a. Diagnostic examination
C001 Consultation for an intake € 50,54
C003 Consultation, not being periodic check-up € 25,27
C002 Consultation for an periodic check-up € 25,27
b. Additional diagnostic examination general
C013* Study models € 33,25
C015 Periodontal registration € 79,79
C011 Extensive research for a second opinion € 119,69
C014 Pocket registration € 39,90
C010 Additional medical history after (written) routine questions € 25,27
C012 Extensive examination for the integral treatment plan € 119,69
C016 * Making and discussing a restorative test setup € 199,48
c. Miscellaneous
C021 Surcharge evening, night and weekend hours (anw hours) € 27,93
C020 Dental care at home € 19,95
X10 Making and evaluating small X-ray € 18,62
X34 Evaluating cranial X-ray € 26,60
X22 Making and evaluating panoramic X-ray for the purpose of dental implants in € 74,07 a toothles jaw € 79,79
X23 Evaluating Jaw X-ray € 29,26
X25 Making and evaluating multidimensional jaw X-ray € 226,08
X21 Making and evaluating panoramic X-ray € 79,79
X11 Evaluating small X-ray € 13,96
X24 Evaluating cranial X-ray € 35,91
X26 Evaluating multidimensional jaw X-ray € 66,49
M01 Preventive dental health information and/or instruction, price per 5 minutes € 14,91
M40 Fluoride treatment € 16,62
M03 Dental cleaning, price per 5 minutes € 14,91
M80* Treatment of white spots, first element € 57,85
M32*/** Basic bacteriological or enzymatic research € 19,95
M02 Consultation for the evaluation of prevention, price per 5 minutes € 14,91
M61* Mouthguard € 29,92
M05 Non-restorative treatment of caries in the milk teeth € 29,92
M81* Treatment of white spots, next element € 31,92
M30 Treatment for sensitive tooth necks € 6,65
A15 Local anesthesia € 8,64
A20 Treatment with general anesthesia Cost price
A10 Block anesthesia and/or infiltration anesthesia € 16,62
A30 Preparation for treatment under general anesthesia € 53,20
B10 Introductory sedative (nitrous oxide sedation sedation) € 33,25
B12 Overhead costs sedative € 41,56
B11 Administering the sedative (nitrous oxide sedation sedation) € 33,25
V15 Applying a protective layer of tooth-coloured plastic material (facing) € 79,79
V71 One surface amalgam filling € 27,93
V83 Three surface glass ionomer/glass carbomer/compomer filling € 71,15
V80* Root canal pin € 23,27
V35 Sealant on every next element in the same session (sealen) € 16,62
V73 Three surface amalgam filling € 57,85
V91 One surface composite filling € 53,20
V50 Drying teeth by means of a rubber dam € 13,30
V81 One surface glass ionomer/ glass carbomer/ compomer filling € 41,23
V93 Three surface composite filling € 83,12
V30 Sealant on first element (sealen) € 29,92
V72 Two surface amalgam filling € 44,55
V84 Four or more surface glass ionomer /glass carbomer/ compomer filling € 94,42
V85 * Every next root canal pin in the same element € 9,97
V40 Polishing, grinding and updating old fillings € 6,65
V74 Four or more surface amalgam filling € 81,12
V92 Two surface composite filling € 69,82
V94 Four or more surface composite filling € 106,39
V70* Parapulpal pin € 13,30
V82 Two surface glass ionomer/ glass carbomer/ compomer filling € 57,85
a. Examination, diagnostics and treatment planning
E02 Extensive root canal treatment consultation € 46,55
E03 Consultation following a dental accident € 36,57
b. Root canal treatment
E60* Entirely or partly removing pulpal tissue € 53,20
E88 Filling the pulp chamber and shut off the channel inputs € 66,49
E04 Surcharge for expenses incurred by using rotating nickel-titanium instruments € 54,31
E13 Root canal treatment per element with 1 canal € 119,69
E14 Root canal treatment per element with 2 canals € 172,89
