|
Gum Surgery
|
$197
|
| Package Name |
|
| Crown Lengthening per Element |
$197
|
| Crown Lengthening per Sextant |
$364
|
|
|
Abscess Treatment
|
$82
|
| Package Name |
|
| Treatment Gum Abscess |
$82
|
|
|
Dental Implants
|
$24
|
| Package Name |
|
| Apply Bone Substitutes in Extraction Wound |
$24
|
| Fill with rod disassembly at Three or four Implants |
$242
|
| Fill with rod Disassembly more than four Implants |
$273
|
| Fill with rod removal on two Implants |
$212
|
| Filling without bar Disassembly |
$170
|
| General view behalf jaw implants in edentulous jaw |
$73
|
| Heightening bottom Sinus, Jaw First Half |
$291
|
| Implant Positioning based on CT scan |
$55
|
| Jaw Widening and or increase in frontal region or jaw first half |
$176
|
| Placing building for Implant Crown |
$30
|
| Remove Fractured Abutment or Occlusal Screw |
$139
|
| Repair Rod without Disassembly |
$67
|
| Repair with Disassembly Rod at Three or Four Implants |
$158
|
| Repair with Rod Disassembly more than Four Implants |
$188
|
| Repair with Rod Removal on two Implants |
$127
|
| Replace Implant |
$236
|
| Test arrangement |
$164
|
|
|
Dentures
|
$18
|
| Package Name |
|
| Extension Partial Denture with Element (s) to Complete Dentures, including Cast |
$48
|
| Extension Partial Denture with Element or Anchor including Print |
$48
|
| Filling Canopy Dentures on Natural Pillars without bar Disassembly |
$170
|
| Filling Full Dentures, Indirectly without Border Construction |
$42
|
| Frame Dentures, 1-4 Elements |
$249
|
| Frame Dentures, 5-13 Elements |
$339
|
| Full Dentures Upper and Lower Jaw |
$394
|
| Mandibular Complete Dentures |
$242
|
| Maxillary Complete Dentures |
$182
|
| Partial Denture Resin, 1-4 Elements |
$91
|
| Partial Denture Resin, 5-13 Elements |
$182
|
| Repair Complete Dentures without Printing |
$18
|
| Repair Full Dentures, Print |
$48
|
| Repair Partial Denture or Denture Frame without Printing |
$18
|
| Repair Partial Denture or Denture Frame, Print |
$48
|
| Surcharge for Individual Print with Frame Structure at Partial Denture Resin |
$67
|
|
|
Fluoride Therapy
|
$24
|
| Package Name |
|
| Fluoride Treatment, Method I |
$30
|
| Fluoride Treatment, Method II |
$24
|
|
|
Fillings
|
$12
|
| Package Name |
|
| Biplane Composite Inlay |
$139
|
| Eenvlaks Composite Inlay |
$73
|
| Filling Partial Denture or Denture Frame Directly with Edge Structure |
$91
|
| Filling Partial Denture or Denture Frame Directly without Border Build-up |
$61
|
| Filling Partial Denture or Denture Frame, Indirectly without Border Build-up |
$42
|
| Filling Partial Denture or Denture Frame, with Indirect edge Structure |
$91
|
| Parapulpaire Pin |
$12
|
| Surface Filling |
$24
|
| Three Flood Fill |
$52
|
| Three surface Inlay |
$242
|
| Three-side Composite Inlay |
$182
|
| Two Flat Inlay |
$170
|
| Two Flood Fill |
$39
|
|
|
Dental Checkups
|
$14
|
| Package Name |
|
| Consult after Dental Accident |
$33
|
| Consult for Evaluation of Prevention (5 mins) |
$14
|
| Preventive Education and or Instruction (5 mins) |
$14
|
| Simple Bacteriological Examination |
$18
|
| Written Medical History |
$23
|
|
|
Root Canals
|
$12
|
| Package Name |
|
| Apply Rubber Dam |
$12
|
| Continued Treatment with Iatrogenic Damage |
$42
|
| Cutting or Canine |
$120
|
| Difficult Root Canal Opening |
$30
|
| Initial Root Canal Treatment, each Subsequent Channel |
$30
|
| Initial Root Canal Treatment, first Channel |
$60
|
| Molar Root Canal |
$216
|
| Premolar Root Canal |
$168
|
| Removal of Root Canal Filling Material |
$30
|
| Remove Wholly or Mainly of Pulp Tissue |
$48
|
| Removing Root Post |
$42
|
| Root Canal Stift |
$21
|
| Root Canal Treatment of Milk Element |
$48
|
| 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
|
| Treatment Clogged or Calcified Root Canal |
$30
|
| Treatment of Element with Exceptional Anatomy |
$30
|
|
|
Gingival Flap Surgery
|
$197
|
| Package Name |
|
| Flap operation between two elements |
$197
|
| Flap surgery, per sextant (one-sixth) |
$303
|
|
|
Dental X Ray
|
$17
|
| Package Name |
|
| Skull Photo |
$33
|
| Small X-ray |
$17
|
|
|
Emergency Dentist
|
$121
|
| Package Name |
|
| Emergency Denture |
$121
|
|
|
Splints
|
$6
|
| Package Name |
|
| Occlusal Splint |
$162
|
| Remove Splint |
$6
|
| Splint |
$66
|
|
|
Dentist Consultation
|
$23
|
| Package Name |
|
| Extensive root Canal Treatment Consultation |
$42
|
| Problem-Oriented Consultation |
$23
|
| Root Canal Treatment Consultation |
$23
|
|
|
Dental Crowns
|
$73
|
| Package Name |
|
| Crown |
$267
|
| Endo Crown made indirectly |
$73
|
|
|
Dental Bridges
|
$36
|
| Package Name |
|
| Removal of Crown or Bridge |
$36
|
|
