Разное
Code
Name of service
Cost, UAH
code 1
Initial oral exam, consultation
150
code 2
Consultation, treatment planning
250
code 6
X-Ray
100
code 7
OPG
200
code 225
Emergency care
650
Anesthesia
Code
Name of service
Cost, UAH
code 3
Anesthesia application
60
code 214
Repeated anesthesia
100
code 5
Anesthesia ultrakain infiltration
150
Code
Name of service
Cost, UAH
code 8
Professional tooth cleaning: ultrasound, polishing paste — one jaw
425
code 9
Professional tooth cleaning: ultrasound, «Air flow» - one jaw
475
code 17
Desensitizer application (1 tooth)
100
code 16
Professional tooth cleaning: fluorine varnish (1 tooth)
100
code 18
Fissure sealing (glass ionomer, liquid photopolymer)
450
Removing dental plaque
Code
Name of service
Cost, UAH
code 10
Removing dental plaque: applying polishing pastes (1 jaw)
250
code 11
Removing dental plaque: applying polishing pastes (1 tooth)
50
code 12
Removing dental plaque: ultrasound (1 jaw)
250
code 13
Removing dental plaque: ultrasound (1 tooth)
50
code 14
Removing dental plaque: Air flow (smoker dental plaque) 1 jaw
250
code 15
Removing dental plaque: Air flow (smoker dental plaque) 1 tooth
50
Teeth whitening
Code
Name of service
Cost, UAH
code 19
Teeth whitening Beyond
3200
code 102
Whitening tray in remineralizing therapy
900
code 20
Teeth whitening: one tooth
200
Code
Name of service
Cost, UAH
code 223
Restoration of the tooth stump with photopolymer material
800
code 31
Temporary filling
100
code 25
Pin extraction
500
code 26
Stump inlay extraction
800
code 23
Insulating cap (glass ionomer)
150
code 22
Pulp cap
150
code 221
Parapaste
150
code 30
Milk tooth filling (Fuji VIII)
550
code 222
Milk tooth filling Vitrimer
550
code 29
Cofferdam
150
code 21
Filling extraction
100
code 237
Amalgam filling extraction
150
code 24
"Proroot" cementum
400
code 28
Fiberglass pin
550
Filtek
Code
Name of service
Cost, UAH
code 32
Caries theatment with photopolymer material Filtek: surface caries
450
code 33
Caries theatment with photopolymer material Filtek: medium caries
550
code 34
Caries theatment with photopolymer material Filtek: deep caries
650
ESTELITE
Code
Name of service
Cost, UAH
code 35
Caries theatment with photopolymer material ESTELITE: surface caries
550
code 36
Caries theatment with photopolymer material ESTELITE: medium caries
650
code 37
Caries theatment with photopolymer material ESTELITE: deep caries
750
Tooth restoration with photopolymer materials (one surface)
Code
Name of service
Cost, UAH
code 39
Tooth restoration with photopolymer materials (one surface): Filtek Iltimate, Z250
450
code 40
Tooth restoration with photopolymer materials (one surface): Estelite Quick
550
code 41
3-tooth splintage with photopolymer splint
900
Adhesive bridge
Code
Name of service
Cost, UAH
code 42
Adhesive bridge: incisor tooth, premolar tooth
2100
code 43
Adhesive bridge: molar tooth
2800
Code
Name of service
Cost, UAH
code 45
Medicine injection into 1 pocket
200
code 44
Closed pocket curettage
300
code 46
Medical bandage for 1 jaw
550
code 226
Periodontital cleaning "Vector"
3500
Lateral condensation method (GP, АН+)
Code
Name of service
Cost, UAH
code 49
Single channel tooth
900
code 50
Lateral condensation method (GP, АН+): double channel tooth
1500
code 51
Lateral condensation method (GP, АН+): triple channel tooth
2500
code 52
Lateral condensation method (GP, АН+): quadruple channel tooth
3200
code
Endomotor
+10%
Temporary filling of root channels with curing pastes
Code
Name of service
Cost, UAH
code 61
Temporary filling of root channels with curing pastes: single channel tooth
