a. Diagnostic examination
C002 Consultation for an periodic check-up € 26,75
C001 Consultation for an intake € 53,50
C003 Consultation, not being periodic check-up € 26,75
b. Additional diagnostic examination general
C011 Extensive research for a second opinion € 126,72
C012 Extensive examination for the integral treatment plan € 126,72
C016 * Making and discussing a restorative test setup € 211,20
C014 Pocket registration € 42,24
C010 Additional medical history after (written) routine questions € 26,75
C013* Study models € 35,20
C015 Periodontal registration € 84,48
c. Miscellaneous
C021 Surcharge evening, night and weekend hours (anw hours) € 29,57
C022 Drying elements using a rubber patch € 14,08
C020 Dental care at home € 21,12
X26 Evaluating multidimensional jaw X-ray € 70,40
X10 Making and evaluating small X-ray € 19,71
X34 Evaluating cranial X-ray € 28,16
X22 Making and evaluating panoramic X-ray for the purpose of dental implants in € 74,07 a toothles jaw € 84,48
X23 Evaluating Jaw X-ray € 30,98
X25 Making and evaluating multidimensional jaw X-ray € 239,36
X21 Making and evaluating panoramic X-ray € 84,48
X11 Evaluating small X-ray € 14,78
X24 Evaluating cranial X-ray € 38,02
M30 Treatment for sensitive tooth necks € 7,04
M01 Preventive dental health information and/or instruction, price per 5 minutes € 15,78
M40 Fluoride treatment € 17,60
M03 Dental cleaning, price per 5 minutes € 15,78
M80* Treatment of white spots, first element € 61,25
M32*/** Basic bacteriological or enzymatic research € 21,12
M02 Consultation for the evaluation of prevention, price per 5 minutes € 15,78
M61* Mouthguard € 31,68
M05 Non-restorative treatment of caries in the milk teeth € 29,92
M81* Treatment of white spots, next element € 33,79
A15 Local anesthesia € 9,15
A20 Treatment with general anesthesia Cost price
A10 Block anesthesia and/or infiltration anesthesia € 17,60
A30 Preparation for treatment under general anesthesia € 56,32
B10 Introductory sedative (nitrous oxide sedation sedation) € 35,20
B12 Overhead costs sedative € 44,48
B11 Administering the sedative (nitrous oxide sedation sedation) € 35,20
a. Fillings and complete restoration of the shape of a tooth or molar
V81 One surface glass ionomer/ glass carbomer/ compomer filling € 43,65
V93 Three surface composite filling € 88,00
V82 Two surface glass ionomer/ glass carbomer/ compomer filling € 61,25
V94 Four or more surface composite filling € 112,64
V72 Two surface amalgam filling € 47,17
V84 Four or more surface glass ionomer /glass carbomer/ compomer filling € 99,97
V74 Four or more surface amalgam filling € 89,41
V92 Two surface composite filling € 73,92
V71 One surface amalgam filling € 29,57
V83 Three surface glass ionomer/glass carbomer/compomer filling € 75,33
V73 Three surface amalgam filling € 61,25
V91 One surface composite filling € 56,32
V95 Complete restoration of tooth shape with composite (anatomical crown restoration) € 176,00
b. Pins
V85 Application of each subsequent root canal post in the same element € 26,75
V80 Applying the first root canal post € 40,83
c. Miscellaneous
V70* Parapulpal pin € 13,30
V50 Drying teeth by means of a rubber dam € 13,30
V30 Sealant on first element (sealen) € 31,68
V40 Polishing, grinding and updating old fillings € 7,04
V15 Applying a protective layer of tooth-coloured plastic material (facing) € 84,48
V35 Sealant on every next element in the same session (sealen) € 17,60
a. Examination, diagnostics and treatment planning
E02 Extensive root canal treatment consultation € 49,28
E03 Consultation following a dental accident € 38,72
b. Root canal treatment
E60* Entirely or partly removing pulpal tissue € 56,32
E88 Filling the pulp chamber and shut off the channel inputs € 70,40
E04 Surcharge for expenses incurred by using rotating nickel-titanium instruments € 54,31
E13 Root canal treatment per element with 1 canal € 126,72
