2022 Abbreviated General Practitioner's
Suggested Fee Guide, effective February 1, 2022
(A full copy of the Suggested Fee Guide can be found in public libraries)
Important: The abbreviated suggested guide provides some common dental procedures and suggested fees. This may not
cover your specific treatment needs or the actual cost of your care. Dentists determine their own treatment fees for the
services they provide. Talk to your dentist for more details on your treatment options and any associated costs.
No. Sug. Fee Description No. Sug. Fee Description
DIAGNOSTIC Appliances, Periodontal
*Exams 14611 298.00 + L Maxillary Appliance Impression,
01201 60.60 New Patient Limited Examination Insertion & Adjustment
01202 37.00 Recall Examination
01204 48.40 Specific Examination Occlusal Adjustment
01205 67.10 Emergency Examination 16511 109.00 - one unit of time
*Complete Exam & Diagnosis
01101 87.30 - primary RESTORATION
01102 116.00 - mixed 20111 133.00 Caries, Trauma & Pain Control
01103 119.00 - permanent 20141 45.10 Pulp Cap (direct)
Amalgam Restorations - Non-Bonded
Radiographs (diagnosis and interpretation by Dentist) Primary Teeth
02102 108.00 + E - complete series 21111 129.00 - one surface
Periapical 21112 166.00 - two surfaces
02111 19.70 - single image 21113 179.00 - three surfaces
02112 27.00 - two images 21114 195.00 - four surfaces
02113 34.30 - three images 21115 247.00 - five surfaces (maximum/tooth)
02114 41.80 - four images Permanent Anteriors & Bicuspids
Bitewing 21211 149.00 - one surface
02141 19.70 - single image 21212 188.00 - two surfaces
02142 27.00 - two images 21213 223.00 - three surfaces
02143 34.30 - three images 21214 269.00 - four surfaces
02144 41.80 - four images 21215 316.00 - five surfaces (maximum/tooth)
Permanent Molars
02601 74.80 Panoramic (single image) 21221 158.00 - one surface
21222 225.00 - two surfaces
Tests/Analysis 21223 260.00 - three surfaces
04403 35.30 + E Direct Fluorescence Visualization 21224 338.00 - four surfaces
04501 123.00 Pulp Vitality Test (1 unit) 21225 390.00 - five surfaces (maximum/tooth)
Retentive Pins
PREVENTION 21401 41.30 - one pin
11101 42.50 Polishing 21402 62.20 - two pins
Scaling
11111 50.50 - one unit of time Tooth Coloured Restorations, Bonded Technique
11112 101.00 - two units Primary Anteriors
11113 151.50 - three units 23411 147.00 - one surface
11114 202.00 - four units 23412 189.00 - two surfaces
11117 25.30 - one half unit 23413 210.00 - three surfaces
Fluoride Treatments (topical, whole mouth) 23414 241.00 - four surfaces
12111 12.40 Rinse 23415 275.00 - five surfaces (maximum/tooth)
12112 17.10 Gel or Foam Primary Posteriors
12113 21.10 Varnish 23511 158.00 - one surface
Sealants 23512 226.00 - two surfaces
13401 29.80 - single tooth 23513 263.00 - three surfaces
13409 16.30 - each additional tooth, same 23514 314.00 - four surfaces
quadrant 23515 366.00 - five surfaces (maximum/tooth)
NOTE: ONE UNIT OF TIME = 15 MINUTES, ONE HALF UNIT = 7 ½ MINUTES "IC" MEANS INDEPENDENT CONSIDERATION
+ E relates to additional expense of materials, + L relates to commercial or in house laboratory procedure
NOTE: Correct coding for Laboratory Fees and Additional Expenses on page (iii) of GP Preamble
* Exam and Diagnosis must be performed by dentist. However, charting and measurements may be delegated to qualified
staff.
No. Sug. Fee Description No. Sug. Fee Description
RESTORATION cont'd Opening through artificial crown
Permanent Anteriors 39211 62.80 Anteriors and Bicuspids
23111 151.00 - one surface 39212 62.80 Molars
23112 182.00 - two surfaces
23113 229.00 - three surfaces PERIODONTICS
23114 286.00 - four surfaces Root Planing
23115 338.00 - five surfaces 43421 50.50 - one unit of time
(maximum/tooth) 43422 101.00 - two units
Permanent Bicuspids 43423 151.50 - three units
23311 174.00 - one surface 43424 202.00 - four units
23312 242.00 - two surfaces 43427 25.30 - one half unit
23313 294.00 - three surfaces
23314 361.00 - four surfaces PROSTHODONTICS - REMOVABLE
23315 399.00 - five surfaces (maximum/tooth) Complete Dentures Standard
Permanent Molars 51101 889.00 + L - Maxillary
23321 189.00 - one surface 51102 970.00 + L - Mandibular
23322 289.00 - two surfaces Dentures, Partial Acrylic
23323 349.00 - three surfaces Acrylic Base, Provisional (with or without clasps)
23324 418.00 - four surfaces 52101 357.00 + L - Maxillary
23325 496.00 - five surfaces (maximum/tooth) Dentures, Partial Cast
Free end, cast frame/connectors, Clasps, Rests
23602 198.00 Bonded core, in conjunction with 53101 1123.00 + L - Maxillary
crown or fixed bridge retainer 53102 1224.00 + L - Mandibular
Tooth Borne, cast frame/connectors, Clasps, Rests
Crowns (single restorations) 53201 968.00 + L - Maxillary
27201 949.00 + L Porcelain/Ceramic/Polymer Glass 53202 968.00 + L - Mandibular
27211 949.00 + L - fused to metal base
27301 882.00 + L Cast Metal ORAL SURGERY
Surgical Removal of: Erupted Teeth
25731 211.00 + E Prefabricated Retentive Post Uncomplicated
71101 161.00 - single tooth
Restoration (other) 71109 121.00 - each additional tooth, same
Recement, rebond inlays/onlays/crowns quadrant, same appointment
veneers/posts/natural tooth fragments Complicated
29101 92.80 +L+E - one unit of time Requiring surgical flap and/or sectioning of tooth
71201 272.00 - each tooth
ENDODONTICS 71209 204.00 - each additional tooth, same
Pulpotomy - Primary quadrant
32232 94.30 concurrent with restorations (but
excluding final restoration) Requiring flap elevation,removing bone and may include
sectioning of tooth for removal of tooth
Root Canal Therapy (uncomplicated) Note: These codes are intended for particularly difficult
(includes clinical procedures with appropriate radiographs, extractions that require flap/bone/section
excluding final restoration) 71211 408.00 - each tooth
33111 570.00 - one canal 71219 306.00 - each additional tooth, same
33121 726.00 - two canals quadrant
33131 1018.00 - three canals
33141 1120.00 - four canals or more Impacted Teeth
72111 270.00 - soft tissue coverage
Open and Drain 72211 414.00 - EITHER bone removal
39201 105.00 Anteriors and Bicuspids OR sectioning of tooth
39202 105.00 Molars 72221 423.00 - bone removal AND sectioning
of tooth
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British Columbia Dental Association
All Rights Reserved
