a. Diagnostic examination | ||
C001 | Consultation for an intake | € 46,91 |
C003 | Consultation, not being periodic check-up | € 23,45 |
C002 | Consultation for an periodic check-up | € 23,45 |
b. Additional diagnostic examination general | ||
C013* | Study models | € 30,86 |
C015 | Periodontal registration | € 74,07 |
C011 | Extensive research for a second opinion | € 111,10 |
C014 | Pocket registration | € 37,03 |
C010 | Additional medical history after (written) routine questions | € 23,45 |
C012 | Extensive examination for the integral treatment plan | € 111,10 |
c. Miscellaneous | ||
C021 | Surcharge evening, night and weekend hours (anw hours) € 25,92 | € 25,92 |
C020 | Dental care at home | € 18,52 |
X34 | Evaluating cranial X-ray | € 24,12 |
X10 | Making and evaluating small X-ray | € 17,28 |
X23 | Evaluating Jaw X-ray | € 27,16 |
X22 | Making and evaluating panoramic X-ray for the purpose of dental implants in € 74,07 a toothles jaw | € 74,07 |
X25 | Making and evaluating multidimensional jaw X-ray | € 209.86 |
X11 | Evaluating small X-ray | € 12,96 |
X21 | Making and evaluating panoramic X-ray | € 74,07 |
X24 | Evaluating cranial X-ray | €33,33 |
X26 | Evaluating multidimensional jaw X-ray | € 61,72 |
M40 | Fluoride treatment | € 15,43 |
M01 | Preventive dental health information and/or instruction, price per 5 minutes | € 13,84 |
M80* | Treatment of white spots, first element | € 53,70 |
M03 | Dental cleaning, price per 5 minutes | € 13,84 |
M32* ** | Basic bacteriological or enzymatic research | € 18,52 |
M61* | Mouthguard | € 27,78 |
M02 | Consultation for the evaluation of prevention, price per 5 minutes | € 13,84 |
M81* | Treatment of white spots, next element | € 29,63 |
M05 | Non-restorative treatment of caries in the milk teeth | € 27,78 |
M30 | Treatment for sensitive tooth necks | € 6,17 |
A15 | Local anesthesia | € 8,02 |
A20 | Treatment with general anesthesia | Cost price |
A10 | Block anesthesia and/or infiltration anesthesia | € 15,43 |
A30 | Preparation for treatment under general anesthesia | € 49,38 |
B10 | Introductory sedative (nitrous oxide sedation sedation) | € 30,86 |
B12 | Overhead costs sedative | € 38,04 |
B11 | Administering the sedative (nitrous oxide sedation sedation) | € 30,86 |
V80* | Root canal pin | € 21,60 |
V15 | Applying a protective layer of tooth-coloured plastic material (facing) | € 74,07 |
V83 | Three surface glass ionomer/glass carbomer/compomer filling | € 66,04 |
V71 | One surface amalgam filling | € 25,92 |
V91 | One surface composite filling | € 49,38 |
V73 | Three surface amalgam filling | € 53,70 |
V35 | Sealant on every next element in the same session (sealen) | € 15,43 |
V93 | Three surface composite filling | € 77,15 |
V81 | One surface glass ionomer/ glass carbomer/ compomer filling | € 38,27 |
V50 | Drying teeth by means of a rubber dam | € 12,34 |
V84 | Four or more surface glass ionomer /glass carbomer/ compomer filling | € 87,65 |
V72 | Two surface amalgam filling | € 41,35 |
V85 * | Every next root canal pin in the same element | € 9,26 |
V30 | Sealant on first element (sealen) | € 27,78 |
V40 | Polishing, grinding and updating old fillings | € 6,17 |
V92 | Two surface composite filling | € 64,81 |
V74 | Four or more surface amalgam filling | € 75,30 |
V70* | Parapulpal pin | € 12,34 |
V94 | Four or more surface composite filling | € 98,76 |
V82 | Two surface glass ionomer/ glass carbomer/ compomer filling | € 53,70 |
a. Examination, diagnostics and treatment planning | ||
E01 | Root canal treatment consultation | € 22,91 |
E02 | Extensive root canal treatment consultation | € 43,21 |
E03 | Consultation following a dental accident | € 33,95 |
