Application of desensitizing medicaments
Children's medical consultation
Coarse Scraping with Cavitron
Delivery of Dental Prostheses
Dental Cleaning
¢20000.00
Dental cleaning with fluoride
Dental consultation with x-ray and cleaning
¢28000.00
Dental control and prophylaxis
Dental Extractions
¢25000.00
Dental implant, per tooth
Dental x-rays (fin, occlusal, periapical)
Diastema closure with resins
Diastema closures with resins
Drainage of abscess, intraoral
Exodontia indicated by Orthodontics
Extraction of wisdom teeth
Extraction of wisdom tooth (nonsurgical)
¢38000.00
Extraction of wisdom tooth (surgical)
¢110000.00
Fabrication of mouthguard
¢50000.00
Filling (Permanent Tooth)
¢25000.00
General consultation with dental cleaning
Gingivectomy or gingivoplasty, per tooth
Impacted tooth extraction
¢55000.00
Initial Physical Therapy Evaluation
Inlay, porcelain/ceramic, 1 surface
Limited oral evaluation
¢20000.00
Local anesthesia not in conjunction with operative or surgical procedures
Lower bracket installation
Opening of Clinical History
Orthodontic records (diagnostic cast, x-rays, photographs)
¢60000.00
Periodontal maintenance (non-invasive)
¢35000.00
Periodontal scaling & root planing, per quadrant
¢35000.00
Permanent tooth extraction
¢25000.00
Porcelain crown, per tooth
Porcelain veener, per tooth
Printing of crowns and bridges
Reevaluation Consultation
Root canal therapy, anterior, excluding final restoration
Root canal therapy, biradicular
Superior Bracket Installation
Teeth Whitening with Lamp (in the clinic)
Temporal tooth extraction
Temporary Restorations (glass ionomer, zinc oxide, basic restorations)
Tooth bleaching without lamp (clinical)