a. Diagnostic examination
C11 Periodic check-up € 22,91
C92 Periodontal registration € 72,35
C91 Pocket registration € 36,18
C13 Problem-oriented consultation € 22,91
b. Additional diagnostic examination general
C22 Written medical history € 22,91
C28 Extensive examination for the purpose of making and establishing a treatment plan € 108,53
C29 * Study models for the purpose of a treatment plan € 30,15
C65 Systematic polishing of all anterior teeth, per upper jaw or lower jaw € 60,29
c. Surcharges and miscellaneous charges
C80 Oral care to the home € 18,09
C84 Preparation for treatment under general anesthesia € 48,23
C85 Treatment on the weekend € 22,91
C86 Evening treatment € 22,91
C87 Treatment at night € 22,91
X34 Evaluating cranial X-ray € 24,12
X10 Small X-ray € 16,88
X23 Evaluating Jaw X-ray € 26,53
X22 Panoramic X-ray for the purpose of dental implants in a toothless jaw € 72,35
X25 Making a multidimensional jaw Xray € 204,99
X21 Panoramic X-ray € 72,35
X11 Panoramic X-ray € 12,66
X24 Cranial X-ray € 32,56
X26 Evaluating multidimensional jaw Xray € 60,29
M40 Fluoride treatment € 15,07
M01 Preventive dental health information and/or instruction, price per 5 minutes € 13,52
M80* Treatment of white spots, first element € 52,45
M03 Dental cleaning, price per 5 minutes € 13,52
M32* Basic bacteriological examination € 18,09
M02 Consultation for the evaluation of prevention, price per 5 minutes € 13,52
M61* Mouthguard € 27,13
M81* Treatment of white spots, next element € 28,94
M05 Polishing and/or fluoridating milk teeth € 27,13
M30 Treatment for sensitive tooth necks € 6,03
A15 Local anesthesia € 7,84
A20 Treatment with general anesthesia Cost price
A10 Block anesthesia and/or infiltration anesthesia € 15,07
B10 Introductory sedative (laughing gas sedation) € 30,15
B12 Overhead costs sedative (laughing gas sedation) € 37,38
B11 Administering the sedative (laughing gas sedation) € 30,15
V83 Three surface glass ionomer/glass carbomer/compomer filling € 64,51
V15 Applying a protective layer of tooth-coloured plastic material € 72,35
V80 * Root canal pin € 21,10
V71 One surface amalgam filling € 25,32
V91 One surface composite filling € 48,23
V35 Sealant on every next element in the same session € 15,07
V73 Three surface amalgam filling € 52,54
V81 One surface glass ionomer/ glass carbomer/ compomer filling € 37,38
V93 Three surface composite filling € 75,37
V50 Drying teeth by means of a rubber dam € 12,06
V85 * Every next root canal pin in the same element € 9,04
V72 Two surface amalgam filling € 40,40
V84 Four or more surface glass ionomer /glass carbomer/ compomer filling € 85,61
V30 Sealant on first element € 27,13
V92 Two surface composite filling € 63,31
V40 Polishing the amalgam fillings, renewing old composite fillings, treatment of sensitive areas

on the neck of teeth and application of medicament

€ 6,03
V74 Four or more surface amalgam filling € 73,56
V94 Four or more surface composite filling € 96,47
V70 * Parapulpal pin € 12,06
V82 Two surface glass ionomer/ glass carbomer/ compomer filling € 52,45
a. Examination, diagnostics and treatment planning
E01 Root canal treatment consultation € 22,91
E02 Extensive root canal treatment consultation € 42,20
E03 Consultation following a dental accident € 33,16
b. Root canal treatment
E88 Filling the pulp chamber and shut off the channel inputs € 60,29
E60 * Entirely or partly removing pulpal tissue € 48,23
E04 Surcharge for expenses incurred by using rotating nickel-titanium instruments € 48,84
E13 Root canal treatment per element with 1 canal € 108,53
E14 Root canal treatment per element with 2 canals € 156,76
E16 Root canal treatment per element with 3 canals € 204,99
E17 Root canal treatment per element with 4 or more canals € 252,23
E85 Electronic length determination € 15,07
E19 Insertion of calcium hydroxide per element, per session € 18,09
E66 Root canal treatment of milk tooth € 48,23
E51 Removal of crown or bridge € 36,18
E52 Difficult root canal treatment € 30,15
E53 Removal of a root pin € 42,20
E54 Removal of root canal filling material € 30,15
E55 Treatment of a clogged or calcified root canal € 30,15
E56 Further treatment with iatrogenic damage € 42,20
E57 Treatment of an element with exceptional anatomy € 30,15
