a. Diagnostic examination | ||
C001 | Consultation for an intake | € 53,50 |
C003 | Consultation, not being periodic check-up | € 26,75 |
C002 | Consultation for an periodic check-up | € 26,75 |
b. Additional diagnostic examination general | ||
C010 | Additional medical history after (written) routine questions | € 26,75 |
C013* | Study models | € 35,20 |
C015 | Periodontal registration | € 84,48 |
C016 * | Making and discussing a restorative test setup | € 211,20 |
C012 | Extensive examination for the integral treatment plan | € 126,72 |
C011 | Extensive research for a second opinion | € 126,72 |
C014 | Pocket registration | € 42,24 |
c. Miscellaneous | ||
C021 | Surcharge evening, night and weekend hours (anw hours) | € 29,57 |
C022 | Drying elements using a rubber patch | € 14,08 |
C020 | Dental care at home | € 21,12 |
X25 | Making and evaluating multidimensional jaw X-ray | € 239,36 |
X11 | Evaluating small X-ray | € 14,78 |
X21 | Making and evaluating panoramic X-ray | € 84,48 |
X24 | Evaluating cranial X-ray | € 38,02 |
X34 | Evaluating cranial X-ray | € 28,16 |
X26 | Evaluating multidimensional jaw X-ray | € 70,40 |
X23 | Evaluating Jaw X-ray | € 30,98 |
X10 | Making and evaluating small X-ray | € 19,71 |
X22 | Making and evaluating panoramic X-ray for the purpose of dental implants in € 74,07 a toothles jaw | € 84,48 |
M32*/** | Basic bacteriological or enzymatic research | € 21,12 |
M61* | Mouthguard | € 31,68 |
M81* | Treatment of white spots, next element | € 33,79 |
M02 | Consultation for the evaluation of prevention, price per 5 minutes | € 15,78 |
M05 | Non-restorative treatment of caries in the milk teeth | € 29,92 |
M40 | Fluoride treatment | € 17,60 |
M30 | Treatment for sensitive tooth necks | € 7,04 |
M80* | Treatment of white spots, first element | € 61,25 |
M01 | Preventive dental health information and/or instruction, price per 5 minutes | € 15,78 |
M03 | Dental cleaning, price per 5 minutes | € 15,78 |
A10 | Block anesthesia and/or infiltration anesthesia | € 17,60 |
A30 | Preparation for treatment under general anesthesia | € 56,32 |
A15 | Local anesthesia | € 9,15 |
A20 | Treatment with general anesthesia | Cost price |
B11 | Administering the sedative (nitrous oxide sedation sedation) | € 35,20 |
B10 | Introductory sedative (nitrous oxide sedation sedation) | € 35,20 |
B12 | Overhead costs sedative | € 44,48 |
a. Fillings and complete restoration of the shape of a tooth or molar | ||
V74 | Four or more surface amalgam filling | € 89,41 |
V83 | Three surface glass ionomer/glass carbomer/compomer filling | € 75,33 |
V91 | One surface composite filling | € 56,32 |
V94 | Four or more surface composite filling | € 112,64 |
V71 | One surface amalgam filling | € 29,57 |
V93 | Three surface composite filling | € 88,00 |
V73 | Three surface amalgam filling | € 61,25 |
V82 | Two surface glass ionomer/ glass carbomer/ compomer filling | € 61,25 |
V81 | One surface glass ionomer/ glass carbomer/ compomer filling | € 43,65 |
V84 | Four or more surface glass ionomer /glass carbomer/ compomer filling | € 99,97 |
V92 | Two surface composite filling | € 73,92 |
V72 | Two surface amalgam filling | € 47,17 |
V95 | Complete restoration of tooth shape with composite (anatomical crown restoration) | € 176,00 |
b. Pins | ||
V80 | Applying the first root canal post | € 40,83 |
V85 | Application of each subsequent root canal post in the same element | € 26,75 |
c. Miscellaneous | ||
V50 | Drying teeth by means of a rubber dam | € 13,30 |
V30 | Sealant on first element (sealen) | € 31,68 |
V40 | Polishing, grinding and updating old fillings | € 7,04 |
