Adjust full denture, lower
Adjust full denture, upper
Apically repositioned flap
Application of desensitizing medicaments
Biological Space Recovery
Bone graft with mesh or membrane
Bone replacement graft, first site in quadrant
Children's medical consultation
Clinical crown lengthening
Coarse Scraping with Cavitron
Delivery of Dental Prostheses
Dental consultation with x-ray and cleaning
Dental control and prophylaxis
Dental implant, per tooth
Diastema closure with resins
Diastema closures with resins
Drainage of abscess, intraoral
Evolution for brake treatment
Exodontia indicated by Orthodontics
Extraction of wisdom teeth
Extraction of wisdom tooth (nonsurgical)
Fabrication of mouthguard
General consultation with dental cleaning
Impacted tooth extraction
¢99000.00
Implant supported bridge retainer crown, porcelain fused to titanium, titanium alloy, or metal
Implant supported bridge retainer crown, porcelain/ceramic
Incision and drainage of abscess, intraoral tissue
Initial Physical Therapy Evaluation
Inlay, porcelain/ceramic, 1 surface
Internal bleaching, per tooth
Periodontal maintenance (non-invasive)
Periodontal scaling & root planing, per quadrant
Periodontal surgery
¢145000.00
Permanent tooth extraction
Porcelain crown, per tooth
Porcelain veener, per tooth
Printing of crowns and bridges
Reevaluation Consultation
Root canal therapy, anterior, excluding final restoration
Root canal therapy, biradicular
Root canal therapy, molar, excluding final restoration
Teeth Whitening with Lamp (in the clinic)
Tooth bleaching without lamp (clinical)