E61 Treatment of an open root apex with calcium hydroxide, first session €84,41
E62 Treatment of an open root apex with calcium hydroxide, every next session € 54,26
E63 * Surcharge for closure of Mineral Trioxide Aggregate (MTA) € 45,22
E64 Closure of open root apex € 48,23
E77 Initial root canal treatment, first canal € 60,29
E78 Initial root canal treatment, every next canal € 30,15
E90 Internal bleaching, first session € 48,23
E95 Internal bleaching, every next session € 18,09
E97 * External bleaching per jaw € 75,37
E98 ** Materials for home bleaching Costprice
E40 Direct pulp capping € 30,15
E42 Replacing a displaced element after a dental accident € 12,06
E43 * Securing an element by means of a retainer after a dental accident € 24,12
E44 Removal of retainer € 6,03
E45 Placing a rubber dam € 12,06
E31 Incisor and canine tooth € 120,58
E32 Premolar € 168,82
E33 Molar € 217,05
E34 * Placing retrograde filling € 24,12
E36 * Extraction of an element with reimplantation € 84,41
E37 Laparoscopic surgery € 72,35
E86 Use of surgical microscope € 81,39
E87 Making the practice ready for use for root canal treatment € 60,29
a. Inlays and crowns
R08 * One surface composite inlay € 72,35
R34 Crown on implant € 241,17
R09 * Two surface compositeinlay € 138,67
R10 * Three surface composite inlay € 180,88
R11 * One surface inlay € 108,53
R12 * Two surface inlay € 168,82
R13 * Three surface inlay € 241,17
R14 Surcharge for cast pin, per pin € 30,15
R24 * Crown € 265,28
R28 * Endo crown, indirectly fabricated € 68,77
R29 * Stainless steel crown, provided with synthetic resin € 54,26
R31 Core of plastic material root canal € 60,29
R32 * Cast core, indirect method € 60,29
R33 * Cast core, direct method € 120,58
b. Bridges
R40 * First pontic € 180,88
R45 * Second and next pontic with the same bridge section € 90,44
R46 * Anchoring a bridge, per anchor € 57,31
R49 Surcharge for bridge onfive or more abutment teeth € 150,73
R50 * Metal fixation cap with dental impression € 30,15
R55 * Plaster cast with extra impression € 30,15
R60 * Maryland bridge without preparation € 120,58
R61 * Maryland bridge with preparation € 180,88
R65 Surcharge for every next pontic within the same bridge section € 42,20
R66 Surcharge for every next attachment above the number of two € 24,12
c. Miscellaneous restorations
R70 Surcharge for crown under an existing frame anchor € 66,32
R71 * Vernieuwen porseleinen schildje, reparatie metalen/porseleinen kroon in de mond € 66,32
R74 * Refixing non-plastic restorations € 24,12
R75 * Refixing Maryland bridge € 60,29
R76 Surcharge for cast core under existing crown € 30,15
R77 Difficult removal of old crown and bridgework per tooth or abutment tooth € 30,15
d. Protective ceramic or synthetic layer
R78 * Protective ceramic or synthetic layer, without preparation € 72,35
R79 * Protective ceramic or synthetic layer, with preparation € 120,58
e. Temporary measures
R80 * Temporary first measure € 30,15
R85 * Temporary next measure € 12,06
R90 * Partially completed work Depending on the stage of the treatment
a. Symptoms in the mandibular joint (cranio-mandibular dysfunction)
G01 Extensive functional examination € 143,28
G22 Extended examination cranio-mandibulardysfunction € 217,05
G44 Therapeutic injection € 66,32
G41 Consult cranio-mandibulardysfunction A (not complex) € 63,31
G48 Evaluation/ reassessment after cranio-mandibulardysfunction B € 120,58
G47 Evaluation/ reassessment after cranio-mandibulardysfunction A € 72,35
G23 Muscle activity measurement and registration € 96,47
G46 Consult for instruction individualized equipment (one time only) € 48,23
G68* Reparation stabilization bite plate with print € 48,23
G43 Consult cranio-mandibulardysfunction B (complex) € 121,79
G21 Functional examination of the mandibular joint € 108,53
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 € 162,79
G63 * Repositioning splint € 229,25
G64 Splint check-up including minor corrections € 28,66
G65 * Indirect systematic filing € 331,61
G66 Biofeedback therapy € 49,73
G67 Trigger point treatment € 63,04
G69 * Bite splint € 66,32
b. Registration methods mandibular joint treatments
G10 Non-standard bite registration € 90,44
G09 Occlusion analysis after measurement using digital equipment € 32,56
