Adjust full denture, lower
Adjust full denture, upper
Aesthetic and functional test
Application of desensitizing medicaments
¢25000.00
Bone graft with mesh or membrane
Delivery of Dental Prostheses
Dental cleaning with fluoride
Dental consultation with x-ray and cleaning
¢35.00
Dental emergency
¢45000.00
Dental implant, per tooth
Dental x-rays (fin, occlusal, periapical)
Diastema closures with resins
Drainage of abscess, intraoral
Elaboration of provisional
Elimination of caries at the mesial occlusal level
Endodontics in temporary works (pulpotomy, pulpectomies)
Exodontia indicated by Orthodontics
Extraction of wisdom teeth
Extraction of wisdom tooth (nonsurgical)
¢60.00
Extraction of wisdom tooth (surgical)
¢110.00
General consultation with dental cleaning
¢35.00
Gingivectomy or gingivoplasty, per tooth
Initial Physical Therapy Evaluation
¢20.00
Inlay, porcelain/ceramic, 1 surface
Lower bracket installation
Orthodontic traction of impacted part
Pediatric Chrome Steel Crowns
Periodontal surgery
¢60.00
Porcelain crown, per tooth
Porcelain veener, per tooth
Resin-based filling
¢30.00
Root canal therapy, anterior, excluding final restoration
Root canal therapy, biradicular
Superior Bracket Installation
Teeth Whitening with Lamp (in the clinic)
$125.00
Temporal tooth extraction
Temporary Restorations (glass ionomer, zinc oxide, basic restorations)
Topical application of fluoride, child