Medicine

Stomatology

code

Name of dental service

value

 code

General works

 uah

101

Radiography, dental + picture recording

70

102

Anesthesia

120

102а

Electronic anesthesia

150

103

Imposition of a temporary seal

50

104

Teeth Whitening / Intrachannel /

300

105

Splinting teeth / 1 tooth /

400

106

Cofferdan

100

107

Individual cap

600

 

                                 Removing the pin

 

108

Removing the pin – anchor

280

109

Removing the pin – fiberglass

200

110

Removing the pin – a metal insert of a single root

250

111

Removing the pin – the metal tab of the multi-rooted

350

 

                                   Removing the crown

 

112

Removing the crown – stamped

120

113

Removing the crown – one-piece

170

114

Removing the crown – metal-ceramic

250

 

                                   Prevention

 

201

Fluoridation of teeth with fluorinated varnish

100

202

Removing the sensitivity of the sial by the tread

80

203

Removing tartar, Cavitron system 1 jaw

400

204

Fissure sealing / 1 tooth /

100

205

Professional tooth chewing paste / 1 jaw /

120

206

Professional teeth cleaning machine, Airflo / 1 system jaw /

250

207

Whitening of the esthetic segment of the teeth / 1 jaw /

2000

208

Complex of professional hygiene / 2 jaws / + Airflo system

800

 

                                  Periodontology

 

301

Opening of the paradontal abscess

200

302

Curettage of the paradontiac pockets, Cavitron / 1 segment /

400

303

Injections: antibiotics, vitamins

100

 

                                  Endodontics

 

401

Mechanical and medicament treatment of 1-but canal tooth

400

402

Mechanical and medicament treatment of 2-channel tooth

700

403

Mechanical and medicament treatment of 3-channel tooth

900

404

Mechanical and medicament treatment of 4-channel tooth

900

405

Temporary filling of 1 root canal with hydroxide calcium

100

406

Filling 1 root canal + sperm + gutta percha

250

407

Filling of 1 root canal Thermofil

400

408

Closing of perforations, Pro-Root / MTA /

400

409

Raspolumbirovanie 1-but root canal obturated gutta-percha or paste

200

410

Raspolumbirovanie 1-but root canal obturated cement

300

 

                Filling, cosmetic restoration

 

501

Therapeutic calcium-containing gasket

100

502

Correction of restoration

150

 

       Treatment of caries with a photopolymer

 

503

Treatment of caries 1 class, within 1 surface

350

504

Caries treatment class 2, within 2 surfaces

500

505

Caries treatment 2 class MOD, in the 3-surface

600

506

Caries treatment grade 3, without cutting edge

350

507

Treatment of caries 4 class, with access to the cutting edge

450

508

Caries treatment grade 5, cervical lesion

400

509

Reconstruction of the tooth

850

510

Art restoration of a tooth

750

511

Treatment of caries with a glass ionomer

350

512

Reinforcement with an anchor pin / Unimetrik /

170

513

Reinforcement with fiberglass pins

300

514

Adhesive bridge structure

2000

 

                                    Prosthetics

 

601

The impression is partial

150

602

Full print

200

603

Manufacturing of diagnostic models

625

604

Cast pivot stump insert simple

625

605

Molded pivot cultic insert collapsible

750

606

Construction of the cult part of the phial on fiberglass pin

450

607

Crown temporary

250

608

Crown temporary / laboratory /

350

609

Wax modeling of the 1st tooth

300

610

Composite crown

1000

611

Metal Ceramic Crown

2250

612

Ceramic veneer

5000

613

Ceramic crown on oxide-zirconium basis

5500

614

Metal-ceramic crown on implant

2500

615

Ceramic crown on an oxide-zirconium basis on implant

5500

616

Telescopic crown

4400

617

Clasp denture with clamp fixation

12000

618

Clasp prosthesis with lock fixation

15000

619

Relocation constant

1000

620

Fixation of cult inserts and crowns on a composite

200

621

Fixation of cult plates and crowns on a glass ionomer

150

622

Complete removable denture

2500

623

One-piece crown

1000

624

Thermoplastic prosthesis / partial /

1800

625

Thermoplastic prosthesis / full / Deflex

4000

626

Correction / if the prosthesis is made in another clinic /

500

 

                               Surgery

 

701

Simple tooth extraction

700

702

Atypical tooth extraction

1200

703

Open curettage in the area of ​​the 1st tooth

800

704

Resection of the apex of the root

1500

705

Retrograde root filling

400

706

Hood removal

400

707

Lip bridle plastic surgery

700


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