E16 Root canal treatment per element with 3 canals € 226,08
E17 Root canal treatment per element with 4 or more canals € 279,28
E85 Electronic length determination € 16,62
E19 Insertion of calcium hydroxide per element, per session € 19,95
E66 Root canal treatment of milk tooth € 53,20
E51 Removal of crown or bridge € 39,90
E52 Difficult root canal treatment € 33,25
E53 Removal of a root pin € 46,55
E54 Removal of root canal filling material € 33,25
E55 Treatment of a clogged or calcified root canal € 33,25
E56* Further treatment with iatrogenic damage € 46,55
E57 Treatment of an element with exceptional anatomy € 33,25
E61 Treatment of an open root apex with calcium hydroxide, first session € 93,09
E62 Treatment of an open root apex with calcium hydroxide, every next session € 59,84
E63* Surcharge for closure of Mineral Trioxide Aggregate (MTA) € 49,87
E64 Closure of open root apex € 53,20
E77 Initial root canal treatment, first canal € 66,49
E78 Initial root canal treatment, every next canal € 33,25
E90 Internal bleaching, first session € 53,20
E95 Internal bleaching, every next session € 19,95
E97* External bleaching per jaw € 83,12
E40 Direct pulp capping € 33,25
E42 Replacing a displaced element after a dental accident € 13,30
E43* Securing an element by means of a retainer after a dental accident € 26,60
E44 Removal of retainer, per element € 6,65
E45 Placing a rubber dam € 13,30
E31 Incisor and canine tooth € 132,99
E32 Premolar € 186,18
E33 Molar € 239,38
E34* Placing retrograde filling € 26,60
E36* Extraction of an element with reimplantation € 93,09
E37 Laparoscopic surgery € 79,79
E86 Use of surgical microscope for root canal treatment € 89,77
E87 Making the practice ready for use for root canal treatment € 66,49
a. Inlays and crowns
R08* One surface composite inlay € 79,79
R34* Crown on implant € 265,98
R09* Two surface compositeinlay € 152,94
R10* Three surface composite inlay € 199,48
R11* One surface inlay € 119,69
R12* Two surface inlay € 186,18
R13* Three surface inlay € 265,98
R14 Surcharge for extra retention when placing indirect restaurations € 33,25
R24* Crown € 292,57
R29* Stainless steel crown, provided with synthetic resin € 59,84
R31 Core of plastic material € 66,49
R32* Cast core, indirect method € 66,49
R33* Cast core, direct method € 132,99
b. Bridges
R40* First pontic € 199,48
R45* Surcharge for second and next pontic within the same bridge section € 99,74
R49 Surcharge for bridge on five or more abutment teeth € 166,24
R50* Metal fixation cap with dental impression € 33,25
R55* Plaster cast with extra dental impression € 33,25
R60* Maryland bridge without preparation € 132,99
R61* Maryland bridge with preparation € 199,48
R65 Surcharge for every next pontic within the same bridge section € 46,55
R66 Surcharge for every next attachment above the number of two € 26,60
c. Miscellaneous restorations
R67* Placing build-up for implant crown € 28,59
R91* Root cap with pin € 166,24
R70 Surcharge for crown under an existing frame anchor € 73,14
R92 Fit restorative test setup in the mouth € 89,77
R71* Renewing porcelain protective layer, repairing metal/porcelain crown in the mouth € 73,14
R74* Refixing non-plastic restorations € 26,60
R75* Refixing Maryland bridge € 66,49
R76 Surcharge for cast core under existing crown € 33,25
R77 Difficult removal of old crown and bridgework per tooth or abutment tooth € 33,25
d. Protective ceramic or synthetic layer
R78* Protective ceramic or synthetic layer, without preparation € 79,79
R79* Protective ceramic or synthetic layer, with preparation € 132,99
e. Temporary measures
R80* Temporary crown- and bridgework, first tooth or molar € 33,25
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 € 49,38