V70* | Parapulpal pin | € 13,30 |
V15 | Applying a protective layer of tooth-coloured plastic material (facing) | € 84,48 |
V35 | Sealant on every next element in the same session (sealen) | € 17,60 |
a. Examination, diagnostics and treatment planning | ||
E02 | Extensive root canal treatment consultation | € 49,28 |
E03 | Consultation following a dental accident | € 38,72 |
b. Root canal treatment | ||
E88 | Filling the pulp chamber and shut off the channel inputs | € 70,40 |
E60* | Entirely or partly removing pulpal tissue | € 56,32 |
E04 | Surcharge for expenses incurred by using rotating nickel-titanium instruments | € 54,31 |
E13 | Root canal treatment per element with 1 canal | € 126,72 |
E14 | Root canal treatment per element with 2 canals | € 183,04 |
E16 | Root canal treatment per element with 3 canals | € 239,36 |
E17 | Root canal treatment per element with 4 or more canals | € 295,68 |
E85 | Electronic length determination | € 17,60 |
E19 | Insertion of calcium hydroxide per element, per session | € 21,12 |
E66 | Root canal treatment of milk tooth | € 56,32 |
E51 | Removal of crown or bridge | € 42,24 |
E52 | Difficult root canal treatment | € 35,20 |
E53 | Removal of a root pin | € 49,28 |
E54 | Removal of root canal filling material | € 35,20 |
E55 | Treatment of a clogged or calcified root canal | € 35,20 |
E56* | Further treatment with iatrogenic damage | € 49,28 |
E57 | Treatment of an element with exceptional anatomy | € 35,20 |
E61 | Treatment of an open root apex with calcium hydroxide, first session | € 98,56 |
E62 | Treatment of an open root apex with calcium hydroxide, every next session | € 63,36 |
E63* | Surcharge for closure of Mineral Trioxide Aggregate (MTA) | € 49,87 |
E64 | Closure of open root apex | € 56,32 |
E77 | Initial root canal treatment, first canal | € 70,40 |
E78 | Initial root canal treatment, every next canal | € 35,20 |
E90 | Internal bleaching, first session | € 56,32 |
E95 | Internal bleaching, every next session | € 21,12 |
E97* | External bleaching per jaw | € 88,00 |
E40 | Direct pulp capping | € 35,20 |
E42 | Replacing a displaced element after a dental accident | € 14,08 |
E43* | Securing an element by means of a retainer after a dental accident | € 28,16 |
E44 | Removal of retainer, per element | € 7,04 |
E45 | Placing a rubber dam | € 13,30 |
E31 | Incisor and canine tooth | € 140,80 |
E32 | Premolar | € 197,12 |
E33 | Molar | € 253,44 |
E34* | Placing retrograde filling | € 28,16 |
E36* | Extraction of an element with reimplantation | € 84,48 |
E37 | Laparoscopic surgery | € 79,79 |
E86 | Use of surgical microscope for root canal treatment | € 95,04 |
E87 | Making the practice ready for use for root canal treatment | € 70,40 |
a. Inlays and crowns | ||
R34* | Crown on implant | € 281,60 |
R08* | One surface composite inlay | € 84,48 |
R09* | Two surface compositeinlay | € 161,92 |
R10* | Three surface composite inlay | € 211,20 |
R11* | One surface inlay | € 126,72 |
R12* | Two surface inlay | € 197,12 |
R13* | Three surface inlay | € 281,60 |
R14 | Surcharge for extra retention when placing indirect restaurations | € 35,20 |
R24* | Crown | € 309,76 |
R29* | Stainless steel crown, provided with synthetic resin | € 63,36 |
R31 | Core of plastic material | € 70,40 |
R32* | Cast core, indirect method | € 70,40 |
R33* | Cast core, direct method | € 140,80 |
b. Bridges | ||
R40* | First pontic | € 211,20 |
R45* | Surcharge for second and next pontic within the same bridge section | € 105,60 |
R49 | Surcharge for bridge on five or more abutment teeth | € 176,00 |
R50* | Metal fixation cap with dental impression | € 35,20 |
