|
|
|
|
|
|
Oral Examination |
Visit |
$10 |
500 |
$150 |
|
Intra Oral X-Ray Film |
Each |
$6 |
300 |
$100 |
|
|
|
Root Canal Treatment - Anterior |
Each |
$160 |
8000 |
$400 |
|
Root Canal Treatment - Premolar |
Each |
$200 |
10000 |
$500 |
|
Root Canal Treatment - Molar |
Each |
$300 |
15000 |
$600 |
|
|
|
Tooth Whitening (In-office) |
Case |
$200 |
10000 |
$350 |
|
Tooth Whitening (Home Bleaching) |
Case |
$100 |
5000 |
$300 |
|
Tooth Whitening ( IN-office combined
with Home Bleaching) |
Case |
$300 |
15000 |
$600 |
|
"Laser Smile TM" -the truly laser tooth
whitening from USA |
Case |
$240 |
12000 |
$1500 |
|
Non-Vital Bleaching |
Visit |
$40 |
2000 |
$80 |
|
Space Closing |
Each |
$60 |
3000 |
$120 |
|
Composite Veneer |
Each |
$100 |
5000 |
$250 |
|
Porcelain Veneer |
Each |
$300 |
15000 |
$600 |
|
|
|
Scaling and Prophylaxis |
Visit |
$30 |
1500 |
$150 |
|
Scaling and Root Planing (Heavy Calculus) |
Visit |
$40 |
2000 |
$300 |
|
Root Planing (Per Tooth) |
Each |
$10 |
500 |
$50 |
|
Root Planing (Per Quadrant) |
Visit |
$40 |
2000 |
$198 |
|
|
|
Amalgam Filling – 1 Surface |
Each |
$16 |
800 |
$75 |
|
Amalgam filling – 2 Surface |
Each |
$30 |
1500 |
$90+ |
|
Tooth Color filling - 1 Surface |
Each |
$40 |
2000 |
$100 |
|
Tooth Color Filling – 2 surface + |
Each |
$48 |
2400 |
$150+ |
|
|
|
Unilateral Appliance |
Each |
$200 |
10000 |
$1000 |
|
Bilateral Appliance |
Each |
$500 |
20000 |
$1500 |
|
Minor Tooth Movement Appliance |
Each |
$300 |
15000 |
$1300 |
|
Expansion Appliance |
Each |
$200 |
10000 |
$1000 |
|
Retainer |
Each |
$100 |
5000 |
$500 |
|
|
|
Simple Extraction |
Each |
$50 |
2500 |
$100 |
|
Complicated Extraction |
Each |
$175 |
8750 |
$500 |
|
Tooth Impaction, wisdom tooth |
Each |
$225 |
11500 |
$1500 |
|
|
|
Complete Denture |
Each |
$600 |
3000 |
$1800 |
|
Removable Partial Denture (Metal
Framework) |
Each |
$300+ |
15000 |
$800 |
|
Temporary Plate (Acrylic Framework) |
Each |
$160+ |
8000 |
$300 |
|
|
|
Dental Implant along with Ceramic
Prosthesis |
Each |
$1200 |
60000 |
$6000 |
|
Implant Fixture |
Each |
$900 |
45000 |
$1500 |
|
implant prosthesis - Over denture (Ball
attachment) |
Each |
$4000 |
200000 |
$15000 |
|
implant prosthesis - Over denture (Bar
and Clip) |
Each |
$5000 |
250000 |
$16000 |
|
implant prosthesis - Over denture (Hybrid) |
Each |
$5000 |
250000 |
$17000 |
|
|
|
Prophylaxis and Fluoride Therapy |
Visit |
$20 |
1000 |
$150 |
|
Sealant |
Each |
$20 |
1000 |
$50 |
|
Deciduous Tooth Extraction |
Each |
$20 |
1000 |
$75 |
|
Tooth Color Filling – 1 Surface |
Each |
$20 |
1000 |
$65 |
|
Tooth Color Filling – 2 Surface |
Each |
$20 |
1000 |
$75 |
|
Pulpotomy |
Each |
$30 |
1500 |
$90 |
|
Pulpotomy - Posterior Tooth |
Each |
$50 |
2500 |
$160 |
|
Apexogenesis or Apexification |
Each |
$30 |
1500 |
$110 |
|
Stainless Steel Crown - Permanent Tooth |
Each |
$36 |
1800 |
$110 |
|
Stainless Steel Crown - Deciduous Tooth,
Ant. |
Each |
$50 |
2500 |
$165 |
|
Stainless Steel Crown - Deciduous Tooth,
Post. |
Each |
$60 |
3000 |
$200 |
|
|
|
Porcelain Fused to Metal Crown |
Each |
$160 |
8000 |
$600 |
|
All-Ceramic Crown (Metal Free) |
Each |
$300 |
15000 |
$1000 |
|
Post and Core (Anterior Tooth) |
Each |
$70 |
3500 |
$800 |
|
Post and Core (Posterior Tooth) |
Each |
$72 |
3600 |
$1200 |
|
|
|
Fixed Appliance (Metal) |
Case |
$500 |
25000 |
$12 000 |
|
Fixed Appliance (Tooth Color) |
Case |
$800 |
40000 |
$18 000 |
|
Lingual Orthodontics |
Case |
$2100 |
105000 |
$25 000 |
|
Combined Lingual Orthodontic (U) and
Tooth Color Bracket (L) |
Case |
$1800 |
90000 |
|