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R 385
Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)Scale of FeesAnnual Increase in Medical Tariffs for Medical Service Providers - 2024Dental Services Gazette 2024Dental Services Tariff of Fees as from 1 April 2024 Practice Type 054 (General Dental), Practice Type 062 (Maxillo-Facial and Oral Surgery), & Practice Type 094 (Prosthodontist)I. General Dental PractitionersC. Restorative |
Code |
Procedure description |
DM/+ L |
MP |
TC |
General Dental Practice (054) |
Maxillo-facial and Oral Surgery (062) |
Prosthodontics (094) |
C. RESTORATIVE |
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AMALGAM RESTORATIONS (including polishing) |
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All adhesives, liners and bases are included as part of the restoration. If pins are used, they should be reported separately. See tariff codes 8345, 8347 and 8348 for post and/or pin retention |
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8341 |
Amalgam - one surface |
|
T |
B |
358.78 |
- |
- |
8342 |
Amalgam - two surfaces |
|
T |
B |
449.13 |
- |
- |
8343 |
Amalgam - three surfaces |
|
T |
B |
539.67 |
- |
- |
8344 |
Amalgam - four or more surfaces |
|
T |
B |
538.18 |
- |
- |
RESIN-BASED COMPOSITE RESTORATIONS |
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Resin refers to a broad category of materials including but not limited to composites and may include bonded composite, light -cured composite, etc. Light - curing, acid etching and adhesives (including resin bonding agents) are included as part of the restoration. Glass ionomers/compomers, when used as restorations should be reported with these tariff codes. If pins are used, they should be reported separately. See tariff codes 8345, 8347 and 8348 for post and/or pin retention. The fees are inclusive of direct pulp capping (tariff code 8301) and rubber dam application (tariff code 8304) |
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8351 |
Resin - one surface, anterior |
|
T |
B |
350.92 |
- |
- |
8352 |
Resin - two surfaces, anterior |
|
T |
B |
448.27 |
- |
- |
8353 |
Resin - three surfaces, anterior |
|
T |
B |
592.80 |
- |
- |
8354 |
Resin - four or more surfaces, anterior |
|
T |
B |
658.26 |
- |
- |
|
Use to report the involvement of four or more surfaces or the incisal line angle. The incisal line angle is the junction of the incisal and the mesial or distal surface of an anterior tooth. |
|
|
|
|
|
|
8367 |
Resin one surface, posterior |
|
T |
B |
424.26 |
- |
- |
|
This is not a preventative procedure and should only be used to restore a carious lesion or a deeply eroded area into a natural tooth. |
|
|
|
|
|
|
8368 |
Resin two surfaces, posterior |
|
T |
B |
581.33 |
- |
- |
8369 |
Resin three surfaces, posterior |
|
T |
B |
634.04 |
- |
- |
8370 |
Resin - four or more surfaces, posterior |
|
T |
B |
672.51 |
- |
- |
Inlay / Onlay restorations |
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METAL INLAYS / ONLAYS Use these tariff codes for single metal inlay/onlay restorations. The fee for metal inlays on anterior teeth (incisors and canines) are determined 'by arrangement' with the Compensation Commissioner |
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8361 |
Inlay, metallic - one surface, posterior |
+L |
T |
A |
719.48 |
- |
1079.21 |
8362 |
Inlay/onlay - metal - two surfaces |
+L |
T |
A |
930.75 |
- |
1396.12 |
8363 |
Inlay/onlay - metal - three surfaces |
+L |
T |
A |
1919.51 |
- |
2879.26 |
8364 |
Inlay/onlay - metal - four or more surfaces |
+L |
T |
A |
1919.73 |
- |
2879.59 |
CERAMIC AND / OR RESIN INLAYS |
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Porcelain / ceramic inlays include either all ceramic or porcelain inlays. Composite / resin inlays must be laboratory processed NOTE: The fees exclude the application of a rubber dam (tariff code 8304). |
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8371 |
Inlay - porcelain - one surface |
+L |
T |
A |
651.46 |
- |
977.19 |
8372 |