R55* | Plaster cast with extra dental impression | € 35,20 |
R60* | Maryland bridge without preparation | € 140,80 |
R61* | Maryland bridge with preparation | € 211,20 |
R65 | Surcharge for every next pontic within the same bridge section | € 49,28 |
R66 | Surcharge for every next attachment above the number of two | € 28,16 |
c. Miscellaneous restorations | ||
R91* | Root cap with pin | € 176,00 |
R92 | Fit restorative test setup in the mouth | € 95,04 |
R70 | Surcharge for crown under an existing frame anchor | € 77,44 |
R67* | Placing build-up for implant crown | € 30,27 |
R71* | Renewing porcelain protective layer, repairing metal/porcelain crown in the mouth | € 77,44 |
R74* | Refixing non-plastic restorations | € 28,16 |
R75* | Refixing Maryland bridge | € 70,40 |
R76 | Surcharge for cast core under existing crown | € 35,20 |
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* | Protective ceramic or synthetic layer, with preparation | € 140,80 |
e. Temporary measures | ||
R80* | Temporary crown- and bridgework, first tooth or molar | € 35,20 |
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) | ||
G46* | Consult for instruction individualized equipment (one time only) | € 56,32 |
G62* | Occlusal splint | € 190,08 |
G41 | Consult cranio-mandibulardysfunction A (not complex) | € 73,92 |
G47 | Evaluation/ reassessment after cranio-mandibulardysfunction A | € 84,48 |
G21 | Functional examination of the mandibular joint | € 126,72 |
G44* | Therapeutic injection | € 77,44 |
G23 | Muscle activity measurement and registration | € 112,64 |
G48 | Evaluation/ reassessment after cranio-mandibulardysfunction B | € 140,80 |
G68* | Reparation stabilization bite plate with print | € 56,32 |
G43 | Consult cranio-mandibulardysfunction B (complex) | € 142,21 |
G22 | Extended examination cranio-mandibulardysfunction | € 253,44 |
b. Registration methods mandibular joint treatments | ||
G10 | Non-standard bite registration | € 105,60 |
G09 | Occlusion analysis after measurement using digital equipment | € 38,02 |
G75 | Systematic grinding of all front teeth, per upper of lower jaw | € 70,40 |
G11 | Determination of the hinge axis | € 105,60 |
G12 | Determination of central relation | € 98,56 |
G13 | Protral or lateral determinations | € 70,40 |
G14 | Setting up a fully adjustable articulator, pantograph and registration | € 633,61 |
G15 | For retaining the bite height | € 35,20 |
G16 | Determining therapeutic position | € 35,20 |
G65* | Indirect systematic filing | € 387,21 |
G20 | Intraoral bite registration | € 70,40 |
G33* | Creating anterior guidance | € 70,40 |
G69* | Bite splint | € 77,44 |
c. Retainer for sleep and snoring disorders | ||
G71* | Device for snoring and sleep disorders (MRA) | € 352,01 |
G72 | MRA check-up | € 35,20 |
G73* | MRA repairs with impression | € 56,32 |
d. Myofunctional equipment | ||
G76* | Consultation myofunctional therapy | € 26,75 |
G74* | Therapy using myofunctional equipment | € 95,04 |
a. Part A | ||
H55 | Replacing tooth or molar, adjacent element, without root canal treatment | € 21,12 |
H11 | Extraction of tooth or molar | € 52,80 |
H16 | Extraction each next tooth or molar, during the same session and in the same quadrant | € 39,42 |
H21 | Costs of suturing material | € 7,36 |
H26 | Suturing soft parts | € 77,44 |
H50 | Replacing tooth or molar, first element, without root canal treatment | € 70,40 |
b. Part B | ||
H39 | Perform next autotransplant, in the same session | € 139,39 |
H34 | Exposing a trapped tooth or molar to promote breakthrough | € 84,48 |
H36 | Research for the purpose of determining the indication for autograft treatment | € 77,44 |