b. Root canal treatment | ||
E88 | Filling the pulp chamber and shut off the channel inputs | € 61,72 |
E60* | Entirely or partly removing pulpal tissue | € 48,38 |
E04 | Surcharge for expenses incurred by using rotating nickel-titanium instruments | € 49,71 |
E13 | Root canal treatment per element with 1 canal | € 111,10 |
E14 | Root canal treatment per element with 2 canals | € 160,48 |
E16 | Root canal treatment per element with 3 canals | € 209,86 |
E17 | Root canal treatment per element with 4 or more canals | € 259,24 |
E85 | Electronic length determination | € 15,43 |
E19 | Insertion of calcium hydroxide per element, per session | € 18,52 |
E66 | Root canal treatment of milk tooth | € 49,38 |
E51 | Removal of crown or bridge | € 37,03 |
E52 | Difficult root canal treatment | € 30,86 |
E53 | Removal of a root pin | € 43,21 |
E54 | Removal of root canal filling material | € 30,86 |
E55 | Treatment of a clogged or calcified root canal | € 30,86 |
E56* | Further treatment with iatrogenic damage | € 43,21 |
E57 | Treatment of an element with exceptional anatomy | € 30,86 |
E61 | Treatment of an open root apex with calcium hydroxide, first session | €86,41 |
E62 | Treatment of an open root apex with calcium hydroxide, every next session | € 55,55 |
E63* | Surcharge for closure of Mineral Trioxide Aggregate (MTA) | € 46,29 |
E64 | Closure of open root apex | € 49,38 |
E77 | Initial root canal treatment, first canal | € 61,72 |
E78 | Initial root canal treatment, every next canal | € 30,86 |
E90 | Internal bleaching, first session | € 49,38 |
E95 | Internal bleaching, every next session | € 18,52 |
E97* | External bleaching per jaw | € 77,15 |
E98 ** | Materials for home bleaching | Costprice |
E40 | Direct pulp capping | € 30,86 |
E42 | Replacing a displaced element after a dental accident | € 12,34 |
E43* | Securing an element by means of a retainer after a dental accident | € 24,69 |
E44 | Removal of retainer, per element | € 6,17 |
E45 | Placing a rubber dam | € 12,34 |
E31 | Incisor and canine tooth | € 30,86 |
E32 | Premolar | € 17,34 |
E33 | Molar | € 222,20 |
E34* | Placing retrograde filling | € 24,69 |
E36* | Extraction of an element with reimplantation | € 86,41 |
E37 | Laparoscopic surgery | € 74,07 |
E86 | Use of surgical microscope for root canal treatment | € 83,33 |
E87 | Making the practice ready for use for root canal treatment | € 61,72 |
a. Inlays and crowns | ||
R08* | One surface composite inlay | € 74,07 |
R34* | Crown on implant | € 246,89 |
R09* | Two surface compositeinlay | € 141,96 |
R10* | Three surface composite inlay | € 185,17 |
R11* | One surface inlay | € 111,10 |
R12* | Two surface inlay | € 172,83 |
R13* | Three surface inlay | € 246,89 |
R14 | Surcharge for extra retention when placing indirect restaurations | € 30,86 |
R24* | Crown | € 271,58 |
R28 * | Endo crown, indirectly fabricated | € 68,77 |
R29* | Stainless steel crown, provided with synthetic resin | € 55,55 |
R31 | Core of plastic material | € 61,72 |
R32* | Cast core, indirect method | € 61,72 |
R33* | Cast core, direct method | € 123,45 |
b. Bridges | ||
R40* | First pontic | € 185,17 |
R45* | Surcharge for second and next pontic within the same bridge section | € 92,59 |
R46 * | Anchoring a bridge, per anchor | € 57,31 |
R49 | Surcharge for bridge on five or more abutment teeth | € 154,51 |
R50* | Metal fixation cap with dental impression | € 30,86 |
R55* | Plaster cast with extra dental impression | € 30,86 |
R60* | Maryland bridge without preparation | € 123,45 |
R61* | Maryland bridge with preparation | € 185,17 |
R65 | Surcharge for every next pontic within the same bridge section | € 43,21 |