E14 Root canal treatment per element with 2 canals € 183,04
E16 Root canal treatment per element with 3 canals € 239,36
E17 Root canal treatment per element with 4 or more canals € 295,68
E85 Electronic length determination € 17,60
E19 Insertion of calcium hydroxide per element, per session € 21,12
E66 Root canal treatment of milk tooth € 56,32
E51 Removal of crown or bridge € 42,24
E52 Difficult root canal treatment € 35,20
E53 Removal of a root pin € 49,28
E54 Removal of root canal filling material € 35,20
E55 Treatment of a clogged or calcified root canal € 35,20
E56* Further treatment with iatrogenic damage € 49,28
E57 Treatment of an element with exceptional anatomy € 35,20
E61 Treatment of an open root apex with calcium hydroxide, first session € 98,56
E62 Treatment of an open root apex with calcium hydroxide, every next session € 63,36
E63* Surcharge for closure of Mineral Trioxide Aggregate (MTA) € 49,87
E64 Closure of open root apex € 56,32
E77 Initial root canal treatment, first canal € 70,40
E78 Initial root canal treatment, every next canal € 35,20
E90 Internal bleaching, first session € 56,32
E95 Internal bleaching, every next session € 21,12
E97* External bleaching per jaw € 88,00
E40 Direct pulp capping € 35,20
E42 Replacing a displaced element after a dental accident € 14,08
E43* Securing an element by means of a retainer after a dental accident € 28,16
E44 Removal of retainer, per element € 7,04
E45 Placing a rubber dam € 13,30
E31 Incisor and canine tooth € 140,80
E32 Premolar € 197,12
E33 Molar € 253,44
E34* Placing retrograde filling € 28,16
E36* Extraction of an element with reimplantation € 84,48
E37 Laparoscopic surgery € 79,79
E86 Use of surgical microscope for root canal treatment € 95,04
E87 Making the practice ready for use for root canal treatment € 70,40
a. Inlays and crowns
R34* Crown on implant € 281,60
R08* One surface composite inlay € 84,48
R09* Two surface compositeinlay € 161,92
R10* Three surface composite inlay € 211,20
R11* One surface inlay € 126,72
R12* Two surface inlay € 197,12
R13* Three surface inlay € 281,60
R14 Surcharge for extra retention when placing indirect restaurations € 35,20
R24* Crown € 309,76
R29* Stainless steel crown, provided with synthetic resin € 63,36
R31 Core of plastic material € 70,40
R32* Cast core, indirect method € 70,40
R33* Cast core, direct method € 140,80
b. Bridges
R40* First pontic € 211,20
R45* Surcharge for second and next pontic within the same bridge section € 105,60
R49 Surcharge for bridge on five or more abutment teeth € 176,00
R50* Metal fixation cap with dental impression € 35,20
R55* Plaster cast with extra dental impression € 35,20
R60* Maryland bridge without preparation € 140,80
R61* Maryland bridge with preparation € 211,20
R65 Surcharge for every next pontic within the same bridge section € 49,28
R66 Surcharge for every next attachment above the number of two € 28,16
c. Miscellaneous restorations
R67* Placing build-up for implant crown € 30,27
R91* Root cap with pin € 176,00
R70 Surcharge for crown under an existing frame anchor € 77,44
R92 Fit restorative test setup in the mouth € 95,04
R71* Renewing porcelain protective layer, repairing metal/porcelain crown in the mouth € 77,44
R74* Refixing non-plastic restorations € 28,16
R75* Refixing Maryland bridge € 70,40
R76 Surcharge for cast core under existing crown € 35,20
R77 Difficult removal of old crown and bridgework per tooth or abutment tooth € 35,20
d. Protective ceramic or synthetic layer
R78* Protective ceramic or synthetic layer, without preparation € 84,48
R79* Protective ceramic or synthetic layer, with preparation € 140,80
e. Temporary measures
R80* Temporary crown- and bridgework, first tooth or molar € 35,20
R85* Temporary crown- and bridgework, next tooth or molar € 13,30
R90* Partially completed work Depending on the stage of the treatment plan
