DENTAL TARIFF FEES AUGUST 2023

CODE DESCRIPTION STANDARD IDEAL REGULAR IPROPEL OPTIMUM EXECUTIVE ELITE PREMIUM STATUS CLASSIC
SCHEDULE I (GENERAL DENTISTRY)
CODE SECTION 1A – DIAGNOSTICS
Initial examination, charting and case
98101 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25
history
Periodic examination – maximum of
98102 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25
two per year
Consultation: covers patient referrals
and investigative consultations for
98103 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
specific problems outside,routine
examination and charting and charting
X-rays, intra-oral, per film (4 only, to
98104 include bite wings. May be claimed 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
every two years
98105 Occlusal view, per film 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
98106 Extra-oral 0 0 0 0 0 0 0 0 0 0
Panorex (May be claimed every three
98107 years. Applicable only to new patients 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32
or for a specific reason, e.g. impactions)
Surcharge per procedure requiring the
98110 use of consumables (Only applicable to 0 0 0 0 0 0 0 0 0 0
tariff items 98101, 98102 and 98103)
98121 Study models 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25
Comprehensive treatment plan
(Formulation of a detailed treatment
plan for a patients where relevant study
models, X-rays and other diagnostic
98122 acids have been utilised. The treatment 135,001.12 135,001.12 135,001.12 135,001.12 135,001.12 135,001.12 135,001.12 135,001.12 135,001.12 135,001.12
plan to be provided in typed or written
form to the patient at a visit subsequent
to an examination. Copy of plan may be
required)
CODE SECTION 1B – MISCELLANEOUS 0 0 0 0 0 0 0 0 0 0
98125 Emergency after hours surcharge 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08
98126 Domiciliary or hospital visit 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66
Additional fee for procedure under
98127 general anaesthetic (to cover travel 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66
away from surgery)
Relative analgesia, per half hour.
98128 110,000.91 110,000.91 110,000.91 110,000.91 110,000.91 110,000.91 110,000.91 110,000.91 110,000.91 110,000.91
Patients under 18 years only
98129 Intravenous sedation and materials 0 0 0 0 0 0 0 0 0 0
SECTION 1C – PALLIATIVE
CODE 0 0 0 0 0 0 0 0 0 0
DENTISTRY
Emergency treatment for the relief of
pain, e.g. dressing (Not used where
98130 other treatment is charged on another 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
code, e.g. temporary sealing of root
treatment or emergency extractions)
98131 Minor occlusal equilibration 0 0 0 0 0 0 0 0 0 0
98132 Treatment of hypersensitive dentine 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62
CODE SECTION 2 – PREVENTIVE DENTISTRY 0 0 0 0 0 0 0 0 0 0
Codes 98201 - 98204 include minor
0 0 0 0 0 0 0 0 0 0
oral hygiene instruction by dentist.
98201 Prophylaxis – children 4 to 8 years 60,000.50 60,000.50 60,000.50 60,000.50 60,000.50 60,000.50 60,000.50 60,000.50 60,000.50 60,000.50
98202 Adult (minor) 85,000.71 85,000.71 85,000.71 85,000.71 85,000.71 85,000.71 85,000.71 85,000.71 85,000.71 85,000.71
DENTAL TARIFF FEES AUGUST 2023
98203 Adult (moderate) 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04
Adult (gross) (May only be claimed
98204 once per year. Sight of X - ray may be 165,001.37 165,001.37 165,001.37 165,001.37 165,001.37 165,001.37 165,001.37 165,001.37 165,001.37 165,001.37
required)
Topical application of fluoride –
children under 18 years. (Application
98205 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
via gel or suction inserts. May not be
claimed at same time as 98132)
Oral hygiene instruction, i.e. disclosing,
98206 80,000.66 80,000.66 80,000.66 80,000.66 80,000.66 80,000.66 80,000.66 80,000.66 80,000.66 80,000.66
toothbrush instruction, flossing
Dietary planning and control (Two
98207 visits minimum - charge includes 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
follow-up visit. Over two separate
visits - claimable once every two yeard.
Copies of dietary control records signed 0 0 0 0 0 0 0 0 0 0
by patient/parent may be requested)
Fissure sealants, per tooth (Only
applicable to first and second molars in
98208 patients under 18 years Maximum four 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
per year. Sight of x-rays may be
required)
98211 Mouth protector #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
SECTION 3 – EXODONTICS
CODE 0 0 0 0 0 0 0 0 0 0
(EXTRACTIONS)
Where more properly the tooth for
removal should be covered by coded
0 0 0 0 0 0 0 0 0 0
items in Schedule 2, the patient should
be informed accordingly.
98301 First extraction 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66
Each additional extraction in same
98302 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04
quadrant
Clearance (maximum) – upper and
98303 lower jaws (Only chargeable if at least 520,004.32 520,004.32 520,004.32 520,004.32 520,004.32 520,004.32 520,004.32 520,004.32 520,004.32 520,004.32
nine teeth are removed
Per jaw (maximum) (Only chargeable if
98304 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91
at least five teeth are removed)
Treatment of post-extraction
98305 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
haemorrhage (Re-vist only)
98306 Treatment of septic socket 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04
Sutures after multiple or surgical
98307 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62
extractions
SECTION 4 – RESTORATIONS
CODE 0 0 0 0 0 0 0 0 0 0
(FILLINGS)
Amalgam Restorations 0 0 0 0 0 0 0 0 0 0
98401 One surface 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66
98402 Two surfaces 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87
98403 Three surfaces 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08
98404 Four or more surfaces 275,002.28 275,002.28 275,002.28 275,002.28 275,002.28 275,002.28 275,002.28 275,002.28 275,002.28 275,002.28
98405 Simple deciduous 70,000.58 70,000.58 70,000.58 70,000.58 70,000.58 70,000.58 70,000.58 70,000.58 70,000.58 70,000.58
98406 Compound deciduous 190,001.58 190,001.58 190,001.58 190,001.58 190,001.58 190,001.58 190,001.58 190,001.58 190,001.58 190,001.58
98407 Additional fees for bonded amalgam 35,000.29 35,000.29 35,000.29 35,000.29 35,000.29 35,000.29 35,000.29 35,000.29 35,000.29 35,000.29
Reburnishing and polishing
98408 70,000.58 70,000.58 70,000.58 70,000.58 70,000.58 70,000.58 70,000.58 70,000.58 70,000.58 70,000.58
restorations
Composite Restorations (Acid Etch
0 0 0 0 0 0 0 0 0 0
Included)
98411 One surface 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87
DENTAL TARIFF FEES AUGUST 2023
98412 Two surfaces 275,002.28 275,002.28 275,002.28 275,002.28 275,002.28 275,002.28 275,002.28 275,002.28 275,002.28 275,002.28
98413 Three surfaces 325,002.70 325,002.70 325,002.70 325,002.70 325,002.70 325,002.70 325,002.70 325,002.70 325,002.70 325,002.70
98414 Four or more surfaces 375,003.11 375,003.11 375,003.11 375,003.11 375,003.11 375,003.11 375,003.11 375,003.11 375,003.11 375,003.11
Additional fee for light cure, per
98415 #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
restoration
Composite resin build-up (includes
98416 285,002.37 285,002.37 285,002.37 285,002.37 285,002.37 285,002.37 285,002.37 285,002.37 285,002.37 285,002.37
veneers)
Miscellaneous 0 0 0 0 0 0 0 0 0 0
Fitting of preformed crown to
98441 265,002.20 265,002.20 265,002.20 265,002.20 265,002.20 265,002.20 265,002.20 265,002.20 265,002.20 265,002.20
deciduous teeth
98442 Pin reinforcement - per pin 90,000.75 90,000.75 90,000.75 90,000.75 90,000.75 90,000.75 90,000.75 90,000.75 90,000.75 90,000.75
98445 Rubber dam 60,000.50 60,000.50 60,000.50 60,000.50 60,000.50 60,000.50 60,000.50 60,000.50 60,000.50 60,000.50
SECTION 5 – INLAYS, CROWNS AND
CODE 0 0 0 0 0 0 0 0 0 0
BRIDGES
98501 Ceramic inlay – one surface 285,002.37 285,002.37 285,002.37 285,002.37 285,002.37 285,002.37 285,002.37 285,002.37 285,002.37 285,002.37
98502 two surfaces 420,003.49 420,003.49 420,003.49 420,003.49 420,003.49 420,003.49 420,003.49 420,003.49 420,003.49 420,003.49
98503 three surfaces 695,005.77 695,005.77 695,005.77 695,005.77 695,005.77 695,005.77 695,005.77 695,005.77 695,005.77 695,005.77
98504 four surfaces 840,006.97 840,006.97 840,006.97 840,006.97 840,006.97 840,006.97 840,006.97 840,006.97 840,006.97 840,006.97
98505 Ceramic crown #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
98511 Gold inlay - one surface #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
98512 two surfaces #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
98513 three surfaces #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
98514 four surfaces (inlay overlay - onlay) #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
98515 Class IV inlay 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87
98516 Post and thimble – single root 155,001.29 155,001.29 155,001.29 155,001.29 155,001.29 155,001.29 155,001.29 155,001.29 155,001.29 155,001.29
98517 multi root 255,002.12 255,002.12 255,002.12 255,002.12 255,002.12 255,002.12 255,002.12 255,002.12 255,002.12 255,002.12