R66 | Surcharge for every next attachment above the number of two | € 24,69 |
c. Miscellaneous restorations | ||
R91* | Root cap with pin | € 154,31 |
R70 | Surcharge for crown under an existing frame anchor | € 67,90 |
R91 | Refixing non-plastic restorations | € 24,69 |
R71* | Renewing porcelain protective layer, repairing metal/porcelain crown in the mouth | € 67,90 |
R74* | Refixing non-plastic restorations | € 24,69 |
R75* | Refixing Maryland bridge | € 61,72 |
R76 | Surcharge for cast core under existing crown | € 30,86 |
R77 | Difficult removal of old crown and bridgework per tooth or abutment tooth | € 30,86 |
d. Protective ceramic or synthetic layer | ||
R78* | Protective ceramic or synthetic layer, without preparation | € 74,07 |
R79* | Protective ceramic or synthetic layer, with preparation | € 123,45 |
e. Temporary measures | ||
R80* | Temporary crown- and bridgework, first tooth or molar | € 30,86 |
R85* | Temporary crown- and bridgework, next tooth or molar | € 12,34 |
R90* | Partially completed work | Depending on the stage of the treatment plan |
a. Symptoms in the mandibular joint (cranio-mandibular dysfunction) | ||
G44* | Therapeutic injection | € 67,90 |
G22 | Extended examination cranio-mandibulardysfunction | € 222,20 |
G01 | Extensive functional examination | € 143,28 |
G48 | Evaluation/ reassessment after cranio-mandibulardysfunction B | € 123,45 |
G41 | Consult cranio-mandibulardysfunction A (not complex) | € 111,10 |
G47 | Evaluation/ reassessment after cranio-mandibulardysfunction A | € 74,07 |
G46* | Consult for instruction individualized equipment (one time only) | € 49,38 |
G23 | Muscle activity measurement and registration | € 98,76 |
G68* | Reparation stabilization bite plate with print | € 49,38 |
G43 | Consult cranio-mandibulardysfunction B (complex) | € 124,68 |
G21 | Functional examination of the mandibular joint | € 111,10 |
G02 | Muscle activity measurement and registration | € 91,70 |
G03 | Documented referral mandibular joint treatment | € 63,04 |
G61 | Instruction muscle exercises | € 57,31 |
G62* | Occlusal splint | € 166,65 |
G63 * | Repositioning splint | € 229,25 |
G64 | Splint check-up including minor corrections | € 28,66 |
G66 | Biofeedback therapy | € 49,73 |
G67 | Trigger point treatment | € 63,04 |
G69* | Bite splint | € 67,90 |
b. Registration methods mandibular joint treatments | ||
G10 | Non-standard bite registration | € 92,59 |
G09 | Occlusion analysis after measurement using digital equipment | € 33,33 |
G75 | Systematic grinding of all front teeth, per upper of lower jaw | € 61,72 |
G11 | Determination of the hinge axis | € 92,59 |
G12 | Determination of central relation | € 86,41 |
G13 | Protral or lateral determinations | € 61,72 |
G14 | Setting up a fully adjustable articulator, pantograph and registration | € 555,51 |
G15 | For retaining the bite height | € 30,86 |
G16 | Determining therapeutic position | € 30,86 |
G65* | Indirect systematic filing | € 339,48 |
G20 | Intraoral bite registration | € 61,72 |
G33* | Creating anterior guidance | € 61,72 |
c. Retainer for sleep and snoring disorders | ||
G71* | Device for snoring and sleep disorders (MRA) | € 308,62 |
G72 | MRA check-up | € 30,86 |
G73* | MRA repairs with impression | € 49,38 |
d. Myofunctional equipment | ||
G74 | Therapy using myofunctional equipment | € 130,24 |
a. Part A | ||
H11 | Extraction of tooth or molar | € 46,29 |
H55 | Replacing tooth or molar, adjacent element, without root canal treatment | € 18,52 |
H16 | Extraction each next tooth or molar, during the same session and in the same quadrant | € 34,57 |
H21 | Costs of suturing material | € 6,29 |
