| a. Diagnostic examination | ||
| C002 | Consultation for an periodic check-up | € 28,83 |
| C001 | Consultation for an intake | € 57,66 |
| C003 | Consultation, not being periodic check-up | € 28,83 |
| b. Additional diagnostic examination general | ||
| C016 * | Making and discussing a restorative test setup | € 227,59 |
| C011 | Extensive research for a second opinion | € 136,56 |
| C013* | Study models | € 37,93 |
| C015 | Periodontal registration | € 91,04 |
| C010 | Additional medical history after (written) routine questions | € 28,83 |
| C012 | Extensive examination for the integral treatment plan | € 136,56 |
| C014 | Pocket registration | € 45,52 |
| c. Miscellaneous | ||
| C022 | Drying elements using a rubber patch | € 15,17 |
| C021 | Surcharge evening, night and weekend hours (anw hours) | € 31,86 |
| C020 | Dental care at home | € 22,76 |
| X26 | Evaluating multidimensional jaw X-ray | € 75,86 |
| X11 | Evaluating small X-ray | € 15,93 |
| X10 | Making and evaluating small X-ray | € 21,24 |
| X22 | Making and evaluating panoramic X-ray for the purpose of dental implants in € 74,07 a toothles jaw | € 91,04 |
| X25 | Making and evaluating multidimensional jaw X-ray | € 257,94 |
| X34 | Evaluating cranial X-ray | € 30,35 |
| X23 | Evaluating Jaw X-ray | € 33,38 |
| X21 | Making and evaluating panoramic X-ray | € 91,04 |
| X24 | Evaluating cranial X-ray | € 40,97 |
| M30 | Treatment for sensitive tooth necks | € 7,59 |
| M61* | Mouthguard | € 34,14 |
| M01 | Preventive dental health information and/or instruction, price per 5 minutes | € 17,01 |
| M81* | Treatment of white spots, next element | € 36,41 |
| M03 | Dental cleaning, price per 5 minutes | € 17,01 |
| M32*/** | Basic bacteriological or enzymatic research | € 22,76 |
| M40 | Fluoride treatment | € 18,97 |
| M80* | Treatment of white spots, first element | € 66,00 |
| M02 | Consultation for the evaluation of prevention, price per 5 minutes | € 17,01 |
| M05 | Non-restorative treatment of caries in the milk teeth | € 34,14 |
| A15 | Local anesthesia | € 9,86 |
| A20 | Treatment with general anesthesia | Cost price |
| A10 | Block anesthesia and/or infiltration anesthesia | € 18,97 |
| A30 | Preparation for treatment under general anesthesia | € 60,69 |
| B10 | Introductory sedative (nitrous oxide sedation sedation) | € 37,93 |
| B12 | Overhead costs sedative | € 45,86 |
| B11 | Administering the sedative (nitrous oxide sedation sedation) | € 37,93 |
| a. Fillings and complete restoration of the shape of a tooth or molar | ||
| V94 | Four or more surface composite filling | € 121,38 |
| V81 | One surface glass ionomer/ glass carbomer/ compomer filling | € 47,04 |
| V83 | Three surface glass ionomer/glass carbomer/compomer filling | € 81,17 |
| V91 | One surface composite filling | € 60,69 |
| V72 | Two surface amalgam filling | € 50,83 |
| V93 | Three surface composite filling | € 94,83 |
| V74 | Four or more surface amalgam filling | € 96,35 |
| V82 | Two surface glass ionomer/ glass carbomer/ compomer filling | € 66,00 |
| V84 | Four or more surface glass ionomer /glass carbomer/ compomer filling | € 107,73 |
| V71 | One surface amalgam filling | € 31,86 |
| V92 | Two surface composite filling | € 79,66 |
| V73 | Three surface amalgam filling | € 66,00 |
| V95 | Complete restoration of tooth shape with composite (anatomical crown restoration) | € 189,66 |
| b. Pins | ||
| V85 | Application of each subsequent root canal post in the same element | € 28,83 |
| V80 | Applying the first root canal post | € 44,00 |
| c. Miscellaneous | ||
| V30 | Sealant on first element (sealen) | € 34,14 |
| V40 | Polishing, grinding and updating old fillings | € 7,59 |
| V70* | Parapulpal pin | € 13,30 |
| V15 | Applying a protective layer of tooth-coloured plastic material (facing) | € 91,04 |
| V35 | Sealant on every next element in the same session (sealen) | € 18,97 |