98518 Bridge work per pontic 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87
98519 Porcelain jacket crown 890,007.39 890,007.39 890,007.39 890,007.39 890,007.39 890,007.39 890,007.39 890,007.39 890,007.39 890,007.39
98520 Acrylic jacket crown 890,007.39 890,007.39 890,007.39 890,007.39 890,007.39 890,007.39 890,007.39 890,007.39 890,007.39 890,007.39
98521 ¾ Metal crown 840,006.97 840,006.97 840,006.97 840,006.97 840,006.97 840,006.97 840,006.97 840,006.97 840,006.97 840,006.97
98522 Full metal crown 890,007.39 890,007.39 890,007.39 890,007.39 890,007.39 890,007.39 890,007.39 890,007.39 890,007.39 890,007.39
98523 Porcelain/metal bonded crown 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45
Maryland or rochette bridge (No
98524 additional fee for bridge retainers 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45
retainers)
98525 Additional tooth for above 395,003.28 395,003.28 395,003.28 395,003.28 395,003.28 395,003.28 395,003.28 395,003.28 395,003.28 395,003.28
98526 Porcelain veneer 540,004.48 540,004.48 540,004.48 540,004.48 540,004.48 540,004.48 540,004.48 540,004.48 540,004.48 540,004.48
98527 Porcelain repair (chairside) 110,000.91 110,000.91 110,000.91 110,000.91 110,000.91 110,000.91 110,000.91 110,000.91 110,000.91 110,000.91
Removal of an inlay, crown or bridge as
98528 an emergency procedure, per 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62
tooth/abutment
98529 Re-cementing of inlay, crown or bridge 50,000.42 50,000.42 50,000.42 50,000.42 50,000.42 50,000.42 50,000.42 50,000.42 50,000.42 50,000.42
Fitting of a preformed crown as an
emergency (Not applicable to
98530 temporary crowns and bridges placed 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66
during routine crown and bridge
preparations)
98531 Pre-fabricated post 160,001.33 160,001.33 160,001.33 160,001.33 160,001.33 160,001.33 160,001.33 160,001.33 160,001.33 160,001.33
DENTAL TARIFF FEES AUGUST 2023
98532 S S crown 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32
98599 Technicians fee at 50% #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
SECTION 6 – ENDODONTICS (ROOT
CODE 0 0 0 0 0 0 0 0 0 0
TREATMENT)
Root Treatment 0 0 0 0 0 0 0 0 0 0
Root treatment, including opening,
98601 reaming, filling, dressing and sealing - 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04
per visit, one canal
98602 two canals 175,001.45 175,001.45 175,001.45 175,001.45 175,001.45 175,001.45 175,001.45 175,001.45 175,001.45 175,001.45
98603 three canals 330,002.74 330,002.74 330,002.74 330,002.74 330,002.74 330,002.74 330,002.74 330,002.74 330,002.74 330,002.74
98604 four or more canals 525,004.36 525,004.36 525,004.36 525,004.36 525,004.36 525,004.36 525,004.36 525,004.36 525,004.36 525,004.36
Obturation i.e. placement of root canal
98611 280,002.32 280,002.32 280,002.32 280,002.32 280,002.32 280,002.32 280,002.32 280,002.32 280,002.32 280,002.32
filling and sealer on canal
98612 two canals 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32
98613 three canals 540,004.48 540,004.48 540,004.48 540,004.48 540,004.48 540,004.48 540,004.48 540,004.48 540,004.48 540,004.48
98614 four or more canals 640,005.31 640,005.31 640,005.31 640,005.31 640,005.31 640,005.31 640,005.31 640,005.31 640,005.31 640,005.31
Complete Root Treatment 0 0 0 0 0 0 0 0 0 0
These codes are chargeable on teeth
where codes 98601 - 98614 have not 0 0 0 0 0 0 0 0 0 0
been used.
98621 Complete root treatment – one canal 480,003.98 480,003.98 480,003.98 480,003.98 480,003.98 480,003.98 480,003.98 480,003.98 480,003.98 480,003.98
98622 two canals 680,005.64 680,005.64 680,005.64 680,005.64 680,005.64 680,005.64 680,005.64 680,005.64 680,005.64 680,005.64
98623 three canals 900,007.47 900,007.47 900,007.47 900,007.47 900,007.47 900,007.47 900,007.47 900,007.47 900,007.47 900,007.47
98624 four or more canals 1,080,008.96 1,080,008.96 1,080,008.96 1,080,008.96 1,080,008.96 1,080,008.96 1,080,008.96 1,080,008.96 1,080,008.96 1,080,008.96
Access through a crown for root canal
98625 120,001.00 120,001.00 120,001.00 120,001.00 120,001.00 120,001.00 120,001.00 120,001.00 120,001.00 120,001.00
treatment
Peri-apical X-rays (Maximum three per
98626 root. Does not affect sub-limit under 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
Schedule - Section 1A
98627 Pulp cap (indirect/direct) 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
98630 Pulpotomy 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
Devitalisation (Not to be used in
98631 conjunction with root treatment carried 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04
out on the same tooth)
98640 Bleaching, per tooth – initial visit #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
each additional visit (Applies to
98641 discoloured root-treated teeth only, not #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
cosmetic whole-arch bleaching)
(Applies to discoloured root-treated
teeth only, not cosmetic whole-arch 0 0 0 0 0 0 0 0 0 0
bleaching)
SECTION 7 – PROSTHETIC
CODE 0 0 0 0 0 0 0 0 0 0
DENTISTRY
Acrylic Dentures 0 0 0 0 0 0 0 0 0 0
98701 One tooth partial 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30
98702 Two teeth partial 1,100,009.13 1,100,009.13 1,100,009.13 1,100,009.13 1,100,009.13 1,100,009.13 1,100,009.13 1,100,009.13 1,100,009.13 1,100,009.13
98703 Three teeth partial 1,200,009.96 1,200,009.96 1,200,009.96 1,200,009.96 1,200,009.96 1,200,009.96 1,200,009.96 1,200,009.96 1,200,009.96 1,200,009.96
98704 Four teeth partial 1,300,010.79 1,300,010.79 1,300,010.79 1,300,010.79 1,300,010.79 1,300,010.79 1,300,010.79 1,300,010.79 1,300,010.79 1,300,010.79
98705 Five teeth partial 1,400,011.62 1,400,011.62 1,400,011.62 1,400,011.62 1,400,011.62 1,400,011.62 1,400,011.62 1,400,011.62 1,400,011.62 1,400,011.62
98706 Six teeth partial 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45
DENTAL TARIFF FEES AUGUST 2023
98707 Seven teeth partial 1,600,013.28 1,600,013.28 1,600,013.28 1,600,013.28 1,600,013.28 1,600,013.28 1,600,013.28 1,600,013.28 1,600,013.28 1,600,013.28
98708 Eight or more teeth partial 1,750,014.53 1,750,014.53 1,750,014.53 1,750,014.53 1,750,014.53 1,750,014.53 1,750,014.53 1,750,014.53 1,750,014.53 1,750,014.53
98709 Full upper or lower dentures 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60
98710 Full upper and lower dentures 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20
Chrome Cobalt Dentures (Including
0 0 0 0 0 0 0 0 0 0
Acrylic)
98711 One tooth partial 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60
98712 Two teeth partial 2,150,017.85 2,150,017.85 2,150,017.85 2,150,017.85 2,150,017.85 2,150,017.85 2,150,017.85 2,150,017.85 2,150,017.85 2,150,017.85
98713 Three teeth partial 2,300,019.09 2,300,019.09 2,300,019.09 2,300,019.09 2,300,019.09 2,300,019.09 2,300,019.09 2,300,019.09 2,300,019.09 2,300,019.09
98714 Four teeth partial 2,450,020.34 2,450,020.34 2,450,020.34 2,450,020.34 2,450,020.34 2,450,020.34 2,450,020.34 2,450,020.34 2,450,020.34 2,450,020.34
98715 Five teeth partial 2,550,021.17 2,550,021.17 2,550,021.17 2,550,021.17 2,550,021.17 2,550,021.17 2,550,021.17 2,550,021.17 2,550,021.17 2,550,021.17
98716 Six teeth partial 2,700,022.41 2,700,022.41 2,700,022.41 2,700,022.41 2,700,022.41 2,700,022.41 2,700,022.41 2,700,022.41 2,700,022.41 2,700,022.41
98717 Seven teeth partial 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90
98718 Eight or more teeth partial 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05
98719 Full upper or lower 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20
98720 Full upper and lower 7,000,058.10 7,000,058.10 7,000,058.10 7,000,058.10 7,000,058.10 7,000,058.10 7,000,058.10 7,000,058.10 7,000,058.10 7,000,058.10
Miscellaneous 0 0 0 0 0 0 0 0 0 0
98721 Cast clasp 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25
98722 Wrought wire clasp 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25
98723 Stainless steel clasp 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25
98724 Stainless steel lingual/palatal bar 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66
98725 Gold inlay in denture tooth #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
98726 Palatal or lingual strengthener 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66
98727 Rebase 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15
98728 Soft base reline 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15
98729 Self-cure reline 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15
Tissue conditioner and interim self cure
98730 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91
reline
98731 Bite plate 460,003.82 460,003.82 460,003.82 460,003.82 460,003.82 460,003.82 460,003.82 460,003.82 460,003.82 460,003.82
98732 Fracture or crack repair 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
98733 Reset tooth 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
98734 Replace with new tooth 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
Adjustments of denture (after six
98735 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
months)
Immediate denture, first tooth
98736 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
(additional fee)
98737 per additional teeth 65,000.54 65,000.54 65,000.54 65,000.54 65,000.54 65,000.54 65,000.54 65,000.54 65,000.54 65,000.54
