Adjust full denture, lower
Adjust full denture, upper
Aesthetic and functional test
Application of desensitizing medicaments
¢20000.00
Bondings, per tooth
¢45000.00
Bone graft with mesh or membrane
Coarse Scraping with Cavitron
Delivery of Dental Prostheses
Dental Cleaning
¢38000.00
Dental cleaning with fluoride
Dental consultation with x-ray and cleaning
¢40000.00
Dental control and prophylaxis
¢32000.00
Dental emergency
¢20000.00
Dental implant, per tooth
Diastema closures with resins
Digital radiovisiography
¢10000.00
Drainage of abscess, intraoral
Elaboration of provisional
Elimination of caries at the mesial occlusal level
Exodontia indicated by Orthodontics
Extraction of wisdom teeth
Extraction of wisdom tooth (nonsurgical)
¢30000.00
Extraction of wisdom tooth (surgical)
¢120000.00
Fabrication of mouthguard
¢45000.00
General consultation with dental cleaning
¢320000.00
Impacted tooth extraction
¢120000.00
Initial Physical Therapy Evaluation
¢20000.00
Inlay, porcelain/ceramic, 1 surface
Limited oral evaluation
¢20000.00
Periodontal maintenance (non-invasive)
¢45000.00
Periodontal scaling & root planing, per quadrant
¢45000.00
Permanent tooth extraction
¢30000.00
Porcelain crown, per tooth
Porcelain veener, per tooth
Resin-based filling
¢30000.00
Root canal therapy, anterior, excluding final restoration
Root canal therapy, biradicular
Root canal therapy, molar, excluding final restoration
¢155000.00
Teeth Whitening with Lamp (in the clinic)
¢125000.00
Temporal tooth extraction
Tooth bleaching without lamp (clinical)
¢125000.00
Topical application of fluoride, child
Zirconium Crown
¢250000.00