a. Diagnostic examination
C001 Consultation for an intake € 57,66
C003 Consultation, not being periodic check-up € 28,83
C002 Consultation for an periodic check-up € 28,83
b. Additional diagnostic examination general
C010 Additional medical history after (written) routine questions € 28,83
C012 Extensive examination for the integral treatment plan € 135,03
C014 Pocket registration € 45,01
C016 * Making and discussing a restorative test setup € 225,05
C011 Extensive research for a second opinion € 135,03
C013* Study models € 37,51
C015 Periodontal registration € 90,02
c. Miscellaneous
C021 Surcharge evening, night and weekend hours (anw hours) € 31,51
C023 Allowance for specific oral care at home € 97,52
C020 Dental care at home € 22,51
C022 Drying elements using a rubber patch € 15,00
X26 Evaluating multidimensional jaw X-ray € 75,02
X11 Evaluating small X-ray € 15,75
X10 Making and evaluating small X-ray € 21,00
X22 Making and evaluating panoramic X-ray for the purpose of dental implants in € 74,07 a toothles jaw € 90,02
X25 Making and evaluating multidimensional jaw X-ray € 255,06
X34 Evaluating cranial X-ray € 30,01
X23 Evaluating Jaw X-ray € 33,01
X21 Making and evaluating panoramic X-ray € 90,02
X24 Evaluating cranial X-ray € 40,51
M30 Treatment for sensitive tooth necks € 7,50
M61* Mouthguard € 33,76
M01 Preventive dental health information and/or instruction, price per 5 minutes € 16,82
M81* Treatment of white spots, next element € 36,01
M03 Dental cleaning, price per 5 minutes € 16,82
M32*/** Basic bacteriological or enzymatic research € 22,51
M40 Fluoride treatment € 18,75
M80* Treatment of white spots, first element € 65,26
M02 Consultation for the evaluation of prevention, price per 5 minutes € 16,82
M05 Non-restorative treatment of caries in the milk teeth € 33,76
A15 Local anesthesia € 9,75
A20 Treatment with general anesthesia Cost price
A10 Block anesthesia and/or infiltration anesthesia € 18,75
A30 Preparation for treatment under general anesthesia € 60,01
B10 Introductory sedative (nitrous oxide sedation sedation) € 37,51
B12 Overhead costs sedative € 45,34
B11 Administering the sedative (nitrous oxide sedation sedation) € 37,51
a. Fillings and complete restoration of the shape of a tooth or molar
V94 Four or more surface composite filling € 120,03
V81 One surface glass ionomer/ glass carbomer/ compomer filling € 46,51
V83 Three surface glass ionomer/glass carbomer/compomer filling € 80,27
V91 One surface composite filling € 60,01
V72 Two surface amalgam filling € 50,26
V93 Three surface composite filling € 93,77
V74 Four or more surface amalgam filling € 95,27
V82 Two surface glass ionomer/ glass carbomer/ compomer filling € 65,26
V84 Four or more surface glass ionomer /glass carbomer/ compomer filling € 106,52
V71 One surface amalgam filling € 31,51
V92 Two surface composite filling € 78,77
V73 Three surface amalgam filling € 65,26
V95 Complete restoration of tooth shape with composite (anatomical crown restoration) € 187,54
b. Pins
V85 Application of each subsequent root canal post in the same element € 28,51
V80 Applying the first root canal post € 43,51
c. Miscellaneous
V30 Sealant on first element (sealen) € 33,76
V40 Polishing, grinding and updating old fillings € 7,50
V70* Parapulpal pin € 13,30
V15 Applying a protective layer of tooth-coloured plastic material (facing) € 90,02
V35 Sealant on every next element in the same session (sealen) € 18,75
V50 Drying teeth by means of a rubber dam € 13,30
a. Examination, diagnostics and treatment planning
E02 Extensive root canal treatment consultation € 52,51
E05* Examination for the purpose of performing a complex endodontic treatment for a referred patient € 100,52
E03 Consultation following a dental accident € 41,26
b. Root canal treatment
E88 Filling the pulp chamber and shut off the channel inputs € 75,02
E60* Entirely or partly removing pulpal tissue € 60,01