H38 | Perform first autotransplant | € 331,34 |
H37 * | Research for the implementation of an autograft treatment | € 119,68 |
H90 | Preparing the practice for performing surgical procedures, covered by part B | € 70,40 |
H33 | Hemisection of a molar | € 84,48 |
H35 | Difficult extraction of tooth or molar, with mucoperiosteal lift | € 84,48 |
H40 | Correcting the shape of the jaw, per jaw | € 63,36 |
H41 | Removal of the frenulum inside the upper lip or the frenulum of the tongue | € 42,24 |
H42 | Root apex surgery, per root, without closure | € 84,48 |
H43 | Root apex surgery, per root, with antegrade or retrograde closure | € 112,64 |
H44 | Primary antrum closure | € 77,44 |
H59 | Treatment of fractured jaw, per jaw | € 98,56 |
H60 | Marsupialization | € 98,56 |
H65 | Primary closure | € 190,08 |
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 | € 190,08 |
H80 | Alveolotomy torus, comparable preprosthetic bone corrections, one-sided per jaw | € 133,76 |
H85 | Alveolotomy torus, comparable preprosthetic bone corrections, doublesided per jaw | € 225,28 |
a. Partial dentures | ||
P002* | Partial denture made of synthetic resin, 5 - 13 elements, per jaw | € 211,20 |
P004* | Fame denture, 5-13 elements, per jaw | € 394,25 |
P001* | Partial denture made of synthetic resin, 1 - 4 elements, per jaw | € 105,60 |
P003* | Frame denture, 1-4 elements, per jaw | € 288,64 |
b. Complete dentures | ||
P020* | Complete denture upper jaw | € 211,20 |
P023* | Temporary complete denture, per jaw | € 140,80 |
P022* | Complete denture upper and lower jaw | € 457,61 |
P021* | Complete denture lower jaw | € 281,60 |
c. Surcharges | ||
P049 | Surcharge for placing telescopic crown with precision connection | € 70,40 |
P041 | Surcharge for individual impression with partial dentures of synthetic resin | € 35,20 |
P044 | Surcharge very severely shrunken jaw, per jaw | € 95,04 |
P046 | Surcharge for each element in an overdenture | € 56,32 |
P043 | Surcharge for front arrangement or bite determinationin a separate session | € 42,24 |
P048 | Surcharge for making a precision connection per connection i.e. bar attachment | € 105,60 |
P040 | Surcharge for individual impression with complete dentures | € 76,03 |
P045 | Surcharge for immediate denture | € 17,60 |
P042 | Surcharge for bite registration with specific equipment | € 70,40 |
P047 | Surcharge for cast anchor for partial denture made of synthetic resin | € 21,12 |
d. Adjustments existing dentures | ||
P064* | Resurfacing partial denture of synthetic resin or frame denture, indirectly, per jaw | € 86,59 |
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 | € 49,28 |
P065* | Resurfacing partial denture of synthetic resin or frame denture, directly, per jaw | € 90,11 |
P068* | Repairing complete denture, without impression, per jaw | € 21,12 |
P063* | Resurfacing complete denture, directly, per jaw | € 99,97 |
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 | € 197,12 |
P072* | Extension partial denture of synthetic resin or frame denture with element(s) to complete dentures, with impression, per jaw | € 53,20 |
P060 | Tissue conditioning complete denture, per jaw | € 49,28 |
P067 | Systematic filing of the existing denture | € 35,20 |
P062* | Resurfacing complete denture, indirectly, per jaw | € 99,27 |
P069* | Repairing complete denture, with impression, per jaw | € 56,32 |
a. Procedures for patients with gum diseases | ||
T042 | Consultation periodontal aftercare | € 107,01 |
T073 | Direct postoperative care, first session | € 70,40 |
T012 | Examination of gums with periodontium status | € 204,16 |