98749 Technician fee at 50% #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
SCHEDULE II (ORAL SURGERY) 0 0 0 0 0 0 0 0 0 0
SURGICAL PREPARATION OF JAW
CODE 0 0 0 0 0 0 0 0 0 0
FOR PROSTHESIS
98750 Alveolectomy - per jaw and suturing 415,003.44 415,003.44 415,003.44 415,003.44 415,003.44 415,003.44 415,003.44 415,003.44 415,003.44 415,003.44
98751 Frenectomy 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74
98752 Frenoplasty 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32
98753 Mylo-hyoid ridge reduction - per side 675,005.60 675,005.60 675,005.60 675,005.60 675,005.60 675,005.60 675,005.60 675,005.60 675,005.60 675,005.60
DENTAL TARIFF FEES AUGUST 2023
Reduction of hypertrophic tuberosities
98754 305,002.53 305,002.53 305,002.53 305,002.53 305,002.53 305,002.53 305,002.53 305,002.53 305,002.53 305,002.53
- per side
98755 Excision of denture hyperplasia 830,006.89 830,006.89 830,006.89 830,006.89 830,006.89 830,006.89 830,006.89 830,006.89 830,006.89 830,006.89
Placement of an osseointegrated
98756 870,007.22 870,007.22 870,007.22 870,007.22 870,007.22 870,007.22 870,007.22 870,007.22 870,007.22 870,007.22
implant (By Arrangement)
98757 Cost of implant (By Arrangement) 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02
Exposure of an osseointegrated implant
98758 and placement of a transmucosal 435,003.61 435,003.61 435,003.61 435,003.61 435,003.61 435,003.61 435,003.61 435,003.61 435,003.61 435,003.61
element (By Arrangement)
CODE TUMOURS 0 0 0 0 0 0 0 0 0 0
98760 Biopsy - excisional 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74
98761 Partial - incisional 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66
CODE CYSTS 0 0 0 0 0 0 0 0 0 0
98765 Removal of simple radicular cyst 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74
CODE PERIODONTICS 0 0 0 0 0 0 0 0 0 0
Root planning, per quadrant (Maximum
98767 600,004.98 600,004.98 600,004.98 600,004.98 600,004.98 600,004.98 600,004.98 600,004.98 600,004.98 600,004.98
one per year)
98768 Gingivectomy, per tooth 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08
per additional tooth in the same
98769 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49
quadrant
98770 per quadrant 325,002.70 325,002.70 325,002.70 325,002.70 325,002.70 325,002.70 325,002.70 325,002.70 325,002.70 325,002.70
Apically repositioned flaps - per
98771 965,008.01 965,008.01 965,008.01 965,008.01 965,008.01 965,008.01 965,008.01 965,008.01 965,008.01 965,008.01
quadrant
Plastic or flap procedure involving
98772 790,006.56 790,006.56 790,006.56 790,006.56 790,006.56 790,006.56 790,006.56 790,006.56 790,006.56 790,006.56
region of a few teeth
Treatment of deep pocketing i.e. deep
98773 curettage (May only be claimed where a 160,001.33 160,001.33 160,001.33 160,001.33 160,001.33 160,001.33 160,001.33 160,001.33 160,001.33 160,001.33
normal scale and polish
provides inadequate treatment.
Maximum one per year.Sight of X-rays 0 0 0 0 0 0 0 0 0 0
may be required.)
98774 Reattachment procedure - per quadrant 880,007.30 880,007.30 880,007.30 880,007.30 880,007.30 880,007.30 880,007.30 880,007.30 880,007.30 880,007.30
98775 Major occlusal equilibration 320,002.66 320,002.66 320,002.66 320,002.66 320,002.66 320,002.66 320,002.66 320,002.66 320,002.66 320,002.66
98776 Splinting of teeth 315,002.61 315,002.61 315,002.61 315,002.61 315,002.61 315,002.61 315,002.61 315,002.61 315,002.61 315,002.61
98777 Removal of splint 105,000.87 105,000.87 105,000.87 105,000.87 105,000.87 105,000.87 105,000.87 105,000.87 105,000.87 105,000.87
CODE TREATMENT OF ORAL INFECTION 0 0 0 0 0 0 0 0 0 0
Incision and drainage pyogenic abscess,
98780 195,001.62 195,001.62 195,001.62 195,001.62 195,001.62 195,001.62 195,001.62 195,001.62 195,001.62 195,001.62
intra-oral
98781 extra-oral 265,002.20 265,002.20 265,002.20 265,002.20 265,002.20 265,002.20 265,002.20 265,002.20 265,002.20 265,002.20
98782 Apicectomy, per root 440,003.65 440,003.65 440,003.65 440,003.65 440,003.65 440,003.65 440,003.65 440,003.65 440,003.65 440,003.65
98783 Retrograde root filling 140,001.16 140,001.16 140,001.16 140,001.16 140,001.16 140,001.16 140,001.16 140,001.16 140,001.16 140,001.16
Sequestrectomy – intra-oral (flap
98784 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49
operation)
Dressing - subsequent extra-oral
98785 25,000.21 25,000.21 25,000.21 25,000.21 25,000.21 25,000.21 25,000.21 25,000.21 25,000.21 25,000.21
dressings per visit
Surgical Extraction of tooth or root 0 0 0 0 0 0 0 0 0 0
Per tooth (Sight of X-rays may be
98787 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32
required)
Surgical Removal of Buried Roots 0 0 0 0 0 0 0 0 0 0
98790 Removal of first root 335,002.78 335,002.78 335,002.78 335,002.78 335,002.78 335,002.78 335,002.78 335,002.78 335,002.78 335,002.78
Removal of subsequent roots – same
98791 260,002.16 260,002.16 260,002.16 260,002.16 260,002.16 260,002.16 260,002.16 260,002.16 260,002.16 260,002.16
quadrant
DENTAL TARIFF FEES AUGUST 2023
Para-Orthodontic Surgical Procedure 0 0 0 0 0 0 0 0 0 0
Incisionary exposure of unerupted
98795 240,001.99 240,001.99 240,001.99 240,001.99 240,001.99 240,001.99 240,001.99 240,001.99 240,001.99 240,001.99
tooth - soft tissue only
Surgical exposure of unerupted tooth –
98796 bone removal (sight of X-ray may be 620,005.15 620,005.15 620,005.15 620,005.15 620,005.15 620,005.15 620,005.15 620,005.15 620,005.15 620,005.15
required)
Surgical re-implantation of tooth
98797 580,004.81 580,004.81 580,004.81 580,004.81 580,004.81 580,004.81 580,004.81 580,004.81 580,004.81 580,004.81
including laboratory fees and splinting
Surgical transplantation including
98798 1,120,009.30 1,120,009.30 1,120,009.30 1,120,009.30 1,120,009.30 1,120,009.30 1,120,009.30 1,120,009.30 1,120,009.30 1,120,009.30
laboratory fees and splinting
Removal of Unerupted or Impacted
0 0 0 0 0 0 0 0 0 0
teeth
98800 Soft tissue impaction (flap) 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74
Bony impaction (flap and bone
98801 550,004.57 550,004.57 550,004.57 550,004.57 550,004.57 550,004.57 550,004.57 550,004.57 550,004.57 550,004.57
removal)
Bony impaction (Flap, bone removal
98802 660,005.48 660,005.48 660,005.48 660,005.48 660,005.48 660,005.48 660,005.48 660,005.48 660,005.48 660,005.48
and tooth section)
98803 second tooth (same quadrant) 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15
subsequent, at same operation (same
98804 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91
quadrant)
CODE MISCELLANEOUS 0 0 0 0 0 0 0 0 0 0
Assistant’s fee – 10% of fee with a
98805 minimum charge of (Assistant must be 500.00415 500.00415 500.00415 500.00415 500.00415 500.00415 500.00415 500.00415 500.00415 500.00415
a registered dental practioner)
SCHEDULE 111 (ORAL AND MAXILLO
0 0 0 0 0 0 0 0 0 0
FACIAL SURGERY )
CONSULTATIONS 0 0 0 0 0 0 0 0 0 0
98811 Consultation at rooms 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08
Consultation at home, nursing home or
98812 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08
hospital
98813 Subsequent consultation at rooms 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25
Subsequent consultation at home,
98814 175,001.45 175,001.45 175,001.45 175,001.45 175,001.45 175,001.45 175,001.45 175,001.45 175,001.45 175,001.45
nursing home or hospital
Subsequent consultation per week to a
98815 550,004.57 550,004.57 550,004.57 550,004.57 550,004.57 550,004.57 550,004.57 550,004.57 550,004.57 550,004.57
maximum of
98816 Consultation after hours, plus 50% 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02
RECORDS AND INVESTIGATIONS 0 0 0 0 0 0 0 0 0 0
Applicable to codes 98811 – 98880 only. 0 0 0 0 0 0 0 0 0 0
98820 Full mouth intra-oral X-ray 395,003.28 395,003.28 395,003.28 395,003.28 395,003.28 395,003.28 395,003.28 395,003.28 395,003.28 395,003.28
98821 Cephalometric X-ray analysis 205,001.70 205,001.70 205,001.70 205,001.70 205,001.70 205,001.70 205,001.70 205,001.70 205,001.70 205,001.70
98822 Panoramic X-ray 205,001.70 205,001.70 205,001.70 205,001.70 205,001.70 205,001.70 205,001.70 205,001.70 205,001.70 205,001.70
98823 Study models 140,001.16 140,001.16 140,001.16 140,001.16 140,001.16 140,001.16 140,001.16 140,001.16 140,001.16 140,001.16
98824 Full face and profile photographs 55,000.46 55,000.46 55,000.46 55,000.46 55,000.46 55,000.46 55,000.46 55,000.46 55,000.46 55,000.46
98825 Diagnosis and treatment planning 545,004.52 545,004.52 545,004.52 545,004.52 545,004.52 545,004.52 545,004.52 545,004.52 545,004.52 545,004.52
FRACTURES OF MANDIBLE 0 0 0 0 0 0 0 0 0 0
98830 Fracture, simple – requiring wiring 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34
98831 complex or multiple, requiring wiring 1,585,013.16 1,585,013.16 1,585,013.16 1,585,013.16 1,585,013.16 1,585,013.16 1,585,013.16 1,585,013.16 1,585,013.16 1,585,013.16
Complex requiring cap splints or
98832 1,755,014.57 1,755,014.57 1,755,014.57 1,755,014.57 1,755,014.57 1,755,014.57 1,755,014.57 1,755,014.57 1,755,014.57 1,755,014.57
gunning splints
98833 second fracture, plus 50% 880,007.30 880,007.30 880,007.30 880,007.30 880,007.30 880,007.30 880,007.30 880,007.30 880,007.30 880,007.30
98834 second site, plus 50% 440,003.65 440,003.65 440,003.65 440,003.65 440,003.65 440,003.65 440,003.65 440,003.65 440,003.65 440,003.65