E04 Surcharge for expenses incurred by using rotating nickel-titanium instruments € 59,25
E13 Root canal treatment per element with 1 canal € 135,03
E14 Root canal treatment per element with 2 canals € 195,04
E16 Root canal treatment per element with 3 canals € 255,06
E17 Root canal treatment per element with 4 or more canals € 315,07
E85 Electronic length determination € 18,75
E19 Insertion of calcium hydroxide per element, per session € 22,51
E66 Root canal treatment of milk tooth € 60,01
E51 Removal of crown or bridge € 42,24
E52 Difficult root canal treatment € 37,51
E53 Removal of a root pin € 52,51
E54 Removal of root canal filling material € 37,51
E55 Treatment of a clogged or calcified root canal € 37,51
E56* Further treatment with iatrogenic damage € 52,51
E57* Treatment of an element with exceptional anatomy € 37,51
E61 Treatment of an open root apex with calcium hydroxide, first session € 105,02
E62 Treatment of an open root apex with calcium hydroxide, every next session € 67,52
E63* Surcharge for closure of Mineral Trioxide Aggregate (MTA) € 56,26
E64 Closure of open root apex € 56,32
E77 Initial root canal treatment, first canal € 75,02
E78 Initial root canal treatment, every next canal € 37,51
E90 Internal bleaching, first session € 60,01
E95 Internal bleaching, every next session € 22,51
E97* External bleaching per jaw € 93,77
E40 Direct pulp capping € 37,51
E42 Replacing a displaced element after a dental accident € 15,00
E43* Securing an element by means of a retainer after a dental accident € 30,01
E44 Removal of retainer, per element € 7,50
E45 Placing a rubber dam € 13,30
E31 Incisor and canine tooth € 150,03
E32 Premolar € 210,05
E33 Molar € 270,06
E34* Placing retrograde filling € 30,01
E36* Extraction of an element with reimplantation € 105,02
E37 Laparoscopic surgery € 90,02
E86 Use of surgical microscope for root canal treatment € 101,27
E87 Making the practice ready for use for root canal treatment € 75,02
a. Inlays and crowns
R34* Crown on implant € 300,07
R08* One surface composite inlay € 90,02
R09* Two surface compositeinlay € 172,54
R10* Three surface composite inlay € 225,05
R11* One surface inlay € 135,03
R12* Two surface inlay € 210,05
R13* Three surface inlay € 300,07
R14 Surcharge for extra retention when placing indirect restaurations € 37,51
R24* Crown € 330,07
R29* Stainless steel crown, provided with synthetic resin € 67,52
R31 Core of plastic material € 75,02
R32* Cast core, indirect method € 75,02
R33* Cast core, direct method € 150,03
b. Bridges
R40* First pontic € 225,05
R45* Surcharge for second and next pontic within the same bridge section € 112,53
R49 Surcharge for bridge on five or more abutment teeth € 187,54
R50* Metal fixation cap with dental impression € 37,51
R55* Plaster cast with extra dental impression € 37,51
R60* Maryland bridge without preparation € 150,03
R61* Maryland bridge with preparation € 225,05
R65 Surcharge for every next pontic within the same bridge section € 52,51
R66 Surcharge for every next attachment above the number of two € 30,01
c. Miscellaneous restorations
R70 Surcharge for crown under an existing frame anchor € 82,52
R67* Placing build-up for implant crown € 32,26
R91* Root cap with pin € 187,54
R92 Fit restorative test setup in the mouth € 101,27
R71* Renewing porcelain protective layer, repairing metal/porcelain crown in the mouth € 82,52
R74* Refixing non-plastic restorations € 30,01
R75* Refixing Maryland bridge € 75,02
R76 Surcharge for cast core under existing crown € 37,51
R77 Difficult removal of old crown and bridgework per tooth or abutment tooth € 37,51
d. Protective ceramic or synthetic layer
R78* Protective ceramic or synthetic layer, without preparation € 84,48
R79* Indirect veneer € 330,07
e. Temporary measures
R80* Temporary crown- and bridgework, first tooth or molar € 37,93
R85* Temporary crown- and bridgework, next tooth or molar € 15,00