G11 Determination of the hinge axis € 90,44
G12 Determination of central relation € 84,41
G13 Protral or lateral determinations € 60,29
G14 Setting up a fully adjustable articulator, pantograph and registration € 542,63
G15 For retaining the bite height € 30,15
G16 Determining therapeutic position € 30,15
G20 Intraoral bite registration € 60,29
G33 * Creating anterior guidance € 60,29
c. Retainer for sleep and snoring disorders
G71 * Device for snoring and sleep disorders (MRA) € 301,46
G72 MRA check-up € 30,15
G73 * MRA repairs with impression M € 48,23
d. Myofunctional equipment
G74 Therapy using myofunctional equipment € 127,22
a. Part A
H11 Extraction of tooth or molar € 45,22
H55 Replacing tooth or molar, adjacent element, without root canal treatment € 18,09
H16 Extraction each next tooth or molar, during the same session and in the same quadrant € 33,76
H21 Costs of suturing material € 6,18
H26 Suturing soft parts € 66,32
H50 Replacing tooth or molar, first element, without root canal treatment € 60,29
b. Part B
H90 Preparing the practice for performing surgical procedures € 60,29
H33 Hemisection of a molar € 72,35
H35 Difficult extraction of tooth or molar, with mucoperiosteal lift € 72,35
H40 Correcting the shape of the jaw, per jaw € 54,26
H41 Removal of the frenulum inside the upper lip or the frenulum of the tongue € 36,18
H42 Root apex surgery, per root, without closure € 72,35
H43 Root apex surgery, per root, with antegrade or retrograde closure € 96,47
H44 Primary antrum closure € 66,32
H59 Treatment of fractured jaw, per jaw € 84,41
H60 Marsupialization € 84,41
H65 Primary closure € 162,79
H70 Irritation fibroma, flabby ridge, tubercle correction and the like, one-sided per jaw € 84,41
H75 Irritation fibroma, flabby ridge, tubercle correction and the like, double-sided per jaw € 162,79
H80 Alveolotomy torus, comparable preprosthetic bone corrections, one-sided per jaw € 114,55
H85 Alveolotomy torus, comparable preprosthetic bone corrections, doublesided per jaw € 192,93
.
P40 Surcharge for immediate denture, price of denture increases by the number of removed teeth that are immediately replaced € 15,07
P60 Extensive examination to the functioning of existing dentures € 36,18
P18 Surcharge for cast anchor for partial denture made of synthetic resin € 18,09
P17 Surcharge for bite registration with specific equipment € 60,29
P35 * Frame denture, 5-13 elements € 337,64
P32 Surcharge for making a precision connection per connection i.e. bar attachment € 90,44
P15 * Partial denture made of synthetic resin, 5 - 13 elements € 180,88
P34 * Frame denture, 1-4 elements € 247,20
P45 * Temporary denture More information on Temporary denture € 120,58
P65 Systematic filing of the existing denture € 30,15
P10 * Partial denture made of synthetic resin, 1 - 4 elements € 90,44
P31 * Root cap with pin € 150,73
P16 Surcharge for individual impression with rim construction for partial denture made of synthetic material € 66,32
P33 Surcharge for placing telescopic crown with precision connection € 60,29
a. Complete denture
P21 * Complete denture upper jaw € 180,88
P25 * Complete denture lower jaw € 241,17
P30 * Complete denture upper and lower jaw € 391,90
P36 Individual impression without rim construction € 30,15
P14 Individual impression with rim construction € 66,32
P37 Mounting front teeth in a separate session € 34,98
P27 Re-occlusion € 60,29
P28 Re-registration and remounting € 60,29
P38 Surcharge for determination of the vertical bite height by means of specific equipment € 66,32
P39 Surcharge for determination of the neutral zone € 90,44
P41 Surcharge for relining of alginate impression € 30,15
P42 Surcharge for specific Azone determination € 30,15
P43 Surcharge for extra bite registration with wax rims € 36,18
P29 Surcharge for each element in an overdenture € 48,23
P06 Tissue conditioning complete denture € 42,20
P01 * Resurfacing complete denture, indirectly without rim construction € 42,20
P02 * Resurfacing complete denture, indirectly with rim construction € 90,44
P03 * Resurfacing complete denture, directly without rim construction € 60,29
P04 * Resurfacing complete denture, directly with rim construction € 90,44
P70 * Resurfacing overdenture on natural abutment teeth without bar detachment € 168,82
