Code

Procedure description

DM/+L

MP

TC

General Dental Practice

(054)

Maxillo-facial and Oral Surgery

(062)

Prosthodontics

(094)

C.  TREATMENT PROCEDURES

Emergency treatment

8514

Recement bridge

T

B

191.99

-

287.98

Use to report the recementation of a permanent inlay-onlay-, or crown retainer - reported per retainer. May be used to report the recementation of a Maryland bridge. Report tariff code 8133 for the recementation of a single permanent inlay, onlay or crown.

Comment: This tariff code may not be used for the recementation of temporary or provisional restorations, which is included as part of the restoration.

Previously tariff code 8133 included the recementation of bridge retainers.

8517

Re-implantation of an avulsed tooth, including fixations as required

+L

T

S

512.50

-

768.72

Provisional Treatment

8723

Provisional splinting - extracoronal (wire) - per sextant

+L

M

A

411.64

411.64

618.08

8725

Provisional splinting - extracoronal (wire plus resin) - per sextant

+L

M

A

602.76

602.76

905.04

8727

Provisional splinting - intracoronal - per tooth

+L

T

A

191.79

191.79

287.98

8410

Provisional crown

+L

T

A

495.17

-

742.72

The intended use of a provisional crown is to allow adequate time (of at least six weeks duration) for healing or completion of other procedures during restorative treatment and should not to be used as a temporary prosthesis.

Occlusal adjustment

8551

Major occlusal adjustment.

This procedure can not be carried out without study models mounted on an adjustable articulator.

A

573.01

-

859.48

Comment:

8553

Minor occlusal adjustment

A

444.08

666.09

666.09

An occlusal adjustment involves the grinding of the occluding surfaces of teeth to develop harmonious relationships between each other, their supporting structures, muscles of mastication and temporomandibular joints.

Comment:

VENEERS

8554

Veneer - resin (laboratory)

+L

T

A

1444.21

-

2166.21

Involves an impression being taken and laboratory processing.

Posts and copings

8581

Cast core with single post

+L

T

A

-

-

744.29

See also GDP tariff code 8391

8582

Cast core with double post

+L

T

A

-

-

1070.61

See also GDP tariff code 8392

8583

Cast core with triple post

+L

T

A

-

-

1342.04

See also GDP tariff code 8392

8587

Coping metal

+L

T

A

427.27

-

640.87

A thimble coping may utilise pins for additional retention. Generally used to parallel an abutment tooth for bridge and splints. May be similarly used to parallel an implant abutment where implant bodies are not parallel. A dome-shaped coping is generally used on an endodontically treated abutment tooth for an overdenture.

OTHER IMPLANT SERVICES

8592

Crown - Implant/abutment supported

+L

T

A

-

-

4586.69

An artificial crown that is retained, supported, and stabilised by an implant or an abutment on an implant; may be screw retained or cemented.

8600

Cost of implant components

Rule 013

-

Rule 013

Connectors

8597

Locks and milled rests

+L

T

A

202.61

-

303.90

8599

Precision attachments

+L

M

A

495.17

-

742.72

Each set of male and female components should be reported as one precision attachment Includes semi-precision attachments

Bridges

8611

Sanitary pontic

+L

T

A

-

-

2264.00

8613

Posterior pontic

+L

T

A

-

-

2790.14

8615

Anterior pontic

+L

T

A

-

-

3000.86

Resin bonded retainers

8617

Retainer cast metal (Maryland type retainer)

+L

T

A

616.30

-

924.40

Use for Maryland type bridges: Report per retainer (see tariff codes 8611, 8613, 8615)

Endodontic procedures

8631

Root canal therapy, first canal

T

B

-

-

2626.19

8633

Root canal therapy - each additional canal

T

B

-

-

656.19

8635

Apexification of root canal, per visit

T

B

292.42

-

438.61

8640

Removal of fractured post or instrument from root canal

T

B

511.70

-

768.31

8765

Hemisection of a tooth, resection of a root or tunnel preparation (isolated procedure)

T

A

816.55

-

1224.77

Includes separation of a multirooted tooth into separate sections containing  the root and overlying portion of the crown. It may also include the removal of one or more of those sections.

OTHER REMOVABLE PROSTHETIC PROCEDURES

8661

Diagnostic dentures (inclusive of tissue conditioning treatment)

+L

A

-

-

5994.86

8663

Chrome cobalt base base for full denture (extra charge)

+L

M

B

1204.22

-

1806.24

8664

Remount of crown or bridge for extensive prosthetics

A

586.18

-

879.23

8667

Soft base, per denture (heat cured)

+L

M

B

1203.28

-

1804.83

8672

Additional fee for altered cast technique for partial denture

+L

M

B

177.29

-

265.93

8674

Additive partial denture

+L

M

B

1811.10

-

2716.52