2025 Abbreviated General Practitioner's
2025 Abbreviated
Suggested Fee Guide,General
effective Practitioner’s
February 1, 2025
Suggested Fee Guide, effective February 1, 2025
(Refer to complete Guide for items not listed below or for detailed code descriptions.)
(Refer to the complete Suggested Fee Guide for items not listed below or for detailed code descriptions.)
No. Sug. Fee Description No. Sug. Fee Description
DIAGNOSTIC Appliances, Periodontal
*Exams 14611 335.00 [L] Maxillary Appliance Impression,
01201 67.20 New Patient Limited Examination Insertion & Adjustment
01202 41.60 Recall Examination Occlusal adjustment
01204 61.00 Specific Examination 16511 122.00 - one unit of time
01205 74.90 Emergency Examination
*Complete Exam & Diagnosis RESTORATION
01101 96.90 - primary 20111 146.00 Caries, Trauma & Pain Control
01102 131.00 - mixed 20141 49.50 Pulp Cap (direct)
01103 146.00 - permanent Amalgam Restorations - Non-Bonded
Primary Teeth
Radiographs 21111 151.00 - one surface
02102 126.00 [E] - complete series 21112 190.00 - two surfaces
Periapical 21113 218.00 - three surfaces
02111 23.00 - single image 21114 251.00 - four surfaces
02112 31.50 - two images 21115 289.00 - five surfaces (maximum/tooth)
02113 40.00 - three images Permanent Anteriors & Bicuspids
02114 48.70 - four images 21211 179.00 - one surface
Bitewing 21212 246.00 - two surfaces
02141 23.00 - single image 21213 301.00 - three surfaces
02142 31.50 - two images 21214 367.00 - four surfaces
02143 40.00 - three images 21215 447.00 - five surfaces (maximum/tooth)
02144 48.70 - four images Permanent Molars
Focal Plane Tomogram(e.g. Radiographs, Panoramic) 21221 194.00 - one surface
02601 87.00 Panoramic image 21222 291.00 - two surfaces
21223 357.00 - three surfaces
Tests/Analysis 21224 440.00 - four surfaces
04403 43.00 [E] Direct Fluorescence Visualization 21225 541.00 - five surfaces (maximum/tooth)
04501 138.00 Pulp Vitality Test (1 unit) Retentive Pins
21401 43.60 - one pin
PREVENTION 21402 65.50 - two pins
11101 47.60 Polishing
Scaling Tooth Coloured Restorations, Bonded Technique
11111 58.80 - one unit of time Primary Anteriors
11112 117.60 - two units 23411 167.00 - one surface
11113 176.40 - three units 23412 211.00 - two surfaces
11114 235.20 - four units 23413 243.00 - three surfaces
11117 29.40 - one half unit 23414 279.00 - four surfaces
Fluoride Treatments (topical, whole mouth) 23415 321.00 - five surfaces (maximum/tooth)
12111 14.60 Rinse Primary Posteriors
12112 20.10 Gel or Foam 23511 180.00 - one surface
12113 24.10 Varnish 23512 256.00 - two surfaces
Sealants 23513 307.00 - three surfaces
13401 32.90 - single tooth 23514 368.00 - four surfaces
13409 18.00 - each additional tooth, same 23515 442.00 - five surfaces (maximum/tooth)
quadrant
NOTE: ONE UNIT OF TIME = 15 MINUTES, ONE HALF UNIT = 7 ½ MINUTES "IC" MEANS INDEPENDENT CONSIDERATION
[E] relates to additional expense of material, [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.
Copyright 2025
British Columbia Dental Association
All Rights Reserved
No. Sug. Fee Description No. Sug. Fee Description
RESTORATION cont'd Opening through artificial crown
Permanent Anteriors 39501 71.00 Anteriors and Bicuspids
23111 172.00 - one surface 39502 71.00 Molars
23112 209.00 - two surfaces
23113 259.00 - three surfaces PERIODONTICS
23114 319.00 - four surfaces Root Planing
23115 394.00 - five surfaces (maximum/tooth) 43421 58.80 - one unit of time
Permanent Bicuspids 43422 117.60 - two units
23311 198.00 - one surface 43423 176.40 - three units
23312 274.00 - two surfaces 43424 235.20 - four units
23313 334.00 - three surfaces 43427 29.40 - one half unit
23314 408.00 - four surfaces
23315 497.00 - five surfaces (maximum/tooth) PROSTHODONTICS - REMOVABLE
Permanent Molars Complete Dentures Standard
23321 215.00 - one surface 51101 1,014.00 [L] - Maxillary
23322 323.00 - two surfaces 51102 1,106.00 [L] - Mandibular
23323 397.00 - three surfaces Dentures, Partial Acrylic
23324 489.00 - four surfaces Acrylic Base, Provisional (with or without clasps)
23325 601.00 - five surfaces (maximum/tooth) 52101 400.00 [L] - Maxillary
Dentures, Partial Cast
23602 226.00 Bonded core, in conjunction with Free end, cast frame/connectors, Clasps, Rests
crown or fixed bridge retainer 53101 1,281.00 [L] - Maxillary
Crowns (single restorations) 53102 1,396.00 [L] - Mandibular
27201 1,070.00 [L] Porcelain/Ceramic/Polymer Glass Tooth Borne, cast frame/connectors, Clasps, Rests
27211 1,070.00 [L] - fused to metal base 53201 1,102.00 [L] - Maxillary
27301 999.00 [L] Cast Metal 53202 1,102.00 [L] - Mandibular
25731 236.00 [E] Prefabricated Retentive Post ORAL SURGERY
Surgical Removal of: Erupted Teeth
Restoration (other) Uncomplicated
Recement, rebond inlays/onlays/crowns 71101 181.00 - single tooth
veneers/posts/natural tooth fragments 71109 154.00 - each additional tooth, same
29101 104.00 [L][E] - one unit of time quadrant, same appointment
Complicated
ENDODONTICS Requiring surgical flap and/or sectioning of tooth
Pulpotomy - Primary 71201 306.00 - each tooth
32232 105.00 concurrent with restorations (but 71209 260.00 - each additional tooth, same
excluding final restoration) quadrant
Root Canal Therapy (uncomplicated) Requiring flap elevation,removing bone and may include
(includes clinical procedures with appropriate radiographs, sectioning of tooth for removal of tooth
excluding final restoration) Note: These codes are intended for particularly difficult
33111 642.00 - one canal extractions that require flap/bone/section
33121 820.00 - two canals 71211 464.00 - each tooth
33131 1,154.00 - three canals 71219 394.00 - each additional tooth, same
33141 1,276.00 - four canals or more quadrant
Impacted Teeth
Open and Drain 72111 303.00 - soft tissue coverage
39201 116.00 Anteriors and Bicuspids 72211 467.00 - EITHER bone removal
39202 116.00 Molars OR sectioning of tooth
72221 479.00 - bone removal AND sectioning
of tooth