P07 * Repairing complete denture, without impression € 18,09
P08 * Repairing complete denture, with impression € 48,23
P56 * Tissue conditioning partial denture or frame denture € 42,20
P51 * Resurfacing partial denture / frame denture, indirectly without rim construction € 42,20
P52 * Resurfacing partial denture / frame denture, indirectly with rim construction € 90,44
P53 * Resurfacing partial denture / frame denture, directly without rim construction € 60,29
P54 * Resurfacing partial denture / frame denture, directly with rim construction € 90,44
P57 * Repairing partial denture / frame denture, without impression € 18,09
P58 * Repairing partial / frame denture, with impression € 48,23
P78 * Extending partial denture with an element or elements until complete denture including impression € 48,23
P79 * Extending partial denture with an element or anchor including impression € 48,23
a. Procedures for patients with gum diseases
T11 Examination of gums with pocket status € 154,51
T12 Examination of gums with periodontium status € 169,09
T21 Thorough cleaning of root by a dentist, per element € 31,49
T22 Thorough cleaning of root by a dental hygienist, per element € 23,32
T31 Re-examination with pocket status, after initial gum treatment € 90,38
T32 Re-examination with periodontal status, after initial gum treatment € 46,65
T33 Extensively discussing follow-up treatment after re-examination € 46,65
T41 Brief consultation aftercare gum treatment by a dentist € 61,22
T42 Brief consultation aftercare gum treatment by a dental hygienist € 88,63
T43 Standard consultation aftercare gum treatment by a dentist € 117,78
T44 Standard consultation aftercare gum treatment by a dental hygienist € 156,85
T60 Evaluation examination with pocket status € 154,51
T61 Evaluation examination with periodontium status € 169,09
T70 Periodontal flap surgery between 2 teeth € 189,50
T71 Periodontal flap surgery, per sextant (one-sixth part) € 301,46
T72 Extensive periodontal flap surgery, per sextant (one-sixth part) € 361,75
T73 Direct postoperative care, brief € 60,29
T74 Direct postoperative care, extensive € 162,19
T75 Postoperative evaluation examination with periodontium status € 151,60
T76 Tuber or retromolar plastics € 75,37
b. Periodontology in other situations (not covered by part a)
T151 Direct postoperative care, first session € 60,29
T165 Extensive dietary analysis € 60,29
T112* Placing regeneration material as a non- individual procedure, simultaneously to the periodontal flap surgery in the same sextant (one-sixth part), per element € 120,58
T80 Gum transplant € 125,36
T101 Tuber or retromolar plastics € 105,51
T121 Crown lenghthening per element € 195,95
T142* Coverage of recession with displaced rag € 361,75
T103 Gum correction, per sextant (one sixth part) € 150,73
T141 Gum Graft € 114,55
T163* Applying local medicine € 65,12
T113 Surgical removal of regeneration material € 195,95
T152 Direct postoperative care, next session € 162,19
T161** Bacteriological examination for gum treatment € 42,20
T102 Gum correction per element € 57,28
T122 Crown lenghthening per sextant € 361,75
T111* Placing regeneration material as an individual procedure, per sextant(one-sixth part) € 361,75
T162 Treatment of gum abscess € 81,39
T164* Retainer or wire retainer € 24,12
T81 Tuber or retromolar plastics € 102,04
T82 Gum correction, per element € 55,39
T83 Gum correction, per sextant (one-sixth part) € 145,77
T84 * Placing regeneration material as an individual procedure, per sextant (one-sixth part) € 349,84
T85 * Placing regeneration material as a nonindividual procedure, simultaneously to the periodontal flap surgery

in the same sextant (one-sixth part), per element

€ 116,61
T86 Surgical removal of regeneration material € 189,50
T87 Crown lenghthening per element € 186,27
T88 Crown lenghthening per sextant € 349,84
T89 Direct postoperative care, brief € 58,31
T90 Direct postoperative care, extensive € 156,85
T91 Pocket registration € 34,98
T92 Periodontium registration € 69,97
T93* Bacteriological examination for gum treatment € 40,82
T94 Treatment of gum abscess € 78,71
T57 * Applying local medicine € 62,97
T95 * Retainer or wire retainer € 23,32
T96 Extensive dietary analysis € 58,31
.