Inlay/onlay - porcelain - two surfaces |
+L |
T |
A |
951.78 |
- |
1427.68 |
8373 |
Inlay/onlay - porcelain - three surfaces |
+L |
T |
A |
1588.38 |
- |
2382.57 |
8374 |
Inlay/onlay - porcelain - four or more surfaces |
+L |
T |
A |
1919.73 |
- |
2879.59 |
CROWNS - SINGLE RESTORATIONS |
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Use these tariff codes for single crown restorations. See the Fixed Prosthodontic Service section for crown bridge retainers and the Implant Services section for crowns on osseo-integrated implants. Porcelain/ceramic crowns include all ceramic, porcelain and porcelain fused to metal crowns. Resin crowns and resin metal crowns include all reinforced heat and/or pressure-cured resin materials. Metal components include structures manufactured by means of conventional casting and/or electroforming. Temporary and/or intermediate crowns, the removal thereof (provisional crowns included) and cementing of the permanent restorations are included as part of the restorations. |
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8401 |
Crown - full cast metal |
+L |
T |
A |
2279.98 |
- |
3162.90 |
8403 |
Crown - 3/4 cast metal |
+L |
T |
A |
2279.98 |
- |
3162.90 |
8404 |
Crown - 3/4 porcelain/ceramic |
+L |
T |
A |
2279.98 |
- |
3162.90 |
8405 |
Crown - resin laboratory |
+L |
T |
A |
2279.98 |
- |
3162.90 |
|
Refers to all resin-based crowns that are indirectly fabricated. All fiber, porcelain or ceramic reinforced polymer materials/systems are considered resin-based crowns |
|
|
|
|
- |
|
8407 |
Crown - resin with metal |
+L |
T |
A |
2433.87 |
- |
3520.61 |
8409 |
Crown - porcelain/ceramic |
+L |
T |
A |
2433.87 |
- |
3162.90 |
8411 |
Crown - porcelain with metal |
+L |
T |
A |
2433.87 |
- |
3949.32 |
Other restorative |
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8133 |
Recement inlay, onlay, crown or veneer |
|
T |
B |
208.95 |
- |
313.43 |
|
Use to report the recementation of a permanent single inlay, onlay, crown or veneer. See tariff code 8514 in the Fixed Prosthodontic Section for the recementation of a bridge retainer. Comment: This tariff code may not be used for the recementation of temporary or provisional restorations, which is included as part of the restoration. |
|
|
|
|
|
|
8142 |
Recement inlay / onlay / veneer |
|
T |
A |
177.92 |
- |
225.98 |
|
Use to report the recementation of a permanent inlay / onlay / veneer |
|
|
|
|
|
|
8134 |
Recement cast core or post |
|
T |
A |
177.92 |
- |
225.98 |
8135 |
Removal of inlays and crowns (per unit) and bridges (per abutment) or sectioning of a bridge, part of which is to be retained as a crown following the failure of a bridge |
|
T |
A |
410.44 |
- |
410.44 |
|
This procedure involves the removal of a permanent inlay, onlay or crown. Comment: This tariff code may not be used for the removal of temporary or provisional restorations, which is included as part of the restoration |
|
|
|
|
|
|
8156 |
Removal of inlay / onlay / Veneer |
|
|
|
354.78 |
- |
354.78 |
|
This procedure involves the removal of a permanent inlay, onlay or veneer. |
|
|
|
|
|
|
8137 |
Emergency crown (chair-side) |
+L |
T |
A |
702.06 |
- |
702.06 |
|
A temporary crown. usually made of resin and in the surgery, which is fitted over a damaged tooth for the immediate protection in tooth injury. Includes emergency crowns manufactured for the replacement of previously fitted, lost or damaged permanent crowns. Comment: This tariff code should not be used as an interim restoration during restorative treatment and should not be reported on the same day on which an impression is taken to replace a previously fitted lost or damaged permanent crown. |
|
|
|
|
|
|
8138 |
Remove retention post. |
|
|
|
220.30 |
|
220.30 |
|
This procedure involves the removal of an intact prefabricated and/or cast posts intended for retention purposes. Report per post. See code 8330 in the "Endodontic Section" for the removal of endodontic posts or instruments. This code may not be used for the removal of temporary or provisional posts.