| V50 | Drying teeth by means of a rubber dam | € 13,30 |
| a. Examination, diagnostics and treatment planning | ||
| E02 | Extensive root canal treatment consultation | € 53,11 |
| E05* | Examination for the purpose of performing a complex endodontic treatment for a referred patient | € 101,66 |
| E03 | Consultation following a dental accident | € 41,73 |
| b. Root canal treatment | ||
| E88 | Filling the pulp chamber and shut off the channel inputs | € 75,86 |
| E60* | Entirely or partly removing pulpal tissue | € 60,69 |
| E04 | Surcharge for expenses incurred by using rotating nickel-titanium instruments | € 59,92 |
| E13 | Root canal treatment per element with 1 canal | € 136,56 |
| E14 | Root canal treatment per element with 2 canals | € 197,25 |
| E16 | Root canal treatment per element with 3 canals | € 257,94 |
| E17 | Root canal treatment per element with 4 or more canals | € 318,63 |
| E85 | Electronic length determination | € 18,97 |
| E19 | Insertion of calcium hydroxide per element, per session | € 22,76 |
| E66 | Root canal treatment of milk tooth | € 60,69 |
| E51 | Removal of crown or bridge | € 42,24 |
| E52 | Difficult root canal treatment | € 37,93 |
| E53 | Removal of a root pin | € 53,11 |
| E54 | Removal of root canal filling material | € 37,93 |
| E55 | Treatment of a clogged or calcified root canal | € 37,93 |
| E56* | Further treatment with iatrogenic damage | € 53,11 |
| E57* | Treatment of an element with exceptional anatomy | € 37,93 |
| E61 | Treatment of an open root apex with calcium hydroxide, first session | € 106,21 |
| E62 | Treatment of an open root apex with calcium hydroxide, every next session | € 68,28 |
| E63* | Surcharge for closure of Mineral Trioxide Aggregate (MTA) | € 56,90 |
| E64 | Closure of open root apex | € 56,32 |
| E77 | Initial root canal treatment, first canal | € 75,86 |
| E78 | Initial root canal treatment, every next canal | € 37,93 |
| E90 | Internal bleaching, first session | € 60,69 |
| E95 | Internal bleaching, every next session | € 22,76 |
| E97* | External bleaching per jaw | € 94,83 |
| E40 | Direct pulp capping | € 37,93 |
| E42 | Replacing a displaced element after a dental accident | € 15,17 |
| E43* | Securing an element by means of a retainer after a dental accident | € 30,35 |
| E44 | Removal of retainer, per element | € 7,59 |
| E45 | Placing a rubber dam | € 13,30 |
| E31 | Incisor and canine tooth | € 151,73 |
| E32 | Premolar | € 212,42 |
| E33 | Molar | € 273,11 |
| E34* | Placing retrograde filling | € 30,35 |
| E36* | Extraction of an element with reimplantation | € 106,21 |
| E37 | Laparoscopic surgery | € 91,04 |
| E86 | Use of surgical microscope for root canal treatment | € 102,42 |
| E87 | Making the practice ready for use for root canal treatment | € 75,86 |
| a. Inlays and crowns | ||
| R08* | One surface composite inlay | € 91,04 |
| R34* | Crown on implant | € 303,46 |
| R09* | Two surface compositeinlay | € 174,49 |
| R10* | Three surface composite inlay | € 227,59 |
| R11* | One surface inlay | € 136,56 |
| R12* | Two surface inlay | € 212,42 |
| R13* | Three surface inlay | € 303,46 |
| R14 | Surcharge for extra retention when placing indirect restaurations | € 37,93 |
| R24* | Crown | € 309,76 |
| R29* | Stainless steel crown, provided with synthetic resin | € 68,28 |
| R31 | Core of plastic material | € 75,86 |
| R32* | Cast core, indirect method | € 75,86 |
| R33* | Cast core, direct method | € 151,73 |
| b. Bridges | ||
| R40* | First pontic | € 227,59 |
| R45* | Surcharge for second and next pontic within the same bridge section | € 113,80 |
| R49 | Surcharge for bridge on five or more abutment teeth | € 189,66 |
| R50* | Metal fixation cap with dental impression | € 37,93 |
| R55* | Plaster cast with extra dental impression | € 37,93 |
| R60* | Maryland bridge without preparation | € 151,73 |