a. Symptoms in the mandibular joint (cranio-mandibular dysfunction)
G68* Reparation stabilization bite plate with print € 56,32
G41 Consult cranio-mandibulardysfunction A (not complex) € 73,92
G43 Consult cranio-mandibulardysfunction B (complex) € 142,21
G62* Occlusal splint € 190,08
G46* Consult for instruction individualized equipment (one time only) € 56,32
G21 Functional examination of the mandibular joint € 126,72
G23 Muscle activity measurement and registration € 112,64
G47 Evaluation/ reassessment after cranio-mandibulardysfunction A € 84,48
G44* Therapeutic injection € 77,44
G48 Evaluation/ reassessment after cranio-mandibulardysfunction B € 140,80
G22 Extended examination cranio-mandibulardysfunction € 253,44
b. Registration methods mandibular joint treatments
G75 Systematic grinding of all front teeth, per upper of lower jaw € 70,40
G10 Non-standard bite registration € 105,60
G09 Occlusion analysis after measurement using digital equipment € 38,02
G11 Determination of the hinge axis € 105,60
G12 Determination of central relation € 98,56
G13 Protral or lateral determinations € 70,40
G14 Setting up a fully adjustable articulator, pantograph and registration € 633,61
G15 For retaining the bite height € 35,20
G16 Determining therapeutic position € 35,20
G65* Indirect systematic filing € 387,21
G20 Intraoral bite registration € 70,40
G33* Creating anterior guidance € 70,40
G69* Bite splint € 77,44
c. Retainer for sleep and snoring disorders
G71* Device for snoring and sleep disorders (MRA) € 352,01
G72 MRA check-up € 35,20
G73* MRA repairs with impression € 56,32
d. Myofunctional equipment
G76* Consultation myofunctional therapy € 26,75
G74* Therapy using myofunctional equipment € 95,04
a. Part A
H11 Extraction of tooth or molar € 52,80
H55 Replacing tooth or molar, adjacent element, without root canal treatment € 21,12
H16 Extraction each next tooth or molar, during the same session and in the same quadrant € 39,42
H21 Costs of suturing material € 7,36
H26 Suturing soft parts € 77,44
H50 Replacing tooth or molar, first element, without root canal treatment € 70,40
b. Part B
H36 Research for the purpose of determining the indication for autograft treatment € 77,44
H39 Perform next autotransplant, in the same session € 139,39
H34 Exposing a trapped tooth or molar to promote breakthrough € 84,48
H38 Perform first autotransplant € 331,34
H90 Preparing the practice for performing surgical procedures, covered by part B € 70,40
H37 * Research for the implementation of an autograft treatment € 119,68
H33 Hemisection of a molar € 84,48
H35 Difficult extraction of tooth or molar, with mucoperiosteal lift € 84,48
H40 Correcting the shape of the jaw, per jaw € 63,36
H41 Removal of the frenulum inside the upper lip or the frenulum of the tongue € 42,24
H42 Root apex surgery, per root, without closure € 84,48
H43 Root apex surgery, per root, with antegrade or retrograde closure € 112,64
H44 Primary antrum closure € 77,44
H59 Treatment of fractured jaw, per jaw € 98,56
H60 Marsupialization € 98,56
H65 Primary closure € 190,08
H70 Irritation fibroma, flabby ridge, tubercle correction and the like, one-sided per jaw € 93,09
H75 Irritation fibroma, flabby ridge, tubercle correction and the like, double-sided per jaw € 190,08
H80 Alveolotomy torus, comparable preprosthetic bone corrections, one-sided per jaw € 133,76
H85 Alveolotomy torus, comparable preprosthetic bone corrections, doublesided per jaw € 225,28
a. Partial dentures
P001* Partial denture made of synthetic resin, 1 - 4 elements, per jaw € 105,60
P003* Frame denture, 1-4 elements, per jaw € 288,64
P002* Partial denture made of synthetic resin, 5 - 13 elements, per jaw € 211,20
P004* Fame denture, 5-13 elements, per jaw € 394,25
b. Complete dentures
P021* Complete denture lower jaw € 281,60
P022* Complete denture upper and lower jaw € 457,61
P020* Complete denture upper jaw € 211,20