DENTAL TARIFF FEES AUGUST 2023
Complex fracture, requiring cap splints
98835 or gunning splints, with open reduction, 2,600,021.58 2,600,021.58 2,600,021.58 2,600,021.58 2,600,021.58 2,600,021.58 2,600,021.58 2,600,021.58 2,600,021.58 2,600,021.58
intra-oral, first site
98836 second fracture, plus 50% 1,300,010.79 1,300,010.79 1,300,010.79 1,300,010.79 1,300,010.79 1,300,010.79 1,300,010.79 1,300,010.79 1,300,010.79 1,300,010.79
Complex fracture, requiring cap splints
98837 or gunning splints, with open reduction, 2,115,017.55 2,115,017.55 2,115,017.55 2,115,017.55 2,115,017.55 2,115,017.55 2,115,017.55 2,115,017.55 2,115,017.55 2,115,017.55
extra-oral, first site
98838 second site, plus 50% 1,060,008.80 1,060,008.80 1,060,008.80 1,060,008.80 1,060,008.80 1,060,008.80 1,060,008.80 1,060,008.80 1,060,008.80 1,060,008.80
98839 Circumferential and alveolar wiring 580,004.81 580,004.81 580,004.81 580,004.81 580,004.81 580,004.81 580,004.81 580,004.81 580,004.81 580,004.81
Gunning splints, plastic or metal cap
98840 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02
splints
ALVEOLAR FRACTURE 0 0 0 0 0 0 0 0 0 0
98845 Reduction of alveolar fracture 510,004.23 510,004.23 510,004.23 510,004.23 510,004.23 510,004.23 510,004.23 510,004.23 510,004.23 510,004.23
Reduction and fixation, with wiring or
98846 1,690,014.03 1,690,014.03 1,690,014.03 1,690,014.03 1,690,014.03 1,690,014.03 1,690,014.03 1,690,014.03 1,690,014.03 1,690,014.03
splinting
MAXILLARY FRACTURE 0 0 0 0 0 0 0 0 0 0
98850 Le Fort I or Guerin 1,585,013.16 1,585,013.16 1,585,013.16 1,585,013.16 1,585,013.16 1,585,013.16 1,585,013.16 1,585,013.16 1,585,013.16 1,585,013.16
increased to 952 Le Fort 11 1/3
98851 2,600,021.58 2,600,021.58 2,600,021.58 2,600,021.58 2,600,021.58 2,600,021.58 2,600,021.58 2,600,021.58 2,600,021.58 2,600,021.58
fracture
98852 Le Fort III or crania-facial disjunction 3,725,030.92 3,725,030.92 3,725,030.92 3,725,030.92 3,725,030.92 3,725,030.92 3,725,030.92 3,725,030.92 3,725,030.92 3,725,030.92
Where there is a combination of 1, 11
98853 4,760,039.51 4,760,039.51 4,760,039.51 4,760,039.51 4,760,039.51 4,760,039.51 4,760,039.51 4,760,039.51 4,760,039.51 4,760,039.51
and 111 the fee may be increased to
98854 Cost of splints 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02 2,500.02
ZYGOMA/ORBIT/INTRAL – COMPLEX
0 0 0 0 0 0 0 0 0 0
FRACTURES
98855 Gillies or temporal approach elevation 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34
Unstable or comminuted fracture
98856 treated by open reduction or by 2,260,018.76 2,260,018.76 2,260,018.76 2,260,018.76 2,260,018.76 2,260,018.76 2,260,018.76 2,260,018.76 2,260,018.76 2,260,018.76
Caldwell Luc approach
Associated soft tissue injuries –
98857 810,006.72 810,006.72 810,006.72 810,006.72 810,006.72 810,006.72 810,006.72 810,006.72 810,006.72 810,006.72
treatment of
ORAL SURGICAL PROCEDURES 0 0 0 0 0 0 0 0 0 0
98860 Hemi-resection of mandible 2,090,017.35 2,090,017.35 2,090,017.35 2,090,017.35 2,090,017.35 2,090,017.35 2,090,017.35 2,090,017.35 2,090,017.35 2,090,017.35
masticatory function, e.g. bilateral
98861 2,375,019.71 2,375,019.71 2,375,019.71 2,375,019.71 2,375,019.71 2,375,019.71 2,375,019.71 2,375,019.71 2,375,019.71 2,375,019.71
ramisection
98862 Bone grafts major repairs 2,845,023.61 2,845,023.61 2,845,023.61 2,845,023.61 2,845,023.61 2,845,023.61 2,845,023.61 2,845,023.61 2,845,023.61 2,845,023.61
Operation for improvement or
98863 4,735,039.30 4,735,039.30 4,735,039.30 4,735,039.30 4,735,039.30 4,735,039.30 4,735,039.30 4,735,039.30 4,735,039.30 4,735,039.30
restoration of occlusion and
98864 Condylectomy 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34
Reduction of mandibular joint
98865 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87 225,001.87
dislocation
98866 requiring general anaesthetic 455,003.78 455,003.78 455,003.78 455,003.78 455,003.78 455,003.78 455,003.78 455,003.78 455,003.78 455,003.78
requiring general anaesthetic plus
98867 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34 1,125,009.34
wiring
Cysts – intra-oral approach, large or
98868 940,007.80 940,007.80 940,007.80 940,007.80 940,007.80 940,007.80 940,007.80 940,007.80 940,007.80 940,007.80
complex
98869 extra-oral approach 1,505,012.49 1,505,012.49 1,505,012.49 1,505,012.49 1,505,012.49 1,505,012.49 1,505,012.49 1,505,012.49 1,505,012.49 1,505,012.49
Removal of calculus from duct by
98870 510,004.23 510,004.23 510,004.23 510,004.23 510,004.23 510,004.23 510,004.23 510,004.23 510,004.23 510,004.23
operation
98871 Closure of oral-antral opening 1,180,009.79 1,180,009.79 1,180,009.79 1,180,009.79 1,180,009.79 1,180,009.79 1,180,009.79 1,180,009.79 1,180,009.79 1,180,009.79
Removal of tooth fragment from
98872 1,540,012.78 1,540,012.78 1,540,012.78 1,540,012.78 1,540,012.78 1,540,012.78 1,540,012.78 1,540,012.78 1,540,012.78 1,540,012.78
antrum with closure
Vestibule-plasty without skin graft –
98873 2,325,019.30 2,325,019.30 2,325,019.30 2,325,019.30 2,325,019.30 2,325,019.30 2,325,019.30 2,325,019.30 2,325,019.30 2,325,019.30
per quadrant
DENTAL TARIFF FEES AUGUST 2023
98874 Torus palatinus 1,015,008.42 1,015,008.42 1,015,008.42 1,015,008.42 1,015,008.42 1,015,008.42 1,015,008.42 1,015,008.42 1,015,008.42 1,015,008.42
98875 Torus mandibularis – per side 1,015,008.42 1,015,008.42 1,015,008.42 1,015,008.42 1,015,008.42 1,015,008.42 1,015,008.42 1,015,008.42 1,015,008.42 1,015,008.42
Treatment of tumours – by
98876 #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
arrangement
98877 Mucosal planning 635,005.27 635,005.27 635,005.27 635,005.27 635,005.27 635,005.27 635,005.27 635,005.27 635,005.27 635,005.27
98878 Peripheral neurectomy 1,015,008.42 1,015,008.42 1,015,008.42 1,015,008.42 1,015,008.42 1,015,008.42 1,015,008.42 1,015,008.42 1,015,008.42 1,015,008.42
98879 Repositioning mental foramen 1,410,011.70 1,410,011.70 1,410,011.70 1,410,011.70 1,410,011.70 1,410,011.70 1,410,011.70 1,410,011.70 1,410,011.70 1,410,011.70
98880 Partial glossectomy 1,690,014.03 1,690,014.03 1,690,014.03 1,690,014.03 1,690,014.03 1,690,014.03 1,690,014.03 1,690,014.03 1,690,014.03 1,690,014.03
MISCELLANEOUS 0 0 0 0 0 0 0 0 0 0
98890 Assistant’s fee – 10% of fee charged #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
987011 Consultation at rooms 266,052.21 266,052.21 266,052.21 266,052.21 266,052.21 266,052.21 266,052.21 266,052.21 266,052.21 266,052.21
Home nursing, hospital consultation,
987012 298,102.47 298,102.47 298,102.47 298,102.47 298,102.47 298,102.47 298,102.47 298,102.47 298,102.47 298,102.47
outside the rooms
987013 Subsq consul at rooms 175,501.46 175,501.46 175,501.46 175,501.46 175,501.46 175,501.46 175,501.46 175,501.46 175,501.46 175,501.46
Subsq consul elsewhere: hospital, home
987014 175,501.46 175,501.46 175,501.46 175,501.46 175,501.46 175,501.46 175,501.46 175,501.46 175,501.46 175,501.46
nursing
987015 Subsq consult per week 1,146,509.52 1,146,509.52 1,146,509.52 1,146,509.52 1,146,509.52 1,146,509.52 1,146,509.52 1,146,509.52 1,146,509.52 1,146,509.52
987016 Consul after hours 425,703.53 425,703.53 425,703.53 425,703.53 425,703.53 425,703.53 425,703.53 425,703.53 425,703.53 425,703.53
Consultation or review of ICU or HDU
987017 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74
patient
Additional theatre fee for otherwise LA
987018 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30
procedure per hour
CODE DESCRIPTION STANDARD IDEAL REGULAR IPROPEL OPTIMUM EXECUTIVE ELITE PREMIUM STATUS CLASSIC
DIAGNOSIS, RECORDS,
#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
INVESTIGATIONS
987020 Full mouth intra oral xrays 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15
987021 Cephalometric xray analysis 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74 450,003.74
987022 Panoramic xray 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15
987023 Study models not mounted 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25
Study models mounted on adjustable
987024 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49
articulator
987025 Digital diagnostic models 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15
3D Printing of Stereolithographic
987026 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45
models
987027 Full face & profile photo 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08
987028 Diagnosis & treat planning 1,750,014.53 1,750,014.53 1,750,014.53 1,750,014.53 1,750,014.53 1,750,014.53 1,750,014.53 1,750,014.53 1,750,014.53 1,750,014.53
987029 CBCT 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38
Interpretation of CBCT including a
987030 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15
report
987031 Virtual or model mock surgery 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91
Exfoliative cytological specimen
987032 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91
collection
987033 Aspiration biopsy FNA 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15
Open biopsy of a single lymphnode in
987034 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30
the neck
Biopsy on soft tissue-intraoral
987035 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15
superficial