| R61* | Maryland bridge with preparation | € 227,59 |
| R65 | Surcharge for every next pontic within the same bridge section | € 53,11 |
| R66 | Surcharge for every next attachment above the number of two | € 30,35 |
| c. Miscellaneous restorations | ||
| R70 | Surcharge for crown under an existing frame anchor | € 83,45 |
| R67* | Placing build-up for implant crown | € 32,62 |
| R91* | Root cap with pin | € 189,66 |
| R92 | Fit restorative test setup in the mouth | € 102,42 |
| R71* | Renewing porcelain protective layer, repairing metal/porcelain crown in the mouth | € 83,45 |
| R74* | Refixing non-plastic restorations | € 30,35 |
| R75* | Refixing Maryland bridge | € 75,86 |
| R76 | Surcharge for cast core under existing crown | € 37,93 |
| 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* | Indirect veneer | € 333,80 |
| e. Temporary measures | ||
| R80* | Temporary crown- and bridgework, first tooth or molar | € 37,93 |
| R85* | Temporary crown- and bridgework, next tooth or molar | € 15,17 |
| R90* | Partially completed work | Depending on the stage of the treatment plan |
| a. Symptoms in the mandibular joint (cranio-mandibular dysfunction) | ||
| G62* | Occlusal splint | € 204,83 |
| G44* | Therapeutic injection | € 83,45 |
| G21 | Functional examination of the mandibular joint | € 136,56 |
| G48 | Evaluation/ reassessment after cranio-mandibulardysfunction B | € 151,73 |
| G23 | Muscle activity measurement and registration | € 121,38 |
| G68* | Reparation stabilization bite plate with print | € 60,69 |
| G43 | Consult cranio-mandibulardysfunction B (complex) | € 153,25 |
| G46* | Consult for instruction individualized equipment (one time only) | € 60,69 |
| G22 | Extended examination cranio-mandibulardysfunction | € 273,11 |
| G41 | Consult cranio-mandibulardysfunction A (not complex) | € 79,66 |
| G47 | Evaluation/ reassessment after cranio-mandibulardysfunction A | € 91,04 |
| b. Registration methods mandibular joint treatments | ||
| G09 | Occlusion analysis after measurement using digital equipment | € 40,97 |
| G75 | Systematic grinding of all front teeth, per upper of lower jaw | € 75,86 |
| G10 | Non-standard bite registration | € 113,80 |
| G11 | Determination of the hinge axis | € 113,80 |
| G12 | Determination of central relation | € 106,21 |
| G13 | Protral or lateral determinations | € 75,86 |
| G14 | Setting up a fully adjustable articulator, pantograph and registration | € 682,78 |
| G15 | For retaining the bite height | € 37,93 |
| G16 | Determining therapeutic position | € 37,93 |
| G65* | Indirect systematic filing | € 417,25 |
| G20 | Intraoral bite registration | € 70,40 |
| G33* | Creating anterior guidance | € 75,86 |
| G69* | Bite splint | € 83,45 |
| c. Retainer for sleep and snoring disorders | ||
| G71* | Device for snoring and sleep disorders (MRA) | € 379,32 |
| G72 | MRA check-up | € 37,93 |
| G73* | MRA repairs with impression | € 60,69 |
| d. Myofunctional equipment | ||
| G76* | Consultation myofunctional therapy | € 28,83 |
| G74* | Therapy using myofunctional equipment | € 102,42 |
| a. Part A | ||
| H55 | Replacing tooth or molar, adjacent element, without root canal treatment | € 22,76 |
| H11 | Extraction of tooth or molar | € 56,90 |
| H16 | Extraction each next tooth or molar, during the same session and in the same quadrant | € 42,48 |
| H21 | Costs of suturing material | € 7,58 |
| H26 | Suturing soft parts | € 83,45 |
| H50 | Replacing tooth or molar, first element, without root canal treatment | € 75,86 |
| b. Part B | ||
| H34 | Exposing a trapped tooth or molar to promote breakthrough | € 91,04 |
| H36 | Research for the purpose of determining the indication for autograft treatment | € 83,45 |
| H39 | Perform next autotransplant, in the same session | € 120,62 |
| H38* | Perform first autotransplant | € 292,84 |
| H90 | Preparing the practice for performing surgical procedures, covered by part B | € 75,86 |