P023* Temporary complete denture, per jaw € 140,80
c. Surcharges
P049 Surcharge for placing telescopic crown with precision connection € 70,40
P043 Surcharge for front arrangement or bite determinationin a separate session € 42,24
P044 Surcharge very severely shrunken jaw, per jaw € 95,04
P040 Surcharge for individual impression with complete dentures € 76,03
P046 Surcharge for each element in an overdenture € 56,32
P042 Surcharge for bite registration with specific equipment € 70,40
P048 Surcharge for making a precision connection per connection i.e. bar attachment € 105,60
P045 Surcharge for immediate denture € 17,60
P041 Surcharge for individual impression with partial dentures of synthetic resin € 35,20
P047 Surcharge for cast anchor for partial denture made of synthetic resin € 21,12
d. Adjustments existing dentures
P060 Tissue conditioning complete denture, per jaw € 49,28
P069* Repairing complete denture, with impression, per jaw € 56,32
P062* Resurfacing complete denture, indirectly, per jaw € 99,27
P071* Repairing and/or extension partial denture of synthetic resin or frame denture, with impression, per jaw € 53,20
P064* Resurfacing partial denture of synthetic resin or frame denture, indirectly, per jaw € 86,59
P068* Repairing complete denture, without impression, per jaw € 21,12
P061 Tissue conditioning partial denture of synthetic resin or frame denture, per jaw € 49,28
P070* Repairing partial denture of synthetic resin or frame denture, without impression, per jaw € 19,95
P063* Resurfacing complete denture, directly, per jaw € 99,97
P072* Extension partial denture of synthetic resin or frame denture with element(s) to complete dentures, with impression, per jaw € 53,20
P066* Resurfacing overdenture on natural abutment teeth without bar detachment, per jaw € 197,12
P065* Resurfacing partial denture of synthetic resin or frame denture, directly, per jaw € 90,11
P067 Systematic filing of the existing denture € 35,20
a. Procedures for patients with gum diseases
T021 Thorough cleaning of root, complex € 38,02
T012 Examination of gums with periodontium status € 204,16
T071 Periodontal flap surgery, per sextant (one-sixth part) € 352,01
T032 Re-examination with periodontal status, after initial gum treatment € 126,72
T073 Direct postoperative care, first session € 70,40
T042 Consultation periodontal aftercare € 107,01
T070 Periodontal flap surgery between 2 teeth € 228,80
T022 Thorough cleaning of root, standard € 28,16
T072 Extensive periodontal flap surgery, per sextant (one-sixth part) € 398,97
T033 Extensively discussing follow-up treatmentafter re-examination € 77,44
T074 Direct postoperative care, next session € 189,38
T043 Extensive consultation periodontal aftercare € 142,21
T076 Tuber or retromolarplastics € 88,00
T044 Complex consultation periodontal aftercare € 189,38
b. Periodontology in other situations (not covered by part a)
T113 Surgical removal of regeneration material € 228,80
T152 Direct postoperative care, next session € 189,38
T101 Tuber or retromolar plastics € 123,20
T121 Crown lenghthening per element € 228,80
T142* Coverage of recession with displaced rag € 398,97
T103 Gum correction, per sextant (one sixth part) € 176,00
T141 Gum Graft € 126,11
T163* Applying local medicine € 76,03
T112* Placing regeneration material as a non- individual procedure, simultaneously to the periodontal flap surgery in the same sextant (one-sixth part), per element € 140,80
T151 Direct postoperative care, first session € 70,40
T165 Extensive dietary analysis € 70,40
T102 Gum correction per element € 66,88
T122 Crown lenghthening per sextant € 422,41
T161** Bacteriological examination for gum treatment € 49,28
T111* Placing regeneration material as an individual procedure, per sextant(one-sixth part) € 422,41
T162 Treatment of gum abscess € 95,04
T164* Retainer or wire retainer € 28,16
.