J98 Overhead costs preimplant surgery € 101,64
J97 Overhead costs implants € 179,60
a. Examinations, diagnostics and treatment planning
J01 Initial examination implantology € 66,88
J02 * Extended examination implantology € 102,90
J03 * Trial mounting € 138,91
J05 Implant positioning based on CT scan € 46,30
b. I - Pre-implant surgery
J08 * Placing bone replacements in extraction wound € 20,58
J09 * Elevating sinus floor, first half of jaw € 246,95
J10 * Elevating sinus floor, second half of jaw during the same session € 154,35
J11 Preparing donor section € 138,91
J12 * Jaw expansion and/or elevation in front section of the first half of the jaw € 149,20
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 € 29,85
J15 * Jaw expansion and/or elevation in front section of the first half of the jaw € 84,57
J16 * Jaw expansion and/or elevantion in the second half of the jaw € 80,12
J17 * Additional elevation sinus floor € 129,34
J18 * Orthograde elevation sinus floor € 59,69
J19 Surcharge esthetic zone € 63,56
c. Implant surgery
J37 Replacing next implant € 97,24
J20 Placing first implant, per jaw € 235,12
J29 Placing next Healing Abutment € 36,53
J39 Performing automatic transplantation € 197,56
J88 Surgical treatment of peri-implantitis, per sextant (one sixth part) € 179,56
J28 Placing next implant, per jaw € 97,24
J36 Removing implant € 33,96
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 € 77,17
J24 * Placing next Healing Abutment, the same wound € 34,71
J25 * Placing next Healing Abutment, another wound € 34,71
J26 Difficult removal of implant € 169,78
J27 Replacing implant € 235,12
d. Miscellaneous
J81 Obtaining and processing blood into a regenerative biomaterial by a venipuncture € 115,76
J34 Determination implant stability by using ISQ-measurement € 10,29
J30 Connective tissue transplant, first € 108,04
J87* Temporary crown on immediate placed implant € 267,53
J35 Thoroughly submucosal cleaning the implant € 24,18
J31 Next connective tissue transplant € 47,13
J32 * Removal of fractured abutment / occlusal screw € 118,33
J33 Cost implant € 330,87
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 € 123,48
J41 * Each next magnet, press stud attachment € 36,01
J42 * Bar between two implants € 210,94
J43 * Each next bar between implants in the same jaw € 66,88
J44 * Placing core for implant crown € 25,72
f. Prosthetic treatment after click denture
J50 * Upper and lower click denture € 529,92
J51 * Lower click denture € 344,71
J52 * Upper click denture € 344,71
J53 * Click denture conversion € 102,90
J54 * Click denture conversion at bars between two implants € 133,77
J55 * Click denture conversion at bars between three or four implants € 154,35
J56 * Click denture conversion at bars between more than four implants € 180,07
J57 Surcharge replacement click denture on an existing bar construction between two implants € 87,46
J58 Surcharge replacement click denture on an existing bar construction between three or four implants € 113,19
J59 Surcharge replacement click denture on an existing bar construction between more than four implants € 138,91
g. Aftercare implantology
J60 Specific consultation aftercare implantology € 56,59
J61 Extensive consultation aftercare implantology € 92,61
h. Prosthetic aftercare
J78 Remove and replace push button € 25,72
J70 * Resurfacing without bar detachment € 144,06
J71 * Resurfacing with bar detachment on two implants € 180,07
J72 * Resurfacing with bar detachment on three or four implants € 205,79
J73 * Resurfacing with bar detachment on more than four implants € 231,52
J74 * Repairing without bar detachment € 56,59
J75 * Repairing with bar detachment on two implants € 108,04
J76 * Repairing with bar detachment on three or four implants € 133,77
J77 * Repairing with bar detachment on more than four implants € 159,49
i. Chain care implantology
J80 Two implants in the lower jaw for a, implant-supported dentures € 523,75
U05* Hourly fee in units of 5 minutes € 15,84
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 € 15,84
U25 * Time tariff dental assistance to patients who be evaluated in Wlz setting in units of five minutes € 13,73
Y01 Information provision, in units of five minutes € 13,73
Y02 Mutual service Maximum