Dental Item |
Dental Service |
Standard Fees |
Diagnostic |
||
011 |
Oral Exam - Comprehensive |
70 |
012 |
Oral Exam - Periodic |
55 |
013 |
Oral Exam - Limited |
50 |
014 |
Consultation |
60 |
022 |
X-Ray - Per Film |
45 |
037 |
X-Ray - Panoramic (OPG) |
Bulk Billing * |
071 |
Diagnostic Model - Per Model |
60 |
072 |
Photographic Records - Intraoral |
40 |
Preventive |
||
111 |
Plaque/Stain Removal |
70 |
114 |
Calculus Removal |
120 |
118 |
Bleaching, External - Per Tooth |
60 |
121 |
Topical Remineralising |
35 |
141 |
Oral Hygiene Instruction |
40 |
151 |
Provision of Mouthguard |
250 |
161 |
Fissure Sealing - Per Tooth |
70 |
Periodontics |
||
222 |
Root Planing & Curettage - Per Tooth |
30 |
Oral Surgery |
||
311 |
Removal of a Tooth or Part(s) Thereof |
200 |
322 |
Surgical Removal of Tooth or Tooth Fragment Not Requiring Bone Removal or Tooth Division |
350 |
323 |
Surgical Removal of Tooth or Tooth Fragment Requiring Bone Removal |
400 |
324 |
Surgical Removal of Tooth or Tooth Fragment Requiring Bone Removal and Tooth Division |
450 |
Endodontics |
||
411 |
Direct Pulp Capping |
50 |
415 |
Chemo-Mechanical Preparation - 1 Canal |
200 |
416 |
Chemo-Mechanical Preparation - Additional Canal |
150 |
417 |
Pulp Obturation - One Canal |
250 |
418 |
Pulp Obturation - Each Additional Canal |
150 |
419 |
Extirpation Pulp/Debridement of Root Canal(s) |
190 |
455 |
Additional Visit Irrigate/Ressing Root Canal System - Per Tooth |
120 |
415,417 |
Front Tooth Root Canal (1 Canal) (Excluding X-Rays) |
450 |
415,416,417, |
Premolar Root Canal (2 Canals) (Excluding X-Rays) |
750 |
415,416,416, |
Molar Root Canal (3 Canals)(Excluding x-rays, filling, crown & any other dental item you may require) |
1050 |
Restorations |
||
511 |
Metallic - 1 Surface |
160 |
512 |
Metallic - 2 Surfaces |
180 |
513 |
Metallic - 3 Surfaces |
200 |
514 |
Metallic - 4 Surfaces |
220 |
515 |
Metallic - 5 Surfaces |
240 |
521 |
White Filling - 1 Surface - Front Tooth |
170 |
522 |
White Filling - 2 Surfaces - Front Tooth |
190 |
523 |
White Filling - 3 Surfaces - Front Tooth |
210 |
524 |
White Filling - 4 Surfaces - Front Tooth |
240 |
525 |
White Filling - 5 Surfaces - Front Tooth |
270 |
531 |
White Filling - 1 Surface - Back Tooth |
180 |
532 |
White Filling - 2 Surfaces - Back Tooth |
200 |
533 |
White Filling - 3 Surfaces - Back Tooth |
220 |
534 |
White Filling - 4 Surfaces - Back Tooth |
240 |
535 |
White Filling - 5 Surfaces - Back Tooth |
270 |
575 |
Pin Retention - Per Pin |
30 |
577 |
Cusp Capping - Per Cusp |
30 |
578 |
Restoration Incisal Corner - Per Corner |
30 |
582 |
Composite Veneer - Direct - Per Tooth |
300 |
583 |
Porcelain Veneer - Indirect - Per Tooth |
1200 |
Crowns & Bridges (Lab Fees Included) |
||
615 |
Full Crown - Veneered - Indirect |
1400 |
618 |
Full Crown - Metallic - Indirect |
1200 |
627 |
Preliminary Restoration for Crown - Direct |
300 |
643 |
Bridge Pontic - Indirect - Per Pontic |
1100 |
651 |
Re-cementing Crown or Veneer |
190 |
Prosthodontics |
||
711 |
Upper Denture (Full Denture) |
1200 |
721 |
Partial (Acrylic, Flexible, Metal) – Starts from |
700 |
719 |
Upper & Lower Denture |
2400 |
733 |
Tooth/Teeth (Partial Denture) |
40 |
741 |
Adjustment of a Denture |
50 |
743 |
Relining - Complete Denture - Processed |
300 |
763 |
Repair Base - Complete Denture |
190 |
768 |
Partial Denture – Extracted Tooth Replacement - Per Tooth |
200 |
776 |
Impression for Denture Repair |
65 |
General |
||
911 |
Palliative Care |
190 |
926 |
Individually Made Tray - Medicament(s) |
150 |
965 |
Occlusal Splint |
600 |
* Bulk Billing for Medicare Patient (Referral)