987036 Biopsy of soft tissue-intraoral deep 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30
987037 Biopsy of hard tissue-intraoral bone 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38
DENTAL TARIFF FEES AUGUST 2023
Core needle biopsy, ultrasound guided
987038 750,006.23 750,006.23 750,006.23 750,006.23 750,006.23 750,006.23 750,006.23 750,006.23 750,006.23 750,006.23
biopsy
987039 Microbiological specimen collection 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62 75,000.62
987040 Brush biopsy 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91 350,002.91
#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
EXODONTIA and SINUS PROCEDURES #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
987041 Tooth extraction 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32
987042 Atraumatic tooth extraction procedure 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30
987043 Wisdom tooth extraction 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45
Disimpaction of severely impacted
tooth: e.g. Ramus, orbit, body mandible,
987044 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60
encroaching the nerves, proximity of
sinus, associated with dentigerous cyst
987045 Suturing post extraction 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25
Surgical removal of residual root per
987046 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30
tooth
987047 Reimplantation of avulsed tooth 750,006.23 750,006.23 750,006.23 750,006.23 750,006.23 750,006.23 750,006.23 750,006.23 750,006.23 750,006.23
987048 Tooth transplantation 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30
Caldwell-Luc procedure: sinus wash,
987049 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
surgical approach for trauma
987050 Endoscopic Sinus Washing 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
987051 Closure of oral antral opening 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90
Closure of OAC + Removal tooth
987052 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20
fragment in the maxillary sinus
#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
FACIAL TRAUMA #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
Soft tissue repairs #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
Repair of soft tissue laceration: primary
987060 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30
closure
Repair of major and multiple facial soft
987061 tissue injuries: crushing injuries, 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
degloving/avulsive injuries
Repair of salivary duct injuries:
987062 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05
cannulation and re-anastomoses
987063 DCR for nasolacrimal drainage system 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
987064 Neurorrhaphy without nerve grafting 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
Lip recon, nose recon or eyelid recon
987065 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
after trauma
Facial Fractures #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
987066 Dento-aveolar fracture: splinting 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75
Unilateral/single fracture: closed
987067 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
techniques e.g. arch bar MMF
2nd fracture requiring closed
987068 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75
techniques
987069 Fracture requiring elastic traction 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80
Nasal bone fractures: Closed reduction
987070 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80
and splinting
Condylar fractures managed by closed
987071 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80
techniques
Gunning splinting for edentulous
987072 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
patient
987073 Acrylic splints for paediatric fractures 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80
DENTAL TARIFF FEES AUGUST 2023
Circum-mandibular, circum-zygomatic
987074 7,000,058.10 7,000,058.10 7,000,058.10 7,000,058.10 7,000,058.10 7,000,058.10 7,000,058.10 7,000,058.10 7,000,058.10 7,000,058.10
suspension
ORIF mandibular fracture: semi-rigid
987075 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
wire osteosynthesis
ORIF mandibular fracture: rigid
987076 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
osteosynthesis (plates)
987077 ORIF second mandibular fracture 50% 50% 50% 50% 50% 50% 50% 50% 50% 50%
987078 ORIF for condylar fractures 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
Endoscopic management of condylar
987079 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25
fractures
987080 ORIF ZMC fractures 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
987081 ORIF Orbital fractures 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
987082 ORIF NOE fractures: Type I and Type II 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
987083 ORIF NOE fractures Type III 20,000,166.00 20,000,166.00 20,000,166.00 20,000,166.00 20,000,166.00 20,000,166.00 20,000,166.00 20,000,166.00 20,000,166.00 20,000,166.00
987084 Lefort I and II fractures 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
Lefort III and related cranial base
987085 20,000,166.00 20,000,166.00 20,000,166.00 20,000,166.00 20,000,166.00 20,000,166.00 20,000,166.00 20,000,166.00 20,000,166.00 20,000,166.00
fractures
Frontal sinus injuries: cranialization,
987086 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
frontal titanium mesh
Panfacial fractures requiring major
987087 22,500,186.75 22,500,186.75 22,500,186.75 22,500,186.75 22,500,186.75 22,500,186.75 22,500,186.75 22,500,186.75 22,500,186.75 22,500,186.75
facial reconstruction
Gillies Temporal elevation and Keen
987088 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
elevation
Cost of reconstruction plates,
987089 36% 36% 36% 36% 36% 36% 36% 36% 36% 36%
prosthesis
987090 Removal of MMF, splints 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08
987091 Removal of titanium plates if necessary 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
PREPROSTHETIC SURGERY AND
#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
IMPLANTOLOGY
Distraction of alveolar ridge per
987100 2,750,022.83 2,750,022.83 2,750,022.83 2,750,022.83 2,750,022.83 2,750,022.83 2,750,022.83 2,750,022.83 2,750,022.83 2,750,022.83
sextant/quadrant
987101 Full arch distraction 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
987102 Lateralization of inferior dental nerve 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20
987103 Placement of zygomaticus implant 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
987104 Placement of 2nd zygomaticus implant 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90
Craniofacial transcutaneous endosseus
987105 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90
implant
Craniofacial transmucosalendosseus
987106 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45
implant
Placement of implant fixtures outside
987107 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45
the oral cavity
Alveoplasty or alveolectomy without
987108 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75
extractions per quad
Alveoplasty or alveolectomy with
987109 4,900,040.67 4,900,040.67 4,900,040.67 4,900,040.67 4,900,040.67 4,900,040.67 4,900,040.67 4,900,040.67 4,900,040.67 4,900,040.67
extractions per quad
987110 Vestibuloplasty with mucosal grafting 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
Mylohyoid reduction, removal of bone
987111 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38
undercuts
987112 Genial tubercle reduction 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30
987113 Reduction of maxillary tuberosity 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30
987114 Torus palatinus single/multiple 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
987115 Torus mandibularis 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
DENTAL TARIFF FEES AUGUST 2023
Ridge augmentation per quadrant:
987116 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
autogenous bone grafting
Ridge splitting and bone block grafting
987117 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
procedure
987118 Osseodensification for narrow ridge 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
987119 Acrylic Obturator 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
Adjustment of obturator to adapt to
987120 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15
healing per visit
987121 Prosthetic ear: implant supported 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
987122 Prosthetic nose: implant supported 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
987123 Acrylic dressing plate 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05
Mandibular advancement device for
987124 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
sleep apnea
987125 Facial augmentation prosthesis 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
987126 Trismus and facial palsy appliances 2,250,018.68 2,250,018.68 2,250,018.68 2,250,018.68 2,250,018.68 2,250,018.68 2,250,018.68 2,250,018.68 2,250,018.68 2,250,018.68
Orthopaedic craniofacial devices for
987127 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90
clefts