R90* Partially completed work Depending on the stage of the treatment plan
a. Symptoms in the mandibular joint (cranio-mandibular dysfunction)
G62* Occlusal splint € 202,55
G44* Therapeutic injection € 82,52
G21 Functional examination of the mandibular joint € 135,03
G48 Evaluation/ reassessment after cranio-mandibulardysfunction B € 150,03
G23 Muscle activity measurement and registration € 120,03
G68* Reparation stabilization bite plate with print € 60,01
G43 Consult cranio-mandibulardysfunction B (complex) € 151,53
G46* Consult for instruction individualized equipment (one time only) € 60,01
G22 Extended examination cranio-mandibulardysfunction € 270,06
G41 Consult cranio-mandibulardysfunction A (not complex) € 78,77
G47 Evaluation/ reassessment after cranio-mandibulardysfunction A € 90,02
b. Registration methods mandibular joint treatments
G09 Occlusion analysis after measurement using digital equipment € 40,51
G75 Systematic grinding of all front teeth, per upper of lower jaw € 75,02
G10 Non-standard bite registration € 112,53
G11 Determination of the hinge axis € 112,53
G12 Determination of central relation € 105,02
G13 Protral or lateral determinations € 75,02
G14 Setting up a fully adjustable articulator, pantograph and registration € 675,15
G15 For retaining the bite height € 37,51
G16 Determining therapeutic position € 37,51
G65* Indirect systematic filing € 412,59
G20 Intraoral bite registration € 75,02
G33* Creating anterior guidance € 75,02
G69* Bite splint € 82,52
c. Retainer for sleep and snoring disorders
G71* Device for snoring and sleep disorders (MRA) € 375,09
G72 MRA check-up € 37,51
G73* MRA repairs with impression € 60,01
d. Myofunctional equipment
G76* Consultation myofunctional therapy € 28,51
G74* Therapy using myofunctional equipment € 101,27
a. Part A
H55 Replacing tooth or molar, adjacent element, without root canal treatment € 22,51
H11 Extraction of tooth or molar € 56,26
H16 Extraction each next tooth or molar, during the same session and in the same quadrant € 42,01
H21 Costs of suturing material € 7,50
H26 Suturing soft parts € 82,52
H50 Replacing tooth or molar, first element, without root canal treatment € 75,02
b. Part B
H34 Exposing a trapped tooth or molar to promote breakthrough € 90,02
H36 Research for the purpose of determining the indication for autograft treatment € 97,52
H39 Perform next autotransplant, in the same session € 141,78
H38* Perform first autotransplant € 343,58
H90 Preparing the practice for performing surgical procedures, covered by part B € 75,02
H37* Research for the implementation of an autograft treatment € 150,03
H33 Hemisection of a molar € 90,02
H35 Difficult extraction of tooth or molar, with mucoperiosteal lift € 90,02
H40 Correcting the shape of the jaw, per jaw € 67,52
H41 Removal of the frenulum inside the upper lip or the frenulum of the tongue € 45,01
H42 Root apex surgery, per root, without closure € 90,02
H43 Root apex surgery, per root, with antegrade or retrograde closure € 120,03
H44 Primary antrum closure € 82,52
H59 Treatment of fractured jaw, per jaw € 105,02
H60 Marsupialization € 105,02
H65 Primary closure € 202,55
H70 Irritation fibroma, flabby ridge, tubercle correction and the like, one-sided per jaw € 105,02
H75 Irritation fibroma, flabby ridge, tubercle correction and the like, double-sided per jaw € 202,55
H80 Alveolotomy torus, comparable preprosthetic bone corrections, one-sided per jaw € 142,53
H85 Alveolotomy torus, comparable preprosthetic bone corrections, doublesided per jaw € 240,05
a. Partial dentures
P001* Partial denture made of synthetic resin, 1 - 4 elements, per jaw € 112,53
P003* Frame denture, 1-4 elements, per jaw € 307,57
P002* Partial denture made of synthetic resin, 5 - 13 elements, per jaw € 225,05
P004* Fame denture, 5-13 elements, per jaw € 420,10
b. Complete dentures
P021* Complete denture lower jaw € 300,07
P023* Temporary complete denture, per jaw € 150,03