H26 | Suturing soft parts | € 67,90 |
H50 | Replacing tooth or molar, first element, without root canal treatment | € 61,72 |
b. Part B | ||
H90 | Preparing the practice for performing surgical procedures, covered by part B | € 61,72 |
H33 | Hemisection of a molar | € 74,07 |
H35 | Difficult extraction of tooth or molar, with mucoperiosteal lift | € 74,07 |
H40 | Correcting the shape of the jaw, per jaw | € 55,55 |
H41 | Removal of the frenulum inside the upper lip or the frenulum of the tongue | € 37,03 |
H42 | Root apex surgery, per root, without closure | € 74,07 |
H43 | Root apex surgery, per root, with antegrade or retrograde closure | € 98,76 |
H44 | Primary antrum closure | € 67,90 |
H59 | Treatment of fractured jaw, per jaw | € 86,41 |
H60 | Marsupialization | € 86,41 |
H65 | Primary closure | € 166,65 |
H70 | Irritation fibroma, flabby ridge, tubercle correction and the like, one-sided per jaw | € 86,41 |
H75 | Irritation fibroma, flabby ridge, tubercle correction and the like, double-sided per jaw | € 166,65 |
H80 | Alveolotomy torus, comparable preprosthetic bone corrections, one-sided per jaw | € 117,27 |
H85 | Alveolotomy torus, comparable preprosthetic bone corrections, doublesided per jaw | € 197,51 |
a. Partial dentures | ||
P001* | Partial denture made of synthetic resin, 1 - 4 elements, per jaw | € 92,59 |
P003* | Frame denture, 1-4 elements, per jaw | € 253,07 |
P002* | Partial denture made of synthetic resin, 5 - 13 elements, per jaw | € 185,17 |
P004* | Fame denture, 5-13 elements, per jaw | € 345,65 |
a. Procedures for patients with gum diseases | ||
T021 | Thorough cleaning of root, complex | € 33,33 |
b. Complete dentures | ||
P022* | Complete denture upper and lower jaw | € 401,20 |
P020* | Complete denture upper jaw | € 185,17 |
P023* | Temporary complete denture, per jaw | € 123,45 |
P021* | Complete denture lower jaw | € 246,89 |
c. Surcharges | ||
P044 | Surcharge very severely shrunken jaw, per jaw | € 83,33 |
P040 | Surcharge for individual impression with complete dentures | € 66,66 |
P046 | Surcharge for each element in an overdenture | € 49,38 |
P042 | Surcharge for bite registration with specific equipment | € 61,72 |
P048 | Surcharge for making a precision connection per connection i.e. bar attachment | € 92,59 |
P045 | Surcharge for immediate denture | € 15,43 |
P047 | Surcharge for cast anchor for partial denture made of synthetic resin | € 18,52 |
P041 | Surcharge for individual impression with partial dentures of synthetic resin | € 30,86 |
P049 | Surcharge for placing telescopic crown with precision connection | € 61,72 |
P043 | Surcharge for front arrangement or bite determinationin a separate session | € 37,03 |
d. Adjustments existing dentures | ||
P067 | Systematic filing of the existing denture | € 30,86 |
P060 | Tissue conditioning complete denture, per jaw | € 43,21 |
P062* | Resurfacing complete denture, indirectly, per jaw | € 87,03 |
P069* | Repairing complete denture, with impression, per jaw | € 49,38 |
P071* | Repairing and/or extension partial denture of synthetic resin or frame denture, with impression, per jaw | € 49,38 |
P064* | Resurfacing partial denture of synthetic resin or frame denture, indirectly, per jaw | € 75,92 |
P068* | Repairing complete denture, without impression, per jaw | € 18,52 |
P061 | Tissue conditioning partial denture of synthetic resin or frame denture, per jaw | € 43,21 |
P070* | Repairing partial denture of synthetic resin or frame denture, without impression, per jaw | € 18,52 |
P063* | Resurfacing complete denture, directly, per jaw | € 87,65 |
P072* | Extension partial denture of synthetic resin or frame denture with element(s) to complete dentures, with impression, per jaw | € 49,38 |