987128 Placement of implant 3,200,026.56 3,200,026.56 3,200,026.56 3,200,026.56 3,200,026.56 3,200,026.56 3,200,026.56 3,200,026.56 3,200,026.56 3,200,026.56
987129 Surgical stent for implant placement 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15
987130 Exposure of implant 875,007.26 875,007.26 875,007.26 875,007.26 875,007.26 875,007.26 875,007.26 875,007.26 875,007.26 875,007.26
Cost of implants, abutments,
987131 distractors, prosthetic devices, pins, #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
bone particles
987132 Removal of dental implant 1,150,009.55 1,150,009.55 1,150,009.55 1,150,009.55 1,150,009.55 1,150,009.55 1,150,009.55 1,150,009.55 1,150,009.55 1,150,009.55
987133 Sinus lift procedure 3,900,032.37 3,900,032.37 3,900,032.37 3,900,032.37 3,900,032.37 3,900,032.37 3,900,032.37 3,900,032.37 3,900,032.37 3,900,032.37
#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
SURGICAL ENDODONTICS #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
987140 Apicoectomy per root anteriors 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30
987141 Apicoectomy per root posteriors 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38
987142 Retrograde filling 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15
987143 Retrograde MTA 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38
Bone grafting (allograft) after
987144 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45
apicoectomy
Collagen or bioabsorbable membrane
987145 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30
after apicoectomy
Titanium pins/membrane tacks to
987146 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15
secure membrane: per pin
987147 Retrieval of broken instrument 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30
987148 Hemisection and root amputation 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45
#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
SURGICAL ORTHODONTICS #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
Surgical exposure of impacted tooth:
987150 1,875,015.56 1,875,015.56 1,875,015.56 1,875,015.56 1,875,015.56 1,875,015.56 1,875,015.56 1,875,015.56 1,875,015.56 1,875,015.56
Soft tissue
Surgical exposure of impacted tooth:
987151 2,250,018.68 2,250,018.68 2,250,018.68 2,250,018.68 2,250,018.68 2,250,018.68 2,250,018.68 2,250,018.68 2,250,018.68 2,250,018.68
bone
Surgical exposure, bonding of eruption
987152 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90
chain
Insertion of Temporary Anchorage
987153 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90
Devices
987154 Upper labial Frenectomy 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60
987155 Release of angkyloglossia under GA 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75
DENTAL TARIFF FEES AUGUST 2023
Pericision: Circumferential
987156 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
supracrestalfibrotomy per quadrant
987157 Tooth transplantation 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30
987158 Corticotomy per quadrant/sextant 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75
987159 Bilateral sagittal split osteotomy (BSSO) 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
987160 Body osteotomies 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
987161 Transoral vertical ramus osteotomy 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
987162 Genioplasty 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
987163 Lefort I osteotomy 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
987164 Lefort II osteotomy 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25
987165 Lefort III osteotomy 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25
Surgically Assisted Rapid Palatal
987166 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
Expansion (SARPE)
987167 Subapical osteotomy 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
Distraction Osteogenesis Mandible:
987168 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
internal distractor
Distraction Osteogenesis Mandible:
987169 16,000,132.80 16,000,132.80 16,000,132.80 16,000,132.80 16,000,132.80 16,000,132.80 16,000,132.80 16,000,132.80 16,000,132.80 16,000,132.80
External distractor
Distraction Osteogenesis Maxilla:
987170 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
Internal distractor
Distraction Osteogenesis Maxilla:
987171 16,000,132.80 16,000,132.80 16,000,132.80 16,000,132.80 16,000,132.80 16,000,132.80 16,000,132.80 16,000,132.80 16,000,132.80 16,000,132.80
External Distractor
Soft tissue camouflage procedures: fat
987172 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
grafting etc
Lip lengthening procedure for gummy
987173 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
smile
Cost of orthodontic devices: TADs,
987174 #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
Distractors, miniplates, gold chains
#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
CONGENITAL CRANIOFACIAL
#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
DEFORMITIES
987180 Unilateral cleft lip repair: incomplete 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
987181 Unilateral cleft lip repair: complete 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
987182 Bilateral cleft lip repair 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
987183 Cleft Palate repair 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75
Pharyngeal flap for velopharyngeal
987184 6,500,053.95 6,500,053.95 6,500,053.95 6,500,053.95 6,500,053.95 6,500,053.95 6,500,053.95 6,500,053.95 6,500,053.95 6,500,053.95
insufficiency
Variants of Tessier Facial Clefting:
987185 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75
lateral lip, nasal, eyelid
Mandibular Distraction for Pierri Robin
987186 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
Syndrome
Complex craniofacial defects: Crouzon,
Aperts syndrome, Treacher Collins,
987187 #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
Hemifacial Microsomia,
Craniosynostosis etc
987188 Revision of cleft lip deformity 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75
Palatal fistula, oronasal fistula, alveolar
987189 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
fistula
987190 Alveolar bone grafting 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
Sclerotherapy for vascular anomalies:
987191 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08
per injection
NAM devices and presurgical
987192 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
orthopadedics
DENTAL TARIFF FEES AUGUST 2023
987193 Velopharyngoscope 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75
#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
HEAD AND NECK ONCOLOGY #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
987200 Excision of benign soft tissue tumour 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
Excision of benign soft tissue tumour
987201 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
with mascularinvolvemnt
Excision of malignant soft tissue
987202 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
tumour-no mascularbninvolv
Extensive resection of malignant soft
987203 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75
tissue tumour
Excision of lesion of the tongue
987204 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
requiring no suture
987205 Vermillionectomy 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
Local excision of benign lesion of lip
987206 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
with primary closure
Local excision of benign lesion of lip
987207 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70
primary closure not possible
Resection of lip malignancy and
987208 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
regional flap recon
987209 Marginal mandibulectomy 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
Segmental mandibulectomy: en bloc
987210 resection of one anatomical region of 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
mandible
En bloc Mandibulectomy with
987211 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75
disarticulation
Large span mandibulectomy (involving
987212 more than one region), total 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75
mandibulectomy
Mandibulectomy + reconstruction
987213 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75
plating
Mandibulectomy + reconstruction
987214 25,000,207.50 25,000,207.50 25,000,207.50 25,000,207.50 25,000,207.50 25,000,207.50 25,000,207.50 25,000,207.50 25,000,207.50 25,000,207.50
plating + immediate bone grafting
Medial, suprastructure, infrastructure,
987215 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
subtotal maxillectomy
987216 Total maxillectomy 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
987217 Orbitectomy, Orbital exenteration 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
987218 Tasorrhaphy 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30
Tumour resection from infratemporal
987219 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75
or pterygopalatine fossa
Selective Neck Dissections: supra-
987220 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
omohyoid, lateral
Modified radical neck dissection: Type
