Service cost

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I Diagnosis:
Code
Service description
Cost, grn.
2
Consultation, treatment planning
70.00
225
Emergency care
170.00
6
X-Ray
50.00
1
Initial oral exam, consultation
50.00
Anesthesia
3
Application
5
Ultrakain infiltration
80.00
II Prevention of caries, periodontitis, professional hygiene:
Code
Service description
Cost, grn.
Professional tooth cleaning
8
ultrasound, polishing paste — one jaw
220.00
9
ultrasound, «Air flow» - one jaw
270.00
18
Fissure sealing (glass ionomer, liquid photopolymer)
110.00
17
Desensitayzery (1 tooth)
50.00
16
Fluorine varnish (1 tooth)
40.00
Removing dental plaque
10
applying polishing pastes (1 jaw)
110.00
11
applying polishing pastes (1 tooth)
30.00
12
ultrasound (1 jaw)
160.00
13
ultrasound (1 tooth)
40.00
15
Air flow (smoker dental plaque) 1 tooth
40.00
14
Air flow (smoker dental plaque) 1 jaw
250.00
Teeth whitening
20
one tooth
100.00
19
one jaw
990.00
III Caries treatment:
Code
Service description
Cost, grn.
21
Filling extraction
30.00
237
Amalgam filling extraction
60.00
22
Pulp cap
50.00
23
Insulating cap (glass ionomer)
70.00
24
"Proroot" cementum
140.00
25
Pin extraction
50.00
28
Fiberglass pin
250.00
238
Restoration of tooth stump with photopolymer material
150.00
29
Cofferdam
55.00
30
Milk tooth filling (Fuji VIII)
90.00
31
Temporary filling
50.00
221
Parapaste
100.00
222
Milk tooth filling Vitrimer
250.00
238
Restoration of tooth stump with photopolymer material
190.00
IV Caries theatment with photopolymer material:
Code
Service description
Cost, grn.
Spectrum, Estet-X (England)
32
surface caries
190.00
33
medium caries
420.00
34
deep caries
490.00
Gradio-d (Japan)
35
surface caries
170.00
36
medium caries
390.00
37
deep caries
440.00
Tooth restoration with photopolymer materials (one surface)
40
Estet-X
330.00
39
Sрectrum
300.00
41
3-tooth splintage with photopolymer splint
390.00
Adhesive bridge
42
incisor tooth, premolar tooth
660.00
43
molar tooth
990.00
V Periodontitis treatment:
Code
Service description
Cost, grn.
44
Closed pocket curettage
40.00
45
Medicine injection into 1 pocket
50.00
226
Periodontital cleaning "Vector"
2450.00
46
Medical bandage for 1 jaw
95.00
47
Injection of medicine “Lincomycin”
30.00
48
Injection of medicine “Traumel C”
50.00
VI Treatment of complicated caries (endodontitis, parodontitis):
В стоимость входит:
формирование корневого канала
механическая обработка к/к
пломбирование корневого канала
Code
Service description
Cost, grn.
Lateral condensation method (GP, АН+)
49
Single channel tooth
290.00
50
Double channel tooth
490.00
51
Triple channel tooth
590.00
52
Quadruple channel tooth
690.00
Hot GP filling
Single channel tooth
440.00
Double channel tooth
550.00
Triple channel tooth
660
Quadruple channel
770
Filling of scleroid, impassable channels with "Forfenan" paste
57
Single channel tooth
150.00
58
Double channel tooth
220.00
59
Triple channel tooth
250.00
60
Quadruple channel tooth
280.00
Temporary filling of root channels with curing pastes
61
Single channel tooth
190.00
62
Double channel tooth
290.00
63
Triple channel tooth
310.00
64
Quadruple channel tooth
330.00
65
Filling of one root channel
от 50.00
66
Inside channel devital tooth whitening
90.00
67
Drug induced treatment 1 c/p
30.00
227
Drug "Krezodent" in one channel (1 tooth)
90.00
228
Drug "Formakrezol" in one channel (1 tooth)
110.00
53
Tool removing from the root of a tooth
100.00
VII Orthopedics:
Code
Service description
Cost, grn.