P020* Complete denture upper jaw € 225,05
P022* Complete denture upper and lower jaw € 487,61
c. Surcharges
P044 Surcharge very severely shrunken jaw, per jaw € 101,27
P046 Surcharge for each element in an overdenture € 60,01
P048 Surcharge for making a precision connection per connection i.e. bar attachment € 112,53
P041 Surcharge for individual impression with partial dentures of synthetic resin € 37,51
P043 Surcharge for front arrangement or bite determinationin a separate session € 45,01
P045 Surcharge for immediate denture € 18,75
P047 Surcharge for cast anchor for partial denture made of synthetic resin € 22,51
P040 Surcharge for individual impression with complete dentures € 81,02
P049 Surcharge for placing telescopic crown with precision connection € 75,02
P042 Surcharge for bite registration with specific equipment € 75,02
d. Adjustments existing dentures
P071* Repairing and/or extension partial denture of synthetic resin or frame denture, with impression, per jaw € 60,01
P063* Resurfacing complete denture, directly, per jaw € 106,52
P065* Resurfacing partial denture of synthetic resin or frame denture, directly, per jaw € 96,02
P066* Resurfacing overdenture on natural abutment teeth without bar detachment, per jaw € 210,05
P068* Repairing complete denture, without impression, per jaw € 22,51
P060 Tissue conditioning complete denture, per jaw € 52,51
P070* Repairing partial denture of synthetic resin or frame denture, without impression, per jaw € 22,51
P062* Resurfacing complete denture, indirectly, per jaw € 105,77
P072* Extension partial denture of synthetic resin or frame denture with element(s) to complete dentures, with impression, per jaw € 60,01
P064* Resurfacing partial denture of synthetic resin or frame denture, indirectly, per jaw € 92,27
P067 Systematic filing of the existing denture € 37,51
P069* Repairing complete denture, with impression, per jaw € 60,01
P061 Tissue conditioning partial denture of synthetic resin or frame denture, per jaw € 52,51
a. Procedures for patients with gum diseases
T073 Direct postoperative care, first session € 75,02
T033 Extensively discussing follow-up treatmentafter re-examination € 82,52
T076 Tuber or retromolarplastics € 93,77
T043 Extensive consultation periodontal aftercare € 151,53
T070 Periodontal flap surgery between 2 teeth € 243,81
T021 Thorough cleaning of root, complex € 40,51
T072 Extensive periodontal flap surgery, per sextant (one-sixth part) € 450,10
T032 Re-examination with periodontal status, after initial gum treatment € 135,03
T074 Direct postoperative care, next session € 201,80
T042 Consultation periodontal aftercare € 114,03
T044 Complex consultation periodontal aftercare € 201,80
T012 Examination of gums with periodontium status € 217,55
T071 Periodontal flap surgery, per sextant (one-sixth part) € 375,09
T022 Thorough cleaning of root, standard € 30,01
b. Periodontology in other situations (not covered by part a)
T142* Coverage of recession with displaced rag € 450,10
T113 Surgical removal of regeneration material € 243,81
T163* Applying local medicine € 81,02
T122 Crown lenghthening per sextant € 450,10
T165 Extensive dietary analysis € 75,02
T101 Tuber or retromolar plastics € 131,28
T162 Treatment of gum abscess € 101,27
T103 Gum correction, per sextant (one sixth part) € 187,54
T152 Direct postoperative care, next session € 201,80
T112* Placing regeneration material as a non- individual procedure, simultaneously to the periodontal flap surgery in the same sextant (one-sixth part), per element € 150,03
T161** Bacteriological examination for gum treatment € 52,51
T121 Crown lenghthening per element € 243,81
T164* Retainer or wire retainer € 30,01
T141 Gum Graft € 142,53
T102 Gum correction per element € 71,27
T151 Direct postoperative care, first session € 75,02
T111* Placing regeneration material as an individual procedure, per sextant(one-sixth part) € 450,10
.