| H37* | Research for the implementation of an autograft treatment | € 128,97 |
| H33 | Hemisection of a molar | € 91,04 |
| H35 | Difficult extraction of tooth or molar, with mucoperiosteal lift | € 91,04 |
| H40 | Correcting the shape of the jaw, per jaw | € 68,28 |
| H41 | Removal of the frenulum inside the upper lip or the frenulum of the tongue | € 45,52 |
| H42 | Root apex surgery, per root, without closure | € 91,04 |
| H43 | Root apex surgery, per root, with antegrade or retrograde closure | € 121,38 |
| H44 | Primary antrum closure | € 83,45 |
| H59 | Treatment of fractured jaw, per jaw | € 106,21 |
| H60 | Marsupialization | € 106,21 |
| H65 | Primary closure | € 204,83 |
| H70 | Irritation fibroma, flabby ridge, tubercle correction and the like, one-sided per jaw | € 106,21 |
| H75 | Irritation fibroma, flabby ridge, tubercle correction and the like, double-sided per jaw | € 204,83 |
| H80 | Alveolotomy torus, comparable preprosthetic bone corrections, one-sided per jaw | € 144,14 |
| H85 | Alveolotomy torus, comparable preprosthetic bone corrections, doublesided per jaw | € 242,77 |
| a. Partial dentures | ||
| P001* | Partial denture made of synthetic resin, 1 - 4 elements, per jaw | € 113,80 |
| P003* | Frame denture, 1-4 elements, per jaw | € 311,04 |
| P002* | Partial denture made of synthetic resin, 5 - 13 elements, per jaw | € 227,59 |
| P004* | Fame denture, 5-13 elements, per jaw | € 424,84 |
| b. Complete dentures | ||
| P021* | Complete denture lower jaw | € 303,46 |
| P023* | Temporary complete denture, per jaw | € 151,73 |
| P020* | Complete denture upper jaw | € 227,59 |
| P022* | Complete denture upper and lower jaw | € 493,12 |
| c. Surcharges | ||
| P044 | Surcharge very severely shrunken jaw, per jaw | € 102,42 |
| P046 | Surcharge for each element in an overdenture | € 60,69 |
| P048 | Surcharge for making a precision connection per connection i.e. bar attachment | € 113,80 |
| P041 | Surcharge for individual impression with partial dentures of synthetic resin | € 37,93 |
| P043 | Surcharge for front arrangement or bite determinationin a separate session | € 45,52 |
| P045 | Surcharge for immediate denture | € 18,97 |
| P047 | Surcharge for cast anchor for partial denture made of synthetic resin | € 22,76 |
| P040 | Surcharge for individual impression with complete dentures | € 81,93 |
| P049 | Surcharge for placing telescopic crown with precision connection | € 75,86 |
| P042 | Surcharge for bite registration with specific equipment | € 75,86 |
| d. Adjustments existing dentures | ||
| P071* | Repairing and/or extension partial denture of synthetic resin or frame denture, with impression, per jaw | € 60,69 |
| P063* | Resurfacing complete denture, directly, per jaw | € 107,73 |
| P065* | Resurfacing partial denture of synthetic resin or frame denture, directly, per jaw | € 97,11 |
| P066* | Resurfacing overdenture on natural abutment teeth without bar detachment, per jaw | € 212,42 |
| P068* | Repairing complete denture, without impression, per jaw | € 22,76 |
| P060 | Tissue conditioning complete denture, per jaw | € 53,11 |
| P070* | Repairing partial denture of synthetic resin or frame denture, without impression, per jaw | € 22,76 |
| P062* | Resurfacing complete denture, indirectly, per jaw | € 106,97 |
| P072* | Extension partial denture of synthetic resin or frame denture with element(s) to complete dentures, with impression, per jaw | € 60,69 |
| P064* | Resurfacing partial denture of synthetic resin or frame denture, indirectly, per jaw | € 93,31 |
| P067 | Systematic filing of the existing denture | € 37,93 |
| P069* | Repairing complete denture, with impression, per jaw | € 60,69 |
| P061 | Tissue conditioning partial denture of synthetic resin or frame denture, per jaw | € 53,11 |
| a. Procedures for patients with gum diseases | ||
