$23
|
| Package Name |
|
| Extensive root canal treatment consultation |
$42
|
| Root canal treatment consultation |
$23
|
|
|
Dentures
|
$18
|
| Package Name |
|
| Filling full dentures, indirect borderless building |
$42
|
| Filling full dentures, indirectly edge building |
$90
|
| Frame Dentures, 1-4 Elements |
$246
|
| Frame Dentures, 5-13 Elements |
$336
|
| Full Dentures Upper and Lower Jaw |
$390
|
| Mandibular Complete Dentures |
$240
|
| Maxillary Complete Dentures |
$180
|
| Partial Denture Resin, 1-4 Elements |
$90
|
| Partial Denture Resin, 5-13 Elements |
$180
|
| Repair complete dentures, with print |
$48
|
| Repair partial denture / frame dentures, with print |
$48
|
| Repair partial denture / frame dentures, without print |
$18
|
| Repair Partial Denture or Denture Frame without Printing |
$18
|
| Transformation Click Dentures |
$120
|
| Upper-Click Dentures |
$402
|
|
|
Extractions
|
$34
|
| Package Name |
|
| Pulling next tooth in the same seat and the same quadrant |
$34
|
| Pulling Tooth |
$45
|
|
|
Dental Bridges
|
$60
|
| Package Name |
|
| Bridge Anchorage, per Anchor |
$60
|
| First bridge portion between |
$180
|
| Stick Bridge with Preparation |
$180
|
| Stick Bridge without Preparation |
$120
|
|
|
Dental Crowns
|
$72
|
| Package Name |
|
| Crown |
$265
|
| Endo crown, indirectly fabricated |
$72
|
|
|
Dental Implants
|
$30
|
| Package Name |
|
| Each subsequent magnet, button |
$42
|
| Heightening bottom sinus ortho degree |
$72
|
| Heightening bottom sinus, jaw first half |
$288
|
| Heightening bottom sinus, jaw second half in the same session |
$180
|
| Implant Positioning based on CT scan |
$54
|
| Overhead Implants |
$221
|
| Overhead Pre-Implant Surgery |
$125
|
| Places First Implant per Jaw |
$234
|
| Placing Building for Implant Crown |
$30
|
| Remove Fractured Abutment or Occlusal Screw |
$138
|
| Replace Implant |
$234
|
| Top and bottom teeth click |
$619
|
| Two Magnets or Buttons |
$186
|
| Upper and Lower Teeth Click |
$624
|
|
|
Abscess Treatment
|
$81
|
| Package Name |
|
| Treatment Gum Abscess |
$81
|
|
|
Splints
|
$66
|
| Package Name |
|
| Occlusal Splint |
$162
|
| Splint |
$66
|
|
|
Root Canals
|
$6
|
| Package Name |
|
| Cutting or Canine |
$120
|
| External bleaching per jaw |
$75
|
| Pulling an element with re-implantation |
$84
|
| Remove Splint |
$6
|
| Removing Root Post |
$42
|
| Root canal treatment per element with 4 or more channels |
$252
|
| Root canal treatment per element with one channel |
$108
|
| Root canal treatment per unit with 2 channels |
$156
|
| Root canal treatment per unit with 3 channels |
$204
|
|
|
Snoring Treatment
|
$300
|
| Package Name |
|
| Device for snoring and sleep disorders (MRA) |
$300
|
|