J002 Overhead costs pre-implant surgery € 123,30
J001 Overhead costs implants and peri-implantitis surgery € 217,86
a. Examinations, diagnostics and treatment planning
J011* Examination for the implementation of the implantological treatment € 150,03
J013* Trial mounting implantology, 5 or more elements € 225,05
J010 Examination for the indication for implantological treatment € 97,52
J012* Trial mounting implantology, 1-4 elements € 112,53
J014 Implant positioning based on CT scan € 67,52
b. Techniques for increasing bone volume in a separate session prior to implantation
J021* Elevating sinus floor, second half of jaw within a period of three months € 225,05
J020* Elevating sinus floor, first half of jaw € 360,08
J022* Jaw expansion and/or elevation, per jaw € 217,55
c. Techniques for increasing bone volume in the same session as the implantation
J030* Jaw expansion and/or elevation, per sextant, during implantation € 127,53
J032* Orthograde elevation sinus floor, during implantation € 90,02
J031* Elevation sinus floor, during implantation € 195,04
d. Implant surgery
J044 Removing implant € 49,51
J046 Replacing first implant € 342,83
J048 Surgical treatment of peri-implantitis, per sextant € 261,81
J041 Placing next implant, per jaw € 141,78
J043* Placing next healing abutment € 53,26
J045 Difficult removal of implant € 247,56
J047 Replacing next implant € 141,78
J040 Placing first implant, per jaw € 343,58
J049 Placing two implants in the lower jaw for click dentures € 764,42
J042* Placing first healing abutment € 112,53
e. Miscellaneous
J051* Placing bone substitutes in extraction wound € 30,01
J060* Temporary crown on immediate placed implant € 390,09
J053 Surcharge aesthetic zone, per jaw half € 101,27
J055 Obtaining and processing blood into a regenerative biomaterial by a venipuncture € 168,79
J057 Implant costs € 424,64
J050 Surcharge fee drilling for single use and/or surcharge fee inserts for Implant Cost price
J059 Thoroughly submucosal cleaning the implant € 35,26
J052 Preparing donor place € 202,55
J054 Connective tissue transplant per donor place € 157,54
J056* Removal of fractured abutment/occlusal screw € 172,54
J058 Determination implant stability by using ISQ-measurement € 15,00
f. Mesostructure
J071* Placement of each next attachment € 52,51
J073* Each next bar between implants in the same jaw € 97,52
J070* Placement of first attachment € 180,04
J072* Bar between two implants in the same jaw € 307,57
g. Prosthetic treatment after implants
J083* Click denture conversion € 150,03
J184* Expansion of partial click dentures to (complete) click dentures, with impression, per jaw € 60,01
J085* Click denture conversion at bars between three or four implants € 225,05
J087 Surcharge replacement click denture on an existing bar construction between two implants € 127,53
J081* Lower click denture € 502,61
J089 Surcharge replacement click denture on an existing bar construction between more than four implants € 202,55
J183* Conversion of partial dentures or frame into partial click dentures € 150,03
J082* Upper click denture € 502,61
J084* Click denture conversion at bars between two implants € 195,04
J086* Click denture conversion at bars between more than four implants € 262,56
J181* Partial click dentures with metal base (frame) € 420,10
J080* Simultaneously placing complete dentures and click denture € 772,68
J088 Surcharge replacement click denture on an existing bar construction between three or four implants € 165,04
h. Aftercare implantology
J090 Specific consultation aftercare implantology € 82,52
J091 Extensive consultation aftercare implantology € 135,03
i. Prosthetic aftercare
J107* Repairing with bar detachment on three or four implants € 195,04
J100* Resurfacing without bar detachment € 210,05
J109* Remove and replace push button € 37,51
J102* Resurfacing with bar detachment on three or four implants € 300,07
J112* Repair partial click dentures € 82,52
J110* Filling partial click dentures € 210,05
J104* Simple repairing click denture without bar detachment and without impression € 22,51
J106* Repairing with bar detachment on two implants € 157,54
J108* Repairing with bar detachment on more than four implants € 232,55
J101* Resurfacing with bar detachment on two implants € 262,56
J103* Resurfacing with bar detachment on more than four implants € 337,58
J105* Repairing without bar detachment € 82,52
J111* Simple repair of partial click dentures without impression € 22,51
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 € 18,15
U05* Hourly fee supervision difficult to treat clients in units of five minutes € 20,94
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 € 20,94
Y01 Information provision, in units of five minutes € 17,09
Y02 Mutual service Maximum