| T073 | Direct postoperative care, first session | € 75,86 |
| T033 | Extensively discussing follow-up treatmentafter re-examination | € 83,45 |
| T076 | Tuber or retromolarplastics | € 94,83 |
| T043 | Extensive consultation periodontal aftercare | € 153,25 |
| T070 | Periodontal flap surgery between 2 teeth | € 246,56 |
| T021 | Thorough cleaning of root, complex | € 40,97 |
| T072 | Extensive periodontal flap surgery, per sextant (one-sixth part) | € 455,19 |
| T032 | Re-examination with periodontal status, after initial gum treatment | € 136,56 |
| T074 | Direct postoperative care, next session | € 204,08 |
| T042 | Consultation periodontal aftercare | € 115,31 |
| T044 | Complex consultation periodontal aftercare | € 204,08 |
| T012 | Examination of gums with periodontium status | € 220,01 |
| T071 | Periodontal flap surgery, per sextant (one-sixth part) | € 379,32 |
| T022 | Thorough cleaning of root, standard | € 30,35 |
| b. Periodontology in other situations (not covered by part a) | ||
| T142* | Coverage of recession with displaced rag | € 455,19 |
| T113 | Surgical removal of regeneration material | € 246,56 |
| T163* | Applying local medicine | € 81,93 |
| T122 | Crown lenghthening per sextant | € 455,19 |
| T101 | Tuber or retromolar plastics | € 132,76 |
| T165 | Extensive dietary analysis | € 75,86 |
| T162 | Treatment of gum abscess | € 102,42 |
| T103 | Gum correction, per sextant (one sixth part) | € 189,66 |
| T152 | Direct postoperative care, next session | € 204,08 |
| T112* | Placing regeneration material as a non- individual procedure, simultaneously to the periodontal flap surgery in the same sextant (one-sixth part), per element | € 151,73 |
| T161** | Bacteriological examination for gum treatment | € 53,11 |
| T121 | Crown lenghthening per element | € 246,56 |
| T164* | Retainer or wire retainer | € 30,35 |
| T141 | Gum Graft | € 144,14 |
| T102 | Gum correction per element | € 72,07 |
| T151 | Direct postoperative care, first session | € 75,86 |
| T111* | Placing regeneration material as an individual procedure, per sextant(one-sixth part) | € 455,19 |
| . | ||
| J002 | Overhead costs pre-implant surgery | € 124,69 |
| J001 | Overhead costs implants and peri-implantitis surgery | € 220,32 |
| a. Examinations, diagnostics and treatment planning | ||
| J010 | Examination for the indication for implantological treatment | € 83,23 |
| J012* | Trial mounting implantology, 1-4 elements | € 96,03 |
| J014 | Implant positioning based on CT scan | € 57,62 |
| J011* | Examination for the implementation of the implantological treatment | € 128,04 |
| J013* | Trial mounting implantology, 5 or more elements | € 192,07 |
| b. Techniques for increasing bone volume in a separate session prior to implantation | ||
| J020* | Elevating sinus floor, first half of jaw | € 307,30 |
| J022* | Jaw expansion and/or elevation, per jaw | € 185,66 |
| J021* | Elevating sinus floor, second half of jaw within a period of three months | € 192,07 |
| c. Techniques for increasing bone volume in the same session as the implantation | ||
| J031* | Elevation sinus floor, during implantation | € 166,46 |
| J030* | Jaw expansion and/or elevation, per sextant, during implantation | € 108,84 |
| J032* | Orthograde elevation sinus floor, during implantation | € 76,83 |
| d. Implant surgery | ||
| J043* | Placing next healing abutment | € 45,46 |
| J045 | Difficult removal of implant | € 211,27 |
| J047 | Replacing next implant | € 121,00 |
| J040 | Placing first implant, per jaw | € 293,22 |
| J049 | Placing two implants in the lower jaw for click dentures | € 652,38 |
| J042* | Placing first healing abutment | € 96,03 |
| J044 | Removing implant | € 42,25 |
| J046 | Replacing first implant | € 292,58 |
| J048 | Surgical treatment of peri-implantitis, per sextant | € 223,44 |
| J041 | Placing next implant, per jaw | € 121,00 |