Growns
73
Diagnostic model
100.00
74
Temporary crown (in lab)
250.00
75
Temporary crown (in office)
150.00
76
Crown cementing «Fuji»
70.00
77
Crown cementing «Relix»
100.00
78
Temporary crown cementing
20.00
247
Cementing stump inlay
50.00
79
Stump inlay
320.00
80
Non-demount stump inlay
570.00
81
Silver stump inlay
330.00
82
Cast crown
490.00
83
Porcelain fused metal crown 1 item «Ultrapalin»
640.00
84
Porcelain fused metal crown 1 item «GS»
1450.00
85
Porcelain fused metal crown 1 item on arm
1850.00
250
Porcelain fused metal crown (with gold)
1450.00 + cost for 1g of the gold
86
Ceramic crown
3450.00
87
Ceramic veneer
3450.00
88
Ceramic inlay
2800.00
Teeth print
68
alginate mass
50.00
69
silicon mass "С"
150.00
239
silicon mass "A"
190.00
70
occlusion rim
70.00
Crown extraction
71
pressed
35.00
72
cast
55.00
Prostheses
89
Сlasp prosthesis on clammers
3300.00
90
Clasp prosthesis locking fixation
4300.00
91
One-side microclasp
3100.00
92
Bushing replacement
220.00
93
Fully removable laminar prosthesis
from 1700.00
94
Partially removable laminar prosthesis
from 1500.00
95
Custom tray
390.00
96
Repair of fully removable laminar prosthesis
350.00
97
Prosthesis relining
390.00
98
Single tooth welding
170.00
99
Removable rosthesis relining u\j
420.00
100
Removable rosthesis relining l\j
390.00
101
Kappa
390.00
223
Swaged crown
270.00
96
Nylon prosthesis
3500.00
224
MPC (metal-protective coating)
40.00
242
Butterfly
850.00
242
Butterfly (nylon)
1600.00
Treatment of one tooth
240
for metal-ceramic crowns
50.00
241
for free-metal crown
70.00
VIII Implant prosthetics:
Code
Service description
Cost, grn.
243
Porcelain fused metal crown on standard abutment with cement fixation (for 1 psc)
1690.00
244
Porcelain fused metal crown on screw-retained restoration (for 1 psc)
2490.00
246
Metal free ceramics on oxide (1psc)
2950.00
IX Implantation:
Code
Service description
Cost, grn.
230
Surgical consultation and treatment planning
90.00
Two-phases implantation
190
Alpha Bio (Israel)
9900
231
AB Dental Devices (Israel)
9900
Alpha Dent (Israel)
9900
234
Trinon Q-Implant System (Germany)
10900
235
Konus Dental Implants (Germany)
11900
233
Nobel Biocare Replace (USA)
ask the manager about it
192
Temporary implant
2500.00
193
“Sinus-lift” operation + costs of bone medications and membranes according to pricelist
4000.00
Osteoconductive and osteoinductive drugs
194
Bio-oss
1600.00
195
Bio-gen granules
1980.00
196
Blocks
6480.00
197
Osteoplant blocks
9980.00
198
Fiziograft test
3980.00
199
Fiziograft (powder, gel, block)
1620.00
200
Dinagraft
4520
201
Kollapan, Osteoplast, GAP
490.00
202
Tutoplast
1600.00
Barrier membrane reabsorbable
203
Biocollagen
2700.00
204
Hyprororb
850.00
205
Gore-Tex
3550.00
206
Bio-Guide
4140.00
207
Paranontcall
750.00
Unreabsorbable barrier membrane
208
Titanium mesh and folge
1900.00
209
Gore-Tex
3500.00
210
Gore-Tex (reinforced by titanium)
12600.00
X Orthodontics:
Code
Service description
Cost, grn.