G21 Functional examination of the mandibular joint € 111,10
G43 Consult cranio-mandibulardysfunction B (complex) € 124,68
G23 Muscle activity measurement and registration € 98,76
G46* Consult for instruction individualized equipment (one time only) € 49,38
G62* Occlusal splint € 179,53
G47 Evaluation/ reassessment after cranio-mandibulardysfunction A € 74,07
G22 Extended examination cranio-mandibulardysfunction € 222,20
G44* Therapeutic injection € 67,90
G48 Evaluation/ reassessment after cranio-mandibulardysfunction B € 123,45
G41 Consult cranio-mandibulardysfunction A (not complex) € 111,10
b. Registration methods mandibular joint treatments
G09 Occlusion analysis after measurement using digital equipment € 35,91
G75 Systematic grinding of all front teeth, per upper of lower jaw € 66,49
G10 Non-standard bite registration € 99,74
G11 Determination of the hinge axis € 99,74
G12 Determination of central relation € 93,09
G13 Protral or lateral determinations € 66,49
G14 Setting up a fully adjustable articulator, pantograph and registration € 598,45
G15 For retaining the bite height € 33,25
G16 Determining therapeutic position € 33,25
G65* Indirect systematic filing € 365,72
G20 Intraoral bite registration € 66,49
G33* Creating anterior guidance € 66,49
G69* Bite splint € 73,14
c. Retainer for sleep and snoring disorders
G71* Device for snoring and sleep disorders (MRA) € 332,47
G72 MRA check-up € 33,25
G73* MRA repairs with impression € 53,20
d. Myofunctional equipment
G76* Consultation myofunctional therapy € 25,27
G74* Therapy using myofunctional equipment € 89,77
a. Part A
H11 Extraction of tooth or molar € 49,87
H55 Replacing tooth or molar, adjacent element, without root canal treatment € 19,95
H16 Extraction each next tooth or molar, during the same session and in the same quadrant € 37,24
H21 Costs of suturing material € 6,87
H26 Suturing soft parts € 73,14
H50 Replacing tooth or molar, first element, without root canal treatment € 66,49
b. Part B
H38 Perform first autotransplant € 331,34
H34 Exposing a trapped tooth or molar to promote breakthrough € 79,79
H39 Perform next autotransplant, in the same session € 131,66
H90 Preparing the practice for performing surgical procedures, covered by part B € 66,49
H33 Hemisection of a molar € 79,79
H35 Difficult extraction of tooth or molar, with mucoperiosteal lift € 79,79
H40 Correcting the shape of the jaw, per jaw € 59,84
H41 Removal of the frenulum inside the upper lip or the frenulum of the tongue € 39,90
H42 Root apex surgery, per root, without closure € 79,79
H43 Root apex surgery, per root, with antegrade or retrograde closure € 106,39
H44 Primary antrum closure € 73,14
H59 Treatment of fractured jaw, per jaw € 93,09
H60 Marsupialization € 93,09
H65 Primary closure € 179,53
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 € 179,53
H80 Alveolotomy torus, comparable preprosthetic bone corrections, one-sided per jaw € 126,34
H85 Alveolotomy torus, comparable preprosthetic bone corrections, doublesided per jaw € 212,78
a. Partial dentures
P001* Partial denture made of synthetic resin, 1 - 4 elements, per jaw € 99,74
P003* Frame denture, 1-4 elements, per jaw € 272,63
P002* Partial denture made of synthetic resin, 5 - 13 elements, per jaw € 199,48
P004* Fame denture, 5-13 elements, per jaw € 372,37
b. Complete dentures
P022* Complete denture upper and lower jaw € 432,21
P020* Complete denture upper jaw € 199,48
P023* Temporary complete denture, per jaw € 132,99
P021* Complete denture lower jaw € 265,98
c. Surcharges
P044 Surcharge very severely shrunken jaw, per jaw € 89,77
P040 Surcharge for individual impression with complete dentures € 71,81