| e. Miscellaneous | ||
| J050 | Surcharge fee drilling for single use and/or surcharge fee inserts for Implant | Cost price |
| J059 | Thoroughly submucosal cleaning the implant | € 30,09 |
| J052 | Preparing donor place | € 172,86 |
| J054 | Connective tissue transplant per donor place | € 134,45 |
| J056* | Removal of fractured abutment/occlusal screw | € 147,25 |
| J058 | Determination implant stability by using ISQ-measurement | € 12,80 |
| J051* | Placing bone substitutes in extraction wound | € 25,61 |
| J060* | Temporary crown on immediate placed implant | € 332,91 |
| J053 | Surcharge aesthetic zone, per jaw half | € 86,43 |
| J055 | Obtaining and processing blood into a regenerative biomaterial by a venipuncture | € 144,05 |
| J057 | Implant costs | € 404,40 |
| f. Mesostructure | ||
| J070* | Placement of first attachment | € 153,65 |
| J072* | Bar between two implants in the same jaw | € 262,49 |
| J071* | Placement of each next attachment | € 44,82 |
| J073* | Each next bar between implants in the same jaw | € 83,23 |
| g. Prosthetic treatment after implants | ||
| J085* | Click denture conversion at bars between three or four implants | € 192,07 |
| J183* | Conversion of partial dentures or frame into partial click dentures | € 128,04 |
| J087 | Surcharge replacement click denture on an existing bar construction between two implants | € 108,84 |
| J089 | Surcharge replacement click denture on an existing bar construction between more than four implants | € 172,86 |
| J082* | Upper click denture | € 428,95 |
| J084* | Click denture conversion at bars between two implants | € 166,46 |
| J080* | Simultaneously placing complete dentures and click denture | € 659,42 |
| J180* | Partial click dentures made of plastic | € 227,59 |
| J086* | Click denture conversion at bars between more than four implants | € 224,08 |
| J184* | Expansion of partial click dentures to (complete) click dentures, with impression, per jaw | € 60,69 |
| J088 | Surcharge replacement click denture on an existing bar construction between three or four implants | € 140,85 |
| J081* | Lower click denture | € 428,95 |
| J181* | Partial click dentures with metal base (frame) | € 428,95 |
| J083* | Click denture conversion | € 128,04 |
| h. Aftercare implantology | ||
| J091 | Extensive consultation aftercare implantology | € 115,24 |
| J090 | Specific consultation aftercare implantology | € 70,42 |
| i. Prosthetic aftercare | ||
| J109* | Remove and replace push button | € 32,01 |
| J102* | Resurfacing with bar detachment on three or four implants | € 256,09 |
| J104* | Simple repairing click denture without bar detachment and without impression | € 22,76 |
| J112* | Repair partial click dentures | € 70,42 |
| J106* | Repairing with bar detachment on two implants | € 134,45 |
| J110* | Filling partial click dentures | € 179,26 |
| J108* | Repairing with bar detachment on more than four implants | € 198,47 |
| J101* | Resurfacing with bar detachment on two implants | € 224,08 |
| J103* | Resurfacing with bar detachment on more than four implants | € 288,10 |
| J105* | Repairing without bar detachment | € 70,42 |
| J107* | Repairing with bar detachment on three or four implants | € 166,46 |
| J100* | Resurfacing without bar detachment | € 179,26 |
| J111* | Simple repair of partial click dentures without impression | € 22,76 |
| U06* | Additional time for the supervision of difficult-to-treat patients, measured in five-minute units | € 19,93 |
| U25* | Time tariff dental assistance to patients who be evaluated in Wlz setting in units of five minutes | € 17,28 |
| U05* | Hourly fee supervision difficult to treat clients in units of five minutes | € 19,93 |
| 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 | € 19,93 |
| Y01 | Information provision, in units of five minutes | € 17,28 |
| Y02 | Mutual service | Maximum |