P066* | Resurfacing overdenture on natural abutment teeth without bar detachment, per jaw | € 172,83 |
a. Procedures for patients with gum diseases | ||
T070 | Periodontal flap surgery between 2 teeth | € 200,60 |
T022 | Thorough cleaning of root, standard | € 24,69 |
T033 | Extensively discussing follow-up treatmentafter re-examination | € 67,90 |
T072 | Extensive periodontal flap surgery, per sextant (one-sixth part) | € 370,34 |
T074 | Direct postoperative care, next session | € 166,04 |
T043 | Extensive consultation periodontal aftercare | € 124,68 |
T071 | Periodontal flap surgery, per sextant (one-sixth part) | € 308,62 |
T032 | Re-examination with periodontal status, after initial gum treatment | € 111,10 |
T073 | Direct postoperative care, first session | € 61,72 |
T042 | Consultation periodontal aftercare | € 93,82 |
T076 | Tuber or retromolarplastics | € 77,15 |
T012 | Examination of gums with periodontium status | € 179,00 |
T044 | Complex consultation periodontal aftercare | € 166,04 |
b. Periodontology in other situations (not covered by part a) | ||
T142* | Coverage of recession with displaced rag | € 370,34 |
T121 | Crown lenghthening per element | € 200,60 |
T101 | Tuber or retromolar plastics | € 108,02 |
T141 | Gum Graft | € 117,27 |
T103 | Gum correction, per sextant (one sixth part) | € 154,31 |
T163* | Applying local medicine | € 66,66 |
T151 | Direct postoperative care, first session | € 61,72 |
T112* | Placing regeneration material as a non- individual procedure, simultaneously to the periodontal flap surgery in the same sextant (one-sixth part), per element | € 123,45 |
T165 | Extensive dietary analysis | € 61,72 |
T122 | Crown lenghthening per sextant | € 370,34 |
T102 | Gum correction per element | € 58,64 |
T161** | Bacteriological examination for gum treatment | € 43,21 |
T164* | Retainer or wire retainer | € 24,69 |
T162 | Treatment of gum abscess | € 83,33 |
T111* | Placing regeneration material as an individual procedure, per sextant(one-sixth part) | € 370,34 |
T152 | Direct postoperative care, next session | € 166,04 |
T113 | Surgical removal of regeneration material | € 200,60 |
. | ||
J98 | Overhead costs preimplant surgery | € 103,44 |
J97 | Overhead costs implants | € 182,78 |
a. Examinations, diagnostics and treatment planning | ||
J01 | Initial examination implantology | € 68,48 |
J02* | Extended examination implantology | € 105,35 |
J03* | Trial mounting | € 142,22 |
J05 | Implant positioning based on CT scan | € 47,41 |
b. I - Pre-implant surgery | ||
J08* | Placing bone replacements in extraction wound | € 21,07 |
J09* | Elevating sinus floor, first half of jaw | € 252,84 |
J10* | Elevating sinus floor, second half of jaw during the same session | € 158,03 |
J11 | Preparing donor section | € 142,22 |
J12* | Jaw expansion and/or elevation, per jaw | € 152,76 |
J13 * | Jaw expansion and/or elevation, in the second half of the jaw during the same session | € 72,03 |
b. II - Pre-implant and peri-implant surgery | ||
J06 | Exposing mental foramen | € 31,61 |
J15* | Jaw expansion and/or elevation, per sextant | € 89,55 |
J16 * | Jaw expansion and/or elevantion in the second half of the jaw | € 80,12 |
J17* | Additional elevation sinus floor | € 136,96 |
J18* | Orthograde elevation sinus floor | € 63,21 |
J19 | Surcharge esthetic zone | € 68,48 |
c. Implant surgery | ||
J37 | Replacing next implant | € 99,56 |
J20 | Placing first implant, per jaw | € 240,73 |
J29* | Placing next Healing Abutment | € 37,40 |
J39 | Performing automatic transplantation | € 183,84 |
J88 | Surgical treatment of peri-implantitis, per sextant (one sixth part) | € 183,84 |