P046 Surcharge for each element in an overdenture € 53,20
P042 Surcharge for bite registration with specific equipment € 66,49
P048 Surcharge for making a precision connection per connection i.e. bar attachment € 99,74
P045 Surcharge for immediate denture € 16,62
P047 Surcharge for cast anchor for partial denture made of synthetic resin € 19,95
P041 Surcharge for individual impression with partial dentures of synthetic resin € 33,25
P043 Surcharge for front arrangement or bite determinationin a separate session € 39,90
P049 Surcharge for placing telescopic crown with precision connection € 66,49
d. Adjustments existing dentures
P065* Resurfacing partial denture of synthetic resin or frame denture, directly, € 85,11 per jaw € 85,11
P060 Tissue conditioning complete denture, per jaw € 46,55
P067 Systematic filing of the existing denture € 33,25
P069* Repairing complete denture, with impression, per jaw € 53,20
P062* Resurfacing complete denture, indirectly, per jaw € 93,76
P064* Resurfacing partial denture of synthetic resin or frame denture, indirectly, per jaw € 81,79
P071* Repairing and/or extension partial denture of synthetic resin or frame denture, with impression, per jaw € 53,20
P061 Tissue conditioning partial denture of synthetic resin or frame denture, per jaw € 46,55
P068* Repairing complete denture, without impression, per jaw € 19,95
P063* Resurfacing complete denture, directly, per jaw € 94,42
P070* Repairing partial denture of synthetic resin or frame denture, without impression, per jaw € 19,95
P066* Resurfacing overdenture on natural abutment teeth without bar detachment, per jaw € 186,18
P072* Extension partial denture of synthetic resin or frame denture with element(s) to complete dentures, with impression, per jaw € 53,20
a. Procedures for patients with gum diseases
T076 Tuber or retromolarplastics € 83,12
T021 Thorough cleaning of root, complex € 35,91
T044 Complex consultation periodontal aftercare € 178,87
T071 Periodontal flap surgery, per sextant (one-sixth part) € 332,47
T032 Re-examination with periodontal status, after initial gum treatment € 119,69
T042 Consultation periodontal aftercare € 101,07
T073 Direct postoperative care, first session € 66,49
T022 Thorough cleaning of root, standard € 26,60
T070 Periodontal flap surgery between 2 teeth € 216,11
T033 Extensively discussing follow-up treatmentafter re-examination € 73,14
T072 Extensive periodontal flap surgery, per sextant (one-sixth part) € 398,97
T043 Extensive consultation periodontal aftercare € 134,32
T074 Direct postoperative care, next session € 178,87
T012 Examination of gums with periodontium status € 192,83
b. Periodontology in other situations (not covered by part a)
T101 Tuber or retromolar plastics € 116,36
T142* Coverage of recession with displaced rag € 398,97
T121 Crown lenghthening per element € 216,11
T141 Gum Graft € 126,11
T103 Gum correction, per sextant (one sixth part) € 166,24
T163* Applying local medicine € 71,81
T151 Direct postoperative care, first session € 66,49
T112* Placing regeneration material as a non- individual procedure, simultaneously to the periodontal flap surgery in the same sextant (one-sixth part), per element € 132,99
T165 Extensive dietary analysis € 66,49
T122 Crown lenghthening per sextant € 398,97
T102 Gum correction per element € 63,17
T161** Bacteriological examination for gum treatment € 46,55
T111* Placing regeneration material as an individual procedure, per sextant(one-sixth part) € 398,97
T164* Retainer or wire retainer € 26,60
T162 Treatment of gum abscess € 89,77
T152 Direct postoperative care, next session € 178,87
T113 Surgical removal of regeneration material € 216,11
.