250
code 62
Temporary filling of root channels with curing pastes: double channel tooth
300
code 63
Temporary filling of root channels with curing pastes: triple channel tooth
400
code 64
Temporary filling of root channels with curing pastes: quadruple channel tooth
500
code 66
Inside channel devital tooth whitening
200
code 227
Drug "Krezodent" in one channel (1 tooth)
150
code 228
Drug "Pulposeptin" in one channel (1 tooth)
200
code 67
Drug induced treatment 1 c/p
200
code 65
Filling of one root channel
250 - 450
Teeth print
Code
Name of service
Cost, UAH
code 239
Teeth print silicon mass "A"
300
code 69
Teeth print silicon mass "С"
250
code 70
Occlusion rim
100
Treatment of one tooth
Code
Name of service
Cost, UAH
code 241
Treatment of one tooth for free-metal crown
250
code 240/1
Treatment of one toot for stump inlay
150
code 240
Treatment of one tooth for metal-ceramic crowns
6
Crowns
Code
Name of service
Cost, UAH
code 78
Temporary crown cementing
100
code 75
Temporary crown (in office)
400
code 74
Temporary crown (in lab)
600
code 73
Diagnostic model
200
code 88
Ceramic inlay
4500
code 86
Ceramic crown
6200
code 87
Ceramic veneer
5500
code 79
Stump inlay
850
code 80
Stump inlay demountable
1000
code 84
Porcelain fused metal crown 1 item «GS»
2500
code 85
Porcelain fused metal crown 1 item on arm
2700
code 250
kappa with bruxism
1500
code 72
Crown extraction: cast
200
code 82
Cast crown
1200
code 77
Crown cementing «Variolink N LC»
550
code 76
Crown cementing «Fuji»
200
code 247
Cementing stump inlay
200
Prostheses
Code
Name of service
Cost, UAH
code 242
Butterfly (nylon)
2500
code 241
Butterfly
1500
code 90
Clasp prosthesis locking fixation
7500
code 89
Сlasp prosthesis on clammers
6500
code 92
Bushing replacement
220
code 95
Custom tray
1500
code 101
Kappa
900
code 101
Elastic protective kappa (1 mm)
1500
code 91
One-side microclasp
6000
code 96
Nylon prosthesis
4500
code 97
Prosthesis relining
900
code 99
Removable rosthesis relining u\j
900
code 100
Removable rosthesis relining l\j
900
code 93
Fully removable laminar prosthesis
4500
code 94
Partially removable laminar prosthesis
4500
code 96
Repair of fully removable laminar prosthesis
750
code 98
Single tooth welding
750
Code
Name of service
Cost, UAH
code 230
Surgical consultation and treatment planning
250
Two-phases implantation
Code
Name of service
Cost, UAH
code 231
AB Dental Devices (Israel)
10100
code 190
Alpha Bio (Israel)
10900
code 232
Konus k3pro (Germany)
12900
code 189
MEGAGen
9900
code 234
Trinon Q-Implant System (Germany)
11000
code 192
Temporary implant
5800
code 212
“Sinus-lift” operation (closed)
2900
code 193
“Sinus-lift” operation + costs of bone medications and membranes according to pricelist
5400-6000
Osteoconductive and osteoinductive drugs
Code
Name of service
Cost, UAH
code 195
Bio-gen granules 0,5 g
2840
code 194
Bio-oss 0,5 g
5600
code 202
Cerabone 0,5 g, 1g
3 500, 6 000
code 197
Osteoplant blocks
9980
code 196
Blocks
6680
code 200
Dinagraft
6550
code 201
Kollapan, Osteoplast, GAP 0,5 g
1700
code 199
Hypro-Oss 1.0
5600
code 198
Scraping for autobone collection
2300
Barrier membrane reabsorbable
Code
Name of service
Cost, UAH
code 203
Biocollagen
2800
code 205
Gore-Tex
5000
code 207
Barrier membrane reabsorbable Paranontcall
3200 - 5720
code 204
Hyprororb
2050
code 206
Bio-Guide
5140
Unreabsorbable barrier membrane
Code
Name of service
Cost, UAH
code 209
Gore-Tex
8500
code 210
Gore-Tex (reinforced by titanium)
12600
code 213
Titanium pins and screws (per 1 pc.)