T022 | Thorough cleaning of root, standard | € 28,16 |
T076 | Tuber or retromolarplastics | € 88,00 |
T070 | Periodontal flap surgery between 2 teeth | € 228,80 |
T033 | Extensively discussing follow-up treatmentafter re-examination | € 77,44 |
T072 | Extensive periodontal flap surgery, per sextant (one-sixth part) | € 398,97 |
T043 | Extensive consultation periodontal aftercare | € 142,21 |
T074 | Direct postoperative care, next session | € 189,38 |
T021 | Thorough cleaning of root, complex | € 38,02 |
T044 | Complex consultation periodontal aftercare | € 189,38 |
T032 | Re-examination with periodontal status, after initial gum treatment | € 126,72 |
T071 | Periodontal flap surgery, per sextant (one-sixth part) | € 352,01 |
b. Periodontology in other situations (not covered by part a) | ||
T112* | Placing regeneration material as a non- individual procedure, simultaneously to the periodontal flap surgery in the same sextant (one-sixth part), per element | € 140,80 |
T122 | Crown lenghthening per sextant | € 422,41 |
T162 | Treatment of gum abscess | € 95,04 |
T142* | Coverage of recession with displaced rag | € 398,97 |
T102 | Gum correction per element | € 66,88 |
T163* | Applying local medicine | € 76,03 |
T152 | Direct postoperative care, next session | € 189,38 |
T111* | Placing regeneration material as an individual procedure, per sextant(one-sixth part) | € 422,41 |
T165 | Extensive dietary analysis | € 70,40 |
T121 | Crown lenghthening per element | € 228,80 |
T113 | Surgical removal of regeneration material | € 228,80 |
T141 | Gum Graft | € 126,11 |
T101 | Tuber or retromolar plastics | € 123,20 |
T161** | Bacteriological examination for gum treatment | € 49,28 |
T151 | Direct postoperative care, first session | € 70,40 |
T103 | Gum correction, per sextant (one sixth part) | € 176,00 |
T164* | Retainer or wire retainer | € 28,16 |
. | ||
J002 | Overhead costs pre-implant surgery | € 120,94 |
J001 | Overhead costs implants and peri-implantitis surgery | € 213,70 |
a. Examinations, diagnostics and treatment planning | ||
J010 | Examination for the indication for implantological treatment | € 78,06 |
J012* | Trial mounting implantology, 1-4 elements | € 90,07 |
J014 | Implant positioning based on CT scan | € 54,04 |
J011* | Examination for the implementation of the implantological treatment | € 120,09 |
J013* | Trial mounting implantology, 5 or more elements | € 180,13 |
b. Techniques for increasing bone volume in a separate session prior to implantation | ||
J020* | Elevating sinus floor, first half of jaw | € 288,21 |
J022* | Jaw expansion and/or elevation, per jaw | € 174,13 |
J021* | Elevating sinus floor, second half of jaw within a period of three months | € 180,13 |
c. Techniques for increasing bone volume in the same session as the implantation | ||
J032* | Orthograde elevation sinus floor, during implantation | € 72,05 |
J031* | Elevation sinus floor, during implantation | € 156,11 |
J030* | Jaw expansion and/or elevation, per sextant, during implantation | € 102,07 |
d. Implant surgery | ||
J044 | Removing implant | € 39,63 |
J041 | Placing next implant, per jaw | € 113,48 |
J047 | Replacing next implant | € 113,48 |
J043* | Placing next healing abutment | € 42,63 |
J049 | Placing two implants in the lower jaw for click dentures | € 611,85 |
J045 | Difficult removal of implant | € 198,14 |
J040 | Placing first implant, per jaw | € 275,00 |
J046 | Replacing first implant | € 274,40 |
J042* | Placing first healing abutment | € 90,07 |
J048 | Surgical treatment of peri-implantitis, per sextant | € 209,55 |
e. Miscellaneous | ||