J001 Overhead costs implants and peri-implantitis surgery € 199,68
J002 Overhead costs pre-implant surgery € 113,01
a. Examinations, diagnostics and treatment planning
J010 Examination for the indication for implantological treatment € 73,71
J012* Trial mounting implantology, 1-4 elements € 85,05
J014 Implant positioning based on CT scan € 51,03
J011* Examination for the implementation of the implantological treatment € 113,40
J013* Trial mounting implantology, 5 or more elements € 170,09
b. Techniques for increasing bone volume in a separate session prior to implantation
J021* Elevating sinus floor, second half of jaw within a period of three months € 170,09
J022* Jaw expansion and/or elevation, per jaw € 164,42
J020* Elevating sinus floor, first half of jaw € 272,15
c. Techniques for increasing bone volume in the same session as the implantation
J030* Jaw expansion and/or elevation, per sextant, during implantation € 96,39
J032* Orthograde elevation sinus floor, during implantation € 68,04
J031* Elevation sinus floor, during implantation € 147,42
d. Implant surgery
J041 Placing next implant, per jaw € 107,16
J047 Replacing next implant € 107,16
J043* Placing next healing abutment € 40,26
J049 Placing two implants in the lower jaw for click dentures € 577,75
J045 Difficult removal of implant € 187,10
J042* Placing first healing abutment € 85,05
J048 Surgical treatment of peri-implantitis, per sextant € 197,88
J044 Removing implant € 37,42
J040 Placing first implant, per jaw € 259,69
J046 Replacing first implant € 259,11
e. Miscellaneous
J059 Thoroughly submucosal cleaning the implant € 26,65
J053 Surcharge aesthetic zone, per jaw half € 76,54
J055 Obtaining and processing blood into a regenerative biomaterial by a venipuncture € 127,56
J051* Placing bone substitutes in extraction wound € 22,68
J057 Implant costs € 366,12
J060* Temporary crown on immediate placed implant € 294,83
J054 Connective tissue transplant per donor place € 119,07
J050 Surcharge fee drilling for single use and/or surcharge fee inserts for Implant Cost price
J056* Removal of fractured abutment/occlusal screw € 130,41
J052 Preparing donor place € 153,08
J058 Determination implant stability by using ISQ-measurement € 11,34
f. Mesostructure
J070* Placement of first attachment € 136,08
J072* Bar between two implants in the same jaw € 232,46
J071* Placement of each next attachment € 39,69
J073* Each next bar between implants in the same jaw € 73,71
g. Prosthetic treatment after implants
J080* Simultaneously placing complete dentures and click denture € 583,99
J086* Click denture conversion at bars between more than four implants € 198,44
J088 Surcharge replacement click denture on an existing bar construction between € 124,74 three or four implants € 124,74
J082* Upper click denture € 379,88
J084* Click denture conversion at bars between two implants € 147,42
J081* Lower click denture € 379,88
J087 Surcharge replacement click denture on an existing bar construction between € 96,39 two implants € 96,39
J083* Click denture conversion € 113,40
J089 Surcharge replacement click denture on an existing bar construction between € 153,08 more than four implants € 153,08
J085* Click denture conversion at bars between three or four implants € 170,09
h. Aftercare implantology
J090 Specific consultation aftercare implantology € 62,37
J091 Extensive consultation aftercare implantology € 102,06
i. Prosthetic aftercare
J106* Repairing with bar detachment on two implants € 119,07
J100* Resurfacing without bar detachment € 158,75
J102* Resurfacing with bar detachment on three or four implants € 226,79
J108* Repairing with bar detachment on more than four implants € 175,76
J104* Simple repairing click denture without bar detachment and without impression € 19,95
J107* Repairing with bar detachment on three or four implants € 147,42
J101* Resurfacing with bar detachment on two implants € 198,44
J109* Remove and replace push button € 28,35
J103* Resurfacing with bar detachment on more than four implants € 255,14
J105* Repairing without bar detachment € 62,37
U05* Hourly fee supervision difficult to treat clients in units of five minutes € 17,47
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 € 17,47
U25* Time tariff dental assistance to patients who be evaluated in Wlz setting in units of five minutes € 15,14
Y01 Information provision, in units of five minutes € 15,14
Y02 Mutual service Maximum