J28 | Placing next implant, per jaw | € 99,56 |
J36 | Removing implant | € 34,77 |
J21 | Placing each next implant in the same jaw, through the same wound | € 92,41 |
J22 | Placing each next implant in the same jaw, another wound | € 92,41 |
J23* | Placing first Healing Abutment | € 79,01 |
J24 * | Placing next Healing Abutment, the same wound | € 34,71 |
J25 * | Placing next Healing Abutment, another wound | € 34,71 |
J26 | Difficult removal of implant | € 173,83 |
J27 | Replacing implant | € 240,73 |
d. Miscellaneous | ||
J34 | Determination implant stability by using ISQ-measurement | € 10,54 |
J81 | Obtaining and processing blood into a regenerative biomaterial by a venipuncture | € 118,52 |
J87* | Temporary crown on immediate placed implant | € 273,91 |
J30 | Connective tissue transplant per donor place | € 110,62 |
J35 | Thoroughly submucosal cleaning the implant | € 24,76 |
J31 | Next connective tissue transplant | € 47,13 |
J32* | Removal of fractured abutment / occlusal screw | € 121,15 |
J33 | Implant costs | € 338,74 |
J07 | Surcharge fee drilling for single use or surcharge fee inserts for Implant Removal Set for single use | Costprice |
e. Mesostructure | ||
J40 * | Two magnets / press stud attachments | € 151,57 |
J45* | Placement of first attachment | € 126,42 |
J41 * | Each next magnet, press stud attachment | € 36,01 |
J42* | Bar between two implants | € 215,97 |
J43* | Each next bar between implants in the same jaw | € 68,48 |
J44* | Placing core for implant crown | € 26,34 |
f. Prosthetic treatment after click denture | ||
J50* | Simultaneously placing complete dentures and click denture | € 542,55 |
J51* | Lower click denture | € 352,92 |
J52* | Upper click denture | € 352,92 |
J53* | Click denture conversion | € 105,35 |
J54* | Click denture conversion at bars between two implants | € 136,96 |
J55* | Click denture conversion at bars between three or four implants | € 158,03 |
J56* | Click denture conversion at bars between more than four implants | € 184,36 |
J57 | Surcharge replacement click denture on an existing bar construction between two implants | € 89,55 |
J58 | Surcharge replacement click denture on an existing bar construction between three or four implants | € 115,89 |
J59 | Surcharge replacement click denture on an existing bar construction between more than four implants | € 142,22 |
g. Aftercare implantology | ||
J60 | Specific consultation aftercare implantology | € 57,94 |
J61 | Extensive consultation aftercare implantology | € 94,82 |
h. Prosthetic aftercare | ||
J78* | Remove and replace push button | € 26,34 |
J70* | Resurfacing without bar detachment | € 147,49 |
J71* | Resurfacing with bar detachment on two implants | € 184,36 |
J72* | Resurfacing with bar detachment on three or four implants | € 210,70 |
J73* | Resurfacing with bar detachment on more than four implants | € 237,04 |
J74* | Repairing without bar detachment | € 57,94 |
J75* | Repairing with bar detachment on two implants | € 110,62 |
J76* | Repairing with bar detachment on three or four implants | € 136,96 |
J77* | Repairing with bar detachment on more than four implants | € 163,29 |
i. Chain care implantology | ||
J80 | Two implants in the lower jaw for a, implant-supported dentures | € 36,23 |
U05* | Hourly fee supervision difficult to treat clients in units of five minutes | € 16,22 |
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 | € 16,22 |
U25* | Time tariff dental assistance to patients who be evaluated in Wlz setting in units of five minutes | € 14,06 |
Y01 | Information provision, in units of five minutes | € 14,06 |
Y02 | Mutual service | Maximum |