J002 Overhead costs pre-implant surgery € 120,94
J001 Overhead costs implants and peri-implantitis surgery € 213,70
a. Examinations, diagnostics and treatment planning
J014 Implant positioning based on CT scan € 54,04
J011* Examination for the implementation of the implantological treatment € 120,09
J013* Trial mounting implantology, 5 or more elements € 180,13
J010 Examination for the indication for implantological treatment € 78,06
J012* Trial mounting implantology, 1-4 elements € 90,07
b. Techniques for increasing bone volume in a separate session prior to implantation
J020* Elevating sinus floor, first half of jaw € 288,21
J022* Jaw expansion and/or elevation, per jaw € 174,13
J021* Elevating sinus floor, second half of jaw within a period of three months € 180,13
c. Techniques for increasing bone volume in the same session as the implantation
J032* Orthograde elevation sinus floor, during implantation € 72,05
J031* Elevation sinus floor, during implantation € 156,11
J030* Jaw expansion and/or elevation, per sextant, during implantation € 102,07
d. Implant surgery
J040 Placing first implant, per jaw € 275,00
J048 Surgical treatment of peri-implantitis, per sextant € 209,55
J042* Placing first healing abutment € 90,07
J044 Removing implant € 39,63
J047 Replacing next implant € 113,48
J041 Placing next implant, per jaw € 113,48
J049 Placing two implants in the lower jaw for click dentures € 611,85
J043* Placing next healing abutment € 42,63
J045 Difficult removal of implant € 198,14
J046 Replacing first implant € 274,40
e. Miscellaneous
J054 Connective tissue transplant per donor place € 126,09
J050 Surcharge fee drilling for single use and/or surcharge fee inserts for Implant Cost price
J056* Removal of fractured abutment/occlusal screw € 138,10
J058 Determination implant stability by using ISQ-measurement € 12,01
J060* Temporary crown on immediate placed implant € 312,23
J053 Surcharge aesthetic zone, per jaw half € 81,06
J055 Obtaining and processing blood into a regenerative biomaterial by a venipuncture € 135,10
J057 Implant costs € 387,76
J051* Placing bone substitutes in extraction wound € 24,02
J059 Thoroughly submucosal cleaning the implant € 28,22
J052 Preparing donor place € 162,12
f. Mesostructure
J072* Bar between two implants in the same jaw € 246,18
J073* Each next bar between implants in the same jaw € 78,06
J071* Placement of each next attachment € 42,03
J070* Placement of first attachment € 144,11
g. Prosthetic treatment after implants
J183* Conversion of partial dentures or frame into partial click dentures € 120,09
J082* Upper click denture € 402,29
J086* Click denture conversion at bars between more than four implants € 210,15
J088 Surcharge replacement click denture on an existing bar construction between three or four implants € 132,10
J084* Click denture conversion at bars between two implants € 156,11
J184 * Expansion of partial click dentures to (complete) click dentures, with impression, per jaw € 56,32
J180 * Partial click dentures made of plastic € 211,20
J085* Click denture conversion at bars between three or four implants € 180,13
J081* Lower click denture € 402,29
J087 Surcharge replacement click denture on an existing bar construction between two implants € 102,07
J083* Click denture conversion € 120,09
J089 Surcharge replacement click denture on an existing bar construction between more than four implants € 162,12
J181 * Partial click dentures with metal base (frame) € 394,25
J080* Simultaneously placing complete dentures and click denture € 618,45
h. Aftercare implantology
J090 Specific consultation aftercare implantology € 66,05
J091 Extensive consultation aftercare implantology € 108,08
i. Prosthetic aftercare
J103* Resurfacing with bar detachment on more than four implants € 270,20
J105* Repairing without bar detachment € 66,05
J112 * Repair partial click dentures € 66,05
J107* Repairing with bar detachment on three or four implants € 156,11
J110 * Filling partial click dentures € 168,12
J100* Resurfacing without bar detachment € 168,12
J109* Remove and replace push button € 30,02
J102* Resurfacing with bar detachment on three or four implants € 240,18
J104* Simple repairing click denture without bar detachment and without impression € 21,12
J106* Repairing with bar detachment on two implants € 126,09
J108* Repairing with bar detachment on more than four implants € 186,14
J101* Resurfacing with bar detachment on two implants € 210,15
J111 * Simple repair of partial click dentures without impression € 21,12
U05* Hourly fee supervision difficult to treat clients in units of five minutes € 18,50
U35* Time tariff dental assistance to patients who stay at the Wlz setting and treated are in the private practice of the healthcare provider in units of five minutes € 18,50
U25* Time tariff dental assistance to patients who be evaluated in Wlz setting in units of five minutes € 16,03
Y01 Information provision, in units of five minutes € 16,03
Y02 Mutual service Maximum