|
Gum Surgery
|
$54
|
| Package Name |
|
| Crown Lengthening per Element |
$185
|
| Crown Lengthening per Sextant |
$342
|
| Gum Correction per Element |
$54
|
| Gum Correction per Sextant |
$142
|
|
|
Abscess Treatment
|
$77
|
| Package Name |
|
| Treatment Gum Abscess |
$77
|
|
|
Dental Implants
|
$58
|
| Package Name |
|
| Heightening Bottom Sinus Ortho Degree |
$58
|
| Heightening Bottom Sinus, Jaw First Half |
$233
|
| Overhead Pre-Implant Surgery |
$101
|
| Overheads Implants |
$178
|
| Painfully Remove Implant |
$160
|
| Places each Subsequent Implant in the same Jaw, by the same Wound |
$68
|
| Places First Implant per Jaw |
$189
|
| Replacement Implant |
$189
|
|
|
Dentures
|
$17
|
| Package Name |
|
| Complete Maxillary Dentures |
$171
|
| Frame Dentures, 1-4 Elements |
$234
|
| Frame Dentures, 5-13 Elements |
$319
|
| Full Dentures Upper and Lower Jaw |
$370
|
| Padding Full Dentures, Indirectly with Rim Construction |
$85
|
| Padding Full Dentures, Indirectly without Border Build |
$40
|
| Partial Denture Resin, 1-4 element |
$85
|
| Partial Denture Resin, 5-13 Elements |
$171
|
| Planned Grinding of the Existing Denture |
$28
|
| Repair complete dentures without print |
$17
|
| Repair Partial Denture or Denture Frame Print |
$46
|
| Repair Partial Denture or Denture Frame without Printing |
$17
|
| Root Cap with Pin |
$142
|
|
|
Fillings
|
$11
|
| Package Name |
|
| Dry Laying Elements by means of a Rubber Patch |
$11
|
| More Flood Fill Composite |
$91
|
| Parapulpaire Pin |
$11
|
| Surface Filling |
$24
|
| Surface Filling Composite |
$46
|
| Three FloodFill |
$50
|
| Three Surface Composite Filling |
$71
|
| Two Flood Fill Composite |
$60
|
| Two FloodFill |
$38
|
|
|
Dental Checkups
|
$14
|
| Package Name |
|
| Consult for Evaluation of Prevention |
$14
|
| Dental Care at Home |
$17
|
| Evening Treatment |
$22
|
| Night Treatment |
$22
|
| Periodic Check |
$22
|
| Weekend Treatment |
$22
|
|
|
Fluoride Therapy
|
$23
|
| Package Name |
|
| Fluoride Treatment Method I |
$28
|
| Fluoride Treatment Method II |
$23
|
|
|
Orthodontics
|
$28
|
| Package Name |
|
| Places Additional Retention Bracket, per Jaw |
$37
|
| Places Bracket Category 1 |
$113
|
| Places Bracket Category 2 |
$118
|
| Places Bracket Category 3 |
$136
|
| Places Bracket Category 4 |
$145
|
| Places Bracket Category 5 |
$411
|
| Places Bracket Category 6 |
$557
|
| Places Bracket Category 7 |
$540
|
| Places Bracket Category 8 |
$362
|
| Places Bracket Category 9 |
$434
|
| Repair or Replacement of Bracket |
$28
|
| Repair or Replacement of Retention Devices |
$37
|
|
|
Root Canals
|
$20
|
| Package Name |
|
| Cutting or Canine |
$114
|
| Difficult Root Canal Opening |
$28
|
| Removal of Crown and Bridges |
$34
|
| Removing of Root Canal Filling Material |
$28
|
| Removing Root Post |
$40
|
| Root Canal Pin |
$20
|
| Root Canal Treatment Consult |
$22
|
| Root Canal Treatment of Milk Element |
$239
|
| Root Canal Treatment per Element with 4 or more Channels |
$255
|
| Root Canal Treatment per Element with One Channel |
$103
|
| Root Canal Treatment per Unit with 2 Channel |
$148
|
| Root Canal Treatment per Unit with 3 Channels |
$194
|
|
|
Teeth Cleaning
|
$13
|
| Package Name |
|
| Teeth Cleaning (5 mins) |
$13
|
|
|
Emergency Dentist
|
$114
|
| Package Name |
|
| Emergency Denture |
$114
|
|
|
Dental X Ray
|
$16
|
| Package Name |
|
| Jaw General View |
$68
|
| Skull Photo |
$31
|
| Small X-ray |
$16
|
|
|
Splints
|
$63
|
| Package Name |
|
| Occlusal Splint |
$154
|
| Splint |
$63
|
|
|
Dentist Consultation
|
$22
|
| Package Name |
|
| Problem-Oriented Consultation |
$22
|
|
|
Dental Crowns
|
$68
|
| Package Name |
|
| Crown |
$251
|
| Endo Crown, Indirect Fabricated |
$68
|
|
|
Dental Bridges
|
$61
|
| Package Name |
|
| Bridge Anchorage, per Anchor |
$61
|
| First Bridge between Part |
$182
|
| Re-tighten Slab Bridge |
$61
|
| Second and Subsequent Bridge Section in the same Bridge Session |
$91
|
| Stick Bridge with Preparation |
$182
|
| Stick Bridge without Preparation |
$121
|
|
|
Extractions
|
$32
|
| Package Name |
|
| Pulling next Tooth in the same Seat and the same Quadrant |
$32
|
| Pulling Tooth |
$43
|
|