987221 11,000,091.30 11,000,091.30 11,000,091.30 11,000,091.30 11,000,091.30 11,000,091.30 11,000,091.30 11,000,091.30 11,000,091.30 11,000,091.30
I, II III
987222 Extended neck dissection 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75
987223 Tumours treatment #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
RECONSTRUCTIVE SURGERY AND
#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
FACIAL PLASTICS
987230 Keloidectomy small 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60
Keloidectomy large (requiring G.A)+
987231 steroid 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
therapy/superficialradiotherapy
987232 Scar revision procedure 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
Rhinoplasty: post cleft deformity, post
987233 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75
ablative surgery
DENTAL TARIFF FEES AUGUST 2023
987234 Repair of anterior nasal flow 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20 4,000,033.20
987235 Reconstruction of columella 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
987236 Abbe-flap- in two stages 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90 3,000,024.90
Karapandzic, Bernard Von Burrow,
987237 Webster, Estlander for lip 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
reconstruction
987223 Deltopectoral 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
987239 Pectoralis major myocutaneous flap 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
987240 FAMM flap 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70
987241 Forehead flap 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70
987242 Nasolabial flap, Tongue Flap 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80
987243 Trapezius, Latissimus dorsi flap 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
987244 Temporalis Myocutaneous flap 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70 9,000,074.70
987245 Cervicofacial flap 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
987246 Scalp rotational flaps 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
987247 Tissue expansion 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
987248 Rib grafting 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
987249 Iliac crest bone grafting 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
987250 Calvarium ,symphysis bone grating 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
987251 Ear cartilage for nasal reconstruction 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
987252 Split thickness skin grafting 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75
987253 Full thickness skin grafting 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05
Free flaps with microvascular
anastomoses: descending circumflex
987254 iliac Crest, free fibula, scapula, 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
anterolateral thigh flap, radio-forearm
free flap
987255 Botox injection per session 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45
987256 Injectable fillers per site 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75
987257 Facelift rhytidectomy procedure 22,500,186.75 22,500,186.75 22,500,186.75 22,500,186.75 22,500,186.75 22,500,186.75 22,500,186.75 22,500,186.75 22,500,186.75 22,500,186.75
Blepharoplasty procedures and related
987258 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
eyelid surgery
987259 Laser depigmentation 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
987260 Microdermabrasion and chemical fillers 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
987261 Chin or neck liposuction 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
987662 Ectropion and entropion 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
SALIVARY GLAND DISEASES #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
Repair of Stensons duct after traumatic
987270 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05
avulsion
987271 Sialolithotomy and sialodochoplasty 4,900,040.67 4,900,040.67 4,900,040.67 4,900,040.67 4,900,040.67 4,900,040.67 4,900,040.67 4,900,040.67 4,900,040.67 4,900,040.67
987272 Ranula marsupialization and packing 1,750,014.53 1,750,014.53 1,750,014.53 1,750,014.53 1,750,014.53 1,750,014.53 1,750,014.53 1,750,014.53 1,750,014.53 1,750,014.53
Ranula enucleation and sublingual
987273 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
gland sialoadenectomy
987274 Submandibular gland sialoadenectomy 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75
Parotidectomy: superficial, facial nerve
987275 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
preservation
DENTAL TARIFF FEES AUGUST 2023
Total parotidectomy with facial nerve
987276 25,000,207.50 25,000,207.50 25,000,207.50 25,000,207.50 25,000,207.50 25,000,207.50 25,000,207.50 25,000,207.50 25,000,207.50 25,000,207.50
preservation
987277 Radical parotidectomy 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
EMERGENCY PROCEDURES &
#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
POSTOPERATIVE COMPLICATIONS
Insertion of Nasogastic tube, Orogastric
987280 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15
tube, Central line
Tracheostomy, emergency airway
987281 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75 2,500,020.75
access
Lateral canthotomy or emergency
987282 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
evacuation of retrobulbar haemorrhage
987283 Treatment of local haemorrhage 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30
Treatment of haemorrhage (blood
987284 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45
dyscrasias)
987285 Treatment of septic or dry socket 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66
987286 Severe nasal bleeding - anterior pack 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30
Severe nasal bleeding - anterior
987287 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15
+posterior pack or cauterization
Ligation of arterial bleeding: facial
987288 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15
artery, maxillary, external carotid
Management of patients with mental
987289 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45
retardation, epilepsy (sedation, GA)
#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
TMJ SURGERY AND ATYPICAL FACIAL
#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
PAINS
987290 Treatment of MPDS, TN, FNP first visit 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15
Treatment of MPDS, TN, FNP
987291 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08
subsequent visits
Injections at trigger zones (LA, phenol,
987292 375,003.11 375,003.11 375,003.11 375,003.11 375,003.11 375,003.11 375,003.11 375,003.11 375,003.11 375,003.11
botoxetc)
987293 Arthrocentesis for TMJ osteoarthritis 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80
TMJ Ankylossis: interpositional gap
987294 arthroplasty (TPF, Adipose, temporalis 20,000,166.00 20,000,166.00 20,000,166.00 20,000,166.00 20,000,166.00 20,000,166.00 20,000,166.00 20,000,166.00 20,000,166.00 20,000,166.00
muscle etc)
987295 Coronoidectomy 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05 3,500,029.05
TMJ ankylosis: Gap anthroplasty and
987296 22,500,186.75 22,500,186.75 22,500,186.75 22,500,186.75 22,500,186.75 22,500,186.75 22,500,186.75 22,500,186.75 22,500,186.75 22,500,186.75
costochondral grafting
987297 Total joint Replacement 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25 17,500,145.25
987298 Reduction of TMJ dislocation: Chairside 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30
Reduction of TMJ dislocation: Elastic
987299 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80
traction
Reduction of TMJ dislocation: GA closed
987300 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80 6,000,049.80
techniques
Reduction of TMJ dislocation: Open
987301 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
techniques, eminectomy
987302 Disc reduction and meniscopexy 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
987303 Shaving of condylar osteophytes 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
Condylectomy: for joint hyperplasia,
987304 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
tumorsetc
Rhizhotomy of mental nerve or infra-
987305 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
orbital nerve
Radiofrequency ablative
987306 procedures/gamma 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
knive/cryotherapyfor neuralgias
DENTAL TARIFF FEES AUGUST 2023
Primary neurorrhaphy with no nerve
987307 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
grafting
987308 Bite plate for TMJ 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45 1,500,012.45
987309 MAJOR SURGICAL APPROACHES #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
987310 Bicoronal approach 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
Blepharoplasty incision,
987311 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
transconjuctival approach
987312 Mandibulotomy and swing approach 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
Risdon, Weber-Fegurson, Midface
987313 degloving, Caldwell luc, Alkayat- 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
Bramley etc
CODE DESCRIPTION STANDARD IDEAL REGULAR IPROPEL OPTIMUM EXECUTIVE ELITE PREMIUM STATUS CLASSIC
