Adjust full denture, lower
Adjust full denture, upper
Application of desensitizing medicaments
Bone graft with mesh or membrane
Children's medical consultation
¢20000.00
Delivery of Dental Prostheses
Dental cleaning with fluoride
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
Elaboration of provisional
Elimination of caries at the mesial occlusal level
Endodontics in temporary works (pulpotomy, pulpectomies)
Evolution for brake treatment
Exodontia indicated by Orthodontics
Extraction of wisdom teeth
Extraction of wisdom tooth (nonsurgical)
Extraction of wisdom tooth (surgical)
Fabrication of mouthguard
General consultation with dental cleaning
Gingivectomy or gingivoplasty, per tooth
Impacted tooth extraction
Incision and drainage of abscess, intraoral tissue
Initial Physical Therapy Evaluation
Inlay, porcelain/ceramic, 1 surface
Local anesthesia not in conjunction with operative or surgical procedures
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
Temporal tooth extraction
Tooth bleaching without lamp (clinical)
Topical application of fluoride, child