J055 | Obtaining and processing blood into a regenerative biomaterial by a venipuncture | € 135,10 |
J050 | Surcharge fee drilling for single use and/or surcharge fee inserts for Implant | Cost price |
J057 | Implant costs | € 387,76 |
J052 | Preparing donor place | € 162,12 |
J059 | Thoroughly submucosal cleaning the implant | € 28,22 |
J054 | Connective tissue transplant per donor place | € 126,09 |
J056* | Removal of fractured abutment/occlusal screw | € 138,10 |
J051* | Placing bone substitutes in extraction wound | € 24,02 |
J058 | Determination implant stability by using ISQ-measurement | € 12,01 |
J053 | Surcharge aesthetic zone, per jaw half | € 81,06 |
J060* | Temporary crown on immediate placed implant | € 312,23 |
f. Mesostructure | ||
J071* | Placement of each next attachment | € 42,03 |
J073* | Each next bar between implants in the same jaw | € 78,06 |
J070* | Placement of first attachment | € 144,11 |
J072* | Bar between two implants in the same jaw | € 246,18 |
g. Prosthetic treatment after implants | ||
J180 * | Partial click dentures made of plastic | € 211,20 |
J082* | Upper click denture | € 402,29 |
J089 | Surcharge replacement click denture on an existing bar construction between more than four implants | € 162,12 |
J084* | Click denture conversion at bars between two implants | € 156,11 |
J181 * | Partial click dentures with metal base (frame) | € 394,25 |
J086* | Click denture conversion at bars between more than four implants | € 210,15 |
J081* | Lower click denture | € 402,29 |
J088 | Surcharge replacement click denture on an existing bar construction between three or four implants | € 132,10 |
J184 * | Expansion of partial click dentures to (complete) click dentures, with impression, per jaw | € 56,32 |
J183* | Conversion of partial dentures or frame into partial click dentures | € 120,09 |
J083* | Click denture conversion | € 120,09 |
J085* | Click denture conversion at bars between three or four implants | € 180,13 |
J080* | Simultaneously placing complete dentures and click denture | € 618,45 |
J087 | Surcharge replacement click denture on an existing bar construction between two implants | € 102,07 |
h. Aftercare implantology | ||
J091 | Extensive consultation aftercare implantology | € 108,08 |
J090 | Specific consultation aftercare implantology | € 66,05 |
i. Prosthetic aftercare | ||
J102* | Resurfacing with bar detachment on three or four implants | € 240,18 |
J109* | Remove and replace push button | € 30,02 |
J104* | Simple repairing click denture without bar detachment and without impression | € 21,12 |
J106* | Repairing with bar detachment on two implants | € 126,09 |
J101* | Resurfacing with bar detachment on two implants | € 210,15 |
J108* | Repairing with bar detachment on more than four implants | € 186,14 |
J103* | Resurfacing with bar detachment on more than four implants | € 270,20 |
J112 * | Repair partial click dentures | € 66,05 |
J105* | Repairing without bar detachment | € 66,05 |
J110 * | Filling partial click dentures | € 168,12 |
J100* | Resurfacing without bar detachment | € 168,12 |
J107* | Repairing with bar detachment on three or four implants | € 156,11 |
J111 * | Simple repair of partial click dentures without impression | € 21,12 |
U25* | Time tariff dental assistance to patients who be evaluated in Wlz setting in units of five minutes | € 16,03 |
U05* | Hourly fee supervision difficult to treat clients in units of five minutes | € 18,50 |
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 | € 18,50 |
Y02 | Mutual service | Maximum |
Y01 | Information provision, in units of five minutes | € 16,03 |