MISCELLANIOUS (CYSTS,
#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
INFECTIONS, ETC)
987320 Radicular cyst 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38 1,250,010.38
Marsupialisation of cyst,
987321 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30
decompression
Major Cysts enucleation : nasopalatine,
987322 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
globullomaxillary, dentigerousetc
Sclerotherapy of cyst: Carnoy’s solution,
987323 750,006.23 750,006.23 750,006.23 750,006.23 750,006.23 750,006.23 750,006.23 750,006.23 750,006.23 750,006.23
liquid nitrogen etc
987324 Thyroglossal cyst: Sistrunk procedure 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
Soft tissue Enucleation: Cystic hygroma,
987325 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
Branchial cleft, epidermoid cyst
987326 I & D intra-oral 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30 1,000,008.30
987327 I & D extra-oral 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60
Ludwigs Angina and deep neck space
987328 infections: decompressive fasciotomies, 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
serial I & D
Cervicofacial necrotising fasciitis: Serial
987329 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
Debridement
Osteomyelitis: debridement,
987330 saucerization, decortication, 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25 7,500,062.25
sequestrectomy
Topical treatment of oral mucosal
987331 600,004.98 600,004.98 600,004.98 600,004.98 600,004.98 600,004.98 600,004.98 600,004.98 600,004.98 600,004.98
disease
987332 Assistant fee(specialist surgeon) 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
98901 First consultaion 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
98902 Sub Consultation 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
98903 S/Models 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
98905 URA, Simple 3,960,032.87 3,960,032.87 3,960,032.87 3,960,032.87 3,960,032.87 3,960,032.87 3,960,032.87 3,960,032.87 3,960,032.87 3,960,032.87
98906 URA Complicated 5,280,043.82 5,280,043.82 5,280,043.82 5,280,043.82 5,280,043.82 5,280,043.82 5,280,043.82 5,280,043.82 5,280,043.82 5,280,043.82
98907 URA Major 5,940,049.30 5,940,049.30 5,940,049.30 5,940,049.30 5,940,049.30 5,940,049.30 5,940,049.30 5,940,049.30 5,940,049.30 5,940,049.30
98908 Follow up on application 365,003.03 365,003.03 365,003.03 365,003.03 365,003.03 365,003.03 365,003.03 365,003.03 365,003.03 365,003.03
98909 Cover plates 530,004.40 530,004.40 530,004.40 530,004.40 530,004.40 530,004.40 530,004.40 530,004.40 530,004.40 530,004.40
98910 Habit Correctors 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
98911 Maintain/Month repairs 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
98912 Repairs 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
98919 SP Maintain, removable 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49
98921 SP Maintain, fixed 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32
98922 Bands 650,005.40 650,005.40 650,005.40 650,005.40 650,005.40 650,005.40 650,005.40 650,005.40 650,005.40 650,005.40
DENTAL TARIFF FEES AUGUST 2023
Appliances
98923 4,150,034.45 4,150,034.45 4,150,034.45 4,150,034.45 4,150,034.45 4,150,034.45 4,150,034.45 4,150,034.45 4,150,034.45 4,150,034.45
830
98924 Visits/Month 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25
98925 Retention 850,007.06 850,007.06 850,007.06 850,007.06 850,007.06 850,007.06 850,007.06 850,007.06 850,007.06 850,007.06
98939 Tech Fee, per Tech fee schedule #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
98940 Full consultation 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08
98941 Subs cons 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25
98942 Full, x-ray exam 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25
98943 Occl radiograph 185,001.54 185,001.54 185,001.54 185,001.54 185,001.54 185,001.54 185,001.54 185,001.54 185,001.54 185,001.54
98944 Extra-oral r/graph 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49 300,002.49
98945 Cephalometric xray 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25
98946 Cephalometric radiograph 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15
98947 Cephalometric handwrist/AP 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25
98948 Cephalometric handwrist +AP 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32 400,003.32
98949 AP radiograph 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25
98951 Hand wrist 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66
98952 Panoramic xray 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15
98953 Trimmed s/models 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25
98954 Full face photos 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83 100,000.83
98955 Diag/treatment plan 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25 150,001.25
98956 Kesling diag setup 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04 125,001.04
98957 Pre-surg project 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66
98958 Pre-surg diag setup 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66 200,001.66
98960 Predention minor 1,340,011.12 1,340,011.12 1,340,011.12 1,340,011.12 1,340,011.12 1,340,011.12 1,340,011.12 1,340,011.12 1,340,011.12 1,340,011.12
98961 Predention moderat 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60 2,000,016.60
98962 Predention severe 3,250,026.98 3,250,026.98 3,250,026.98 3,250,026.98 3,250,026.98 3,250,026.98 3,250,026.98 3,250,026.98 3,250,026.98 3,250,026.98
98965 Correct therapy minor 3,250,026.98 3,250,026.98 3,250,026.98 3,250,026.98 3,250,026.98 3,250,026.98 3,250,026.98 3,250,026.98 3,250,026.98 3,250,026.98
98966 Removable single 2,100,017.43 2,100,017.43 2,100,017.43 2,100,017.43 2,100,017.43 2,100,017.43 2,100,017.43 2,100,017.43 2,100,017.43 2,100,017.43
98967 Removable add 1,050,008.72 1,050,008.72 1,050,008.72 1,050,008.72 1,050,008.72 1,050,008.72 1,050,008.72 1,050,008.72 1,050,008.72 1,050,008.72
98968 Removable (max) 2,100,017.43 2,100,017.43 2,100,017.43 2,100,017.43 2,100,017.43 2,100,017.43 2,100,017.43 2,100,017.43 2,100,017.43 2,100,017.43
98970 Correct therapy major 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
98971 Correction therapy low + upper arch 5,500,045.65 5,500,045.65 5,500,045.65 5,500,045.65 5,500,045.65 5,500,045.65 5,500,045.65 5,500,045.65 5,500,045.65 5,500,045.65
98972 Class 1 malocclusion 7,750,064.33 7,750,064.33 7,750,064.33 7,750,064.33 7,750,064.33 7,750,064.33 7,750,064.33 7,750,064.33 7,750,064.33 7,750,064.33
98973 Severe 9,250,076.78 9,250,076.78 9,250,076.78 9,250,076.78 9,250,076.78 9,250,076.78 9,250,076.78 9,250,076.78 9,250,076.78 9,250,076.78
98974 Severe + complicns 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75
98975 Class II & III 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00 10,000,083.00
98976 Severe II & III 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75 12,500,103.75
98977 Severe + complicns 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50 15,000,124.50
98979 Retention retainers 550,004.57 550,004.57 550,004.57 550,004.57 550,004.57 550,004.57 550,004.57 550,004.57 550,004.57 550,004.57
98980 Single arch mild 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50 5,000,041.50
98981 Single arch mod 6,750,056.03 6,750,056.03 6,750,056.03 6,750,056.03 6,750,056.03 6,750,056.03 6,750,056.03 6,750,056.03 6,750,056.03 6,750,056.03
98982 Single arch severe 8,250,068.48 8,250,068.48 8,250,068.48 8,250,068.48 8,250,068.48 8,250,068.48 8,250,068.48 8,250,068.48 8,250,068.48 8,250,068.48
98983 Severe + complicns 8,750,072.63 8,750,072.63 8,750,072.63 8,750,072.63 8,750,072.63 8,750,072.63 8,750,072.63 8,750,072.63 8,750,072.63 8,750,072.63
DENTAL TARIFF FEES AUGUST 2023
98984 Three-dimensional scan per area 725,006.02 725,006.02 725,006.02 725,006.02 725,006.02 725,006.02 725,006.02 725,006.02 725,006.02 725,006.02
Three-dimensional scan two areas
98985 725,006.02 725,006.02 725,006.02 725,006.02 725,006.02 725,006.02 725,006.02 725,006.02 725,006.02 725,006.02
within same quadrant
Three-dimensional scan the whole jaw
98986 725,006.02 725,006.02 725,006.02 725,006.02 725,006.02 725,006.02 725,006.02 725,006.02 725,006.02 725,006.02
(stitched volume)
Removable appliances - refer to tariff
0 0 0 0 0 0 0 0 0 0
numbers 98905 - 98912
98005 Consultation 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08
98006 Home nursing or hospital 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08
98007 Consultation extensive 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08
98008 Consultation complex 535,004.44 535,004.44 535,004.44 535,004.44 535,004.44 535,004.44 535,004.44 535,004.44 535,004.44 535,004.44
98009 Consultation after hours plus 50% 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08
98010 Consultation subsequent 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08
98011 Home nursing or hospital subsequent 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08
98012 Periodontal screening 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08 250,002.08
98013 Occlusal adjustment 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15 500,004.15