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
X10 Making and evaluating small X-ray € 17,28
X34 Evaluating cranial X-ray € 24,12
X22 Making and evaluating panoramic X-ray for the purpose of dental implants in € 74,07 a toothles jaw € 74,07
X23 Evaluating Jaw X-ray € 27,16
X25 Making and evaluating multidimensional jaw X-ray € 209.86
X21 Making and evaluating panoramic X-ray € 74,07
X11 Evaluating small X-ray € 12,96
X24 Evaluating cranial X-ray €33,33
X26 Evaluating multidimensional jaw X-ray € 61,72
M01 Preventive dental health information and/or instruction, price per 5 minutes € 13,84
M40 Fluoride treatment € 15,43
M03 Dental cleaning, price per 5 minutes € 13,84
M80* Treatment of white spots, first element € 53,70
M32* ** Basic bacteriological or enzymatic research € 18,52
M02 Consultation for the evaluation of prevention, price per 5 minutes € 13,84
M61* Mouthguard € 27,78
M05 Non-restorative treatment of caries in the milk teeth € 27,78
M81* Treatment of white spots, next element € 29,63
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
V71 One surface amalgam filling € 25,92
V83 Three surface glass ionomer/glass carbomer/compomer filling € 66,04
V15 Applying a protective layer of tooth-coloured plastic material (facing) € 74,07
V80* Root canal pin € 21,60
V35 Sealant on every next element in the same session (sealen) € 15,43
V73 Three surface amalgam filling € 53,70
V91 One surface composite filling € 49,38
V50 Drying teeth by means of a rubber dam € 12,34
V81 One surface glass ionomer/ glass carbomer/ compomer filling € 38,27
V93 Three surface composite filling € 77,15
V30 Sealant on first element (sealen) € 27,78
V85 * Every next root canal pin in the same element € 9,26
V72 Two surface amalgam filling € 41,35
V84 Four or more surface glass ionomer /glass carbomer/ compomer filling € 87,65
V74 Four or more surface amalgam filling € 75,30
V92 Two surface composite filling € 64,81
V40 Polishing, grinding and updating old fillings € 6,17
V70* Parapulpal pin € 12,34
V82 Two surface glass ionomer/ glass carbomer/ compomer filling € 53,70
V94 Four or more surface composite filling € 98,76
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)
G01 Extensive functional examination € 143,28
G22 Extended examination cranio-mandibulardysfunction € 222,20
G44* Therapeutic injection € 67,90
G41 Consult cranio-mandibulardysfunction A (not complex) € 111,10
G48 Evaluation/ reassessment after cranio-mandibulardysfunction B € 123,45
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
G20 Intraoral bite registration € 61,72
G65* Indirect systematic filing € 339,48
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
P046 Surcharge for each element in an overdenture € 49,38
P040 Surcharge for individual impression with complete dentures € 66,66
P048 Surcharge for making a precision connection per connection i.e. bar attachment € 92,59
P042 Surcharge for bite registration with specific equipment € 61,72
P045 Surcharge for immediate denture € 15,43
P041 Surcharge for individual impression with partial dentures of synthetic resin € 30,86
P047 Surcharge for cast anchor for partial denture made of synthetic resin € 18,52
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
P069* Repairing complete denture, with impression, per jaw € 49,38
P062* Resurfacing complete denture, indirectly, per jaw € 87,03
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
P061 Tissue conditioning partial denture of synthetic resin or frame denture, per jaw € 43,21
P068* Repairing complete denture, without impression, per jaw € 18,52
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
T072 Extensive periodontal flap surgery, per sextant (one-sixth part) € 370,34
T033 Extensively discussing follow-up treatmentafter re-examination € 67,90
T074 Direct postoperative care, next session € 166,04
T043 Extensive consultation periodontal aftercare € 124,68
T032 Re-examination with periodontal status, after initial gum treatment € 111,10
T071 Periodontal flap surgery, per sextant (one-sixth part) € 308,62
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)
T101 Tuber or retromolar plastics € 108,02
T121 Crown lenghthening per element € 200,60
T142* Coverage of recession with displaced rag € 370,34
T163* Applying local medicine € 66,66
T103 Gum correction, per sextant (one sixth part) € 154,31
T141 Gum Graft € 117,27
T165 Extensive dietary analysis € 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
T151 Direct postoperative care, first session € 61,72
T161** Bacteriological examination for gum treatment € 43,21
T102 Gum correction per element € 58,64
T122 Crown lenghthening per sextant € 370,34
T111* Placing regeneration material as an individual procedure, per sextant(one-sixth part) € 370,34
T162 Treatment of gum abscess € 83,33
T164* Retainer or wire retainer € 24,69
T113 Surgical removal of regeneration material € 200,60
T152 Direct postoperative care, next session € 166,04
.
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
J88 Surgical treatment of peri-implantitis, per sextant (one sixth part) € 183,84
J39 Performing automatic transplantation € 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
J81 Obtaining and processing blood into a regenerative biomaterial by a venipuncture € 118,52
J34 Determination implant stability by using ISQ-measurement € 10,54
J30 Connective tissue transplant per donor place € 110,62
J87* Temporary crown on immediate placed implant € 273,91
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