15
code 208
Titanium mesh and folge
4850
Code
Name of service
Cost, UAH
code 102
Consultation
150
code 107
Diagnostic model
300
code 108
Extraction antagonist tooth from occlusion (for 1psc)
55
code 109
Making of "Set-Up" for treatment diagnostics
550
code 106
Silicone impression
300
Removable orthodontic appliance
Code
Name of service
Cost, UAH
code 112
Additional screw for orthodontic appliance
450
code 110
Removable orthodontic appliance bite
2500
code 111
Removable orthodontic appliance: complex with screw
2900
code 113
Orthodontic appliance activation
150
code 116
Individual sling selection
720
code 115
Orthodontic appliance fixing
from 400
Child removable prosthesis
Code
Name of service
Cost, UAH
code 117
simple
1100
code 118
Child removable prosthesis complex
from 1500
Trainers
Code
Name of service
Cost, UAH
code 119
Trainers for children from 2,5 to 6 years (infant)
1100
code 120
Trainers for milk occlusion
1200
code 121
Trainers for mixed occlusion
1300
code 122
Trainers by treatment of protrusive occlusion (3 sizes)
1500
Nonremovable orthodontic appliance
Code
Name of service
Cost, UAH
code 124
Nonremovable orthodontic appliance device for palatal joint
from 3500
code 123
Nonremovable orthodontic appliance bite plate with ring support
from 1950
Bracket system 1 jaw
Code
Name of service
Cost, UAH
code 128
Bracket system 1 jaw: ceramic
from 12000
code 129
Bracket system 1 jaw: ceramic self-ligating
from 15000
code 127
Bracket system 1 jaw: cosmetic
from 10000
code 125
Bracket system 1 jaw: metal
from 9000
code 126
Bracket system 1 jaw: self-ligating
from 15900
code 129
Bracket system 1 jaw: sapphire
from 15000
Bracket systems service
Code
Name of service
Cost, UAH
code 130
Bracket system activation 1 jaw
200
code 131
Replacement of metal arch without coating
200
code 132
Replacement of metal arch with coating
from 300
code 140
Aftertreatment kappa
790
code 136
Lock ring
from 240
code 137
Ring with palatal tube
from 300
code 138
Lock crown
from 600
code 146
Placement of fixed retainer on 6 frontal teeth
1500
code 141
Osami retainer
2900
code 133
Fixing of bracket, lock
200
code 134
Glueing of new lock, bracket
from 300
code 139
Clear retainer
1300
code 143
Retentional device
1450
code 145
Extraction of “other” bracket system from 1 jaw
2500
code 135
Button installation
200
code 144
Fixation of 1 lock of "other” bracket system from 1 jaw
390
code 142
Elastoretainer for 2 jaws
7900
Code
Name of service
Cost, UAH
code 246
Metal free ceramics on oxide (1psc)
6550
code 244
Porcelain fused metal crown on screw-retained restoration (for 1 psc)
5000
code 245
Metal porcelain crown on an individual abutment (for 1 psc)
5000
code 243
Porcelain fused metal crown on standard abutment with cement fixation (for 1 psc)
4100
Code
Name of service
Cost, UAH
code 149
Atypical extraction, extraction of impacted teeth (including X-ray and anesthesia)
1700 -2500
code 154
Hemisection multi-rooted teeth
700
code 156
Molars crown-radicular separation
450
code 148
Simple extraction of multi-rooted tooth
850
code 147
Simple extraction of single-rooted tooth
700
code 153
Resection of the root tip of molars and premolars
1500
code 152
Root apex resection of anterior teeth
1250
code 158
Multy-rooted tooth replantation
1500
code 157
Single-rooted tooth replantation
1150
code 151
Extraction of milk tooth by complicated caries (including X-ray and anesthesia)
300
code 150
Extraction of milk tooth by physiological changing (including X-ray and anesthesia)
200
code 155
Root amputation (multirooted tooth)
900
Plastic operation of oral cavity inoculation with maxillary antrum (acute)
Code
Name of service
Cost, UAH
code 211
Plasty of the anastomosis of the oral cavity with the maxillary sinus (arched)
1500
code 163
Labial and glossal frenulum plastic operation by children
700
code 165
Abolition gum atrophy of 1-2 teeth by coronal displacement flaps and using bioresorbable membranes
920
code 164
Abolition of labial, cheek and glossal copulas (udults)
1500
code 159
Cystectomy without removal of the causative tooth
650
code 160
Cystectomy with removal of the causative tooth
950
code 161
Cystectomy with root apex resection (2-3 teeth)
1800
code 162
Cystectomy with removal of the causative tooth
1050
Tumors extraction (benign)
Code
Name of service
Cost, UAH
code 169
Compactosteonomy (osteoperforation) in one tooth
490
code 167
Tumors extraction (benign) on alveolar bone (epulis, fibroma)
890 -1890
code 166
Tumors extraction (benign) on mucosa (fibroma, papilloma, minor salivary glands cysts)
1050
code 168
Removal of impacted teeth by sawing or gouging
1500
Surgical interference by orthopedic indications
Code
Name of service
Cost, UAH
code 170
Deepening of buccal cavity
1750
code 172
Resection of alveolar bone by tooth-alveolar extension within 2-3 teeth
1750
code 173
Resection of the movable the alveolar crest
800
code 171
Extraction of exostosis and lop-sided atrophy of alveolar bone within 3-6 teeth
1350
Paradontical surgery
Code
Name of service
Cost, UAH
code 229
Cavity filling with bone material
250
code 180
Cape ablation by pericoronitis
400
code 186
Consultation service and treatment planning with affection of temporomandibular joints
350
code 177
Alveolitis treatment (curettage, cavity abstersion, bandage)
500
code 183
Massage and cleaning of salivary duct
350
code 175
Flap operations within 6 teeth with directed osteoinduction drugs
3700 + materials according the price
code 179
Alveolar bleeding stemming (cavity revision, swabbing, stitches)
370
code 176
Operative therapy of hypodermic face granuloma
1800
code 174
Open curettage of dent-subgingival space with gingival plastic operation within 6 teeth
2950
code 181
Primary surgical debridemen of wounds with seams
400-700
code 185
Bandaging and follow-up call after operative therapy
100
code 178
Redressement by alveolitis (antiseptic preparation)
150
code 182
Removal of sutures
100