102
Consultation
90.00
103
Orthodontic treatment planning
50.00
104
Analysis and evaluation of TRG
275.00
105
Alginate impression
90.00
106
Silicone impression
150.00
107
Diagnostic model
150.00
108
Extraction antagonist tooth from occlusion (for 1psc)
55.00
109
Making of "Set-Up" for treatment diagnostics
550.00
Removable orthodontic appliance
110
-bite
1200.00
111
-complex with screw
1600.00
112
-additional screw for orthodontic appliance
450.00
113
Orthodontic appliance activation
80.00
114
Orthodontic appliance correction
100.00
115
Orthodontic appliance fixing
from 400.00
116
Individual sling selection
720.00
Child removable prosthesis
117
simple
1100.00
118
complex
from 1500.00
Trainers
119
for children from 2,5 to 6 years (infant)
1100.00
120
for milk occlusion
1200.00
121
for mixed occlusion
1300.00
122
by treatment of protrusive occlusion (3 sizes)
1500.00
Nonremovable orthodontic appliance
123
bite plate with ring support
from 1950.00
124
device for palatal joint
from 3500.00
Bracket system 1 jaw
125
Metal
from 5900.00
126
Self-ligating
from 15900.00
127
Cosmetic
from 7900.00
128
Ceramic
from 7900.00
129
Sapphire
from 11900.00
129
Ceramic self-ligating
from 17900.00
Bracket systems service
130
Bracket system activation 1 jaw
90.00
131
Replacement of metal arch without coating
150.00
132
Replacement of metal arch with coating
from 300.00
133
Fixing of bracket, lock
from 150.00
134
Glueing of new lock, bracket
from 300.00
135
Button installation
200.00
136
Lock ring
from 240.00
137
Ring with palatal tube
from 300.00
138.00
Lock crown
from 600.00
139
Clear retainer
1300.00
140
Aftertreatment kappa
790.00
141
Osami retainer
2900.00
142
Elastoretainer for 2 jaws
7900.00
143
Retentional device
1450.00
144
Fixation of 1 lock of "other” bracket system from 1 jaw
390.00
145
Extraction of “other” bracket system from 1 jaw
1950.00
146
Placement of fixed retainer on 6 frontal teeth
800.00
XI Surgery:
Code
Service description
Cost, grn.
147
Simple extraction of single-rooted tooth (including X-ray and anesthesia)
380.00
148
Simple extraction of multi-rooted tooth (including X-ray and anesthesia)
450.00
149
Atypical extraction, extraction of impacted teeth (including X-ray and anesthesia)
1000.00
150
Extraction of milk tooth by physiological changing (including X-ray and anesthesia)
70.00
151
Extraction of milk tooth by complicated caries (including X-ray and anesthesia)
100.00
152
Root apex resection of anterior teeth
550.00
154
Hemisection multi-rooted teeth
350.00
155
Root amputation (multirooted tooth)
350.00
156
Molars crown-radicular separation
250.00
157
Single-rooted tooth replantation
400.00
158
Multy-rooted tooth replantation
550.00
168
Removal of impacted teeth by sawing or gouging
750.00
169
Compactosteonomy (osteoperforation) in one tooth
190.00
Plastic operation of oral cavity inoculation with maxillary antrum (acute)
163
Labial and glossal frenulum plastic operation by children
250.00
164
Abolition of labial, cheek and glossal copulas (udults)
270.00
165
Abolition gum atrophy of 1-2 teeth by coronal displacement flaps and using bioresorbable membranes
320.00
153
Resection of the root tip of molars and premolars
650.00
Tumors extraction (benign)
166
- on mucosa (fibroma, papilloma, minor salivary glands cysts)
300.00
167
- on alveolar bone (epulis, fibroma)
390.00
Surgical interference by orthopedic indications
170
Deepening of buccal cavity
400.00
171
Extraction of exostosis and lop-sided atrophy of alveolar bone within 3-6 teeth
250.00
172
Resection of alveolar bone by tooth-alveolar extension within 2-3 teeth
400.00
173
Resection of the movable the alveolar crest
270.00
Paradontical surgery
174
Open curettage of dent-subgingival space with gingival plastic operation within 6 teeth
550.00
175
Flap operations within 6 teeth with directed osteoinduction drugs
1000.00 + materials according the price
248
Lancing of abscess (odontogenic)
200.00
176
Operative therapy of hypodermic face granuloma
600.00
177
Alveolitis treatment (curettage, cavity abstersion, bandage)
100.00
178
Redressement by alveolitis (antiseptic preparation)
40.00
179
Alveolar bleeding stemming (cavity revision, swabbing, stitches)
120.00
180
Cape ablation by pericoronitis
110.00
181
Primary surgical debridemen of wounds with seams
400.00-700.00
182
Removal of sutures
30.00
183
Massage and cleaning of salivary duct
90.00
184
Stone extraction from the ducts of the salivary glands
450.00-800.00
185
Bandaging and follow-up call after operative therapy
20.00
229
Cavity filling with bone material "Collapol"
105.00
186
Consultation service and treatment planning with affection of temporomandibular joints
100.00
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