|
|
|
|
|
|
|
8330 |
Removal of root canal obstruction |
|
T |
B |
274.84 |
- |
274.84 |
|
This procedure involves the treatment of a non-negotiable root canal blocked by foreign bodies (e.g. removal and/or bypassing of a fractured instrument) or calcification of 50% or more of a root to achieve an apical seal and forego surgical treatment - Report per canal. This tariff code may be submitted by the servicing provider and on the same day as a root canal therapy if the obstruction is not iatrogenic by that provider. |
|
|
|
|
|
|
8331 |
Repair of perforation defects |
|
T |
B |
220.30 |
|
220.30 |
|
The code is intended to be used for the non-surgical seal of perforation caused by resorption and/or decay but not if the perforation is iatrogenic by that provider. See Rule 002 and Appendix A for the cost |
|
|
|
|
|
|
8345 |
Prefabricated post retention, per post (in addition to restoration) |
|
T |
B |
303.53 |
- |
303.53 |
|
Should not be used with tariff codes 8398 or 8376 (Core build-ups) Remuneration excludes cost of posts - See tariff code 8379 |
|
|
|
|
|
|
8347 |
Pin retention - first pin (in addition to restoration) |
|
T |
B |
208.95 |
- |
208.95 |
|
Should not be used with tariff codes 8398 or 8376 (Core build-ups). |
|
|
|
|
|
|
8348 |
Pin retention - each additional pin (in addition to restoration) |
|
T |
B |
180.46 |
- |
180.46 |
|
Should not be used with tariff codes 8398 or 8376 (Core build-ups). Limitation: A maximum of two additional pins may be levied. |
|
|
|
|
|
|
8355 |
Veneer - resin (chair-side) |
|
T |
B |
665.49 |
- |
665.49 |
|
Involves direct layering of material over tooth. No laboratory processing. |
|
|
|
|
|
|
8357 |
Prefabricated metal crown |
|
T |
B |
441.89 |
- |
441.89 |
|
Includes all preformed metal crowns e.g. stainless steel, nickel-chrome and gold anodised crowns, with or without resin window. |
|
|
|
|
|
|
8366 |
Pin retention as part of cast restoration, irrespective of number of pins. |
|
T |
A |
322.65 |
- |
483.98 |
8376 |
Core build-up with prefabricated posts |
|
T |
B |
1076.98 |
- |
1076.98 |
|
The direct build-up of a mutilated crown around a prefabricated post to provide a rigid base for retention of a crown restoration. This procedure includes posts and core material. Remuneration excludes cost of posts - See tariff code 8379. |
|
|
|
|
|
|
8379 |
Cost of prefabricated posts - add on to tariff code 8376 |
|
T |
A |
Rule 013 |
- |
Rule 013 |
|
Applicable to pre-fabricated noble metal, ceramic, iridium and titanium posts - see tariff code 8345 and 8376 |
|
|
|
|
|
|
8391 |
Cast core with single post |
+L |
T |
A |
489.07 |
- |
- |
|
Report in addition to crown. |
|
|
|
|
|
|
8392 |
Cast post (each additional) |
+L |
T |
A |
391.33 |
- |
- |
|
To be used with tariff code 8391 for each additional cast posts on the same tooth. |
|
|
|
|
|
|
8397 |
Cast core with pins (any number of pins) |
+L |
T |
A |
782.82 |
- |
1174.23 |
|
The cast core with pins is intended to be used on grossly broken down vital teeth. Report in addition to crown. |
|
|
|
|
|
|
8398 |
Core build-up, including any pins. Refers to the building up of an anatomical crown when a restorative crown will be placed, irrespective of the number of pins used. |
|
T |
B |
782.82 |
- |
782.82 |
|
The direct build-up of a mutilated crown to provide a rigid base for retention of a crown restoration irrespective of the number of pins used. This tariff code should not be reported when the procedure only involves a filler to eliminate any undercut, concave irregularity in the preparation,etc. |
|
|
|
|
|
|
8413 |
Repair crown (permanent or provisional) |
+L |
T |
A |
477.95 |
- |
477.95 |
|
This procedure involves the repair of a permanent crown (e.g. facing replacement). Excludes the removal (tariff code 8153) and recementation (tariff code 8133) of the crown. This tariff code may also be reported for the repair/replacement of a provisional crown (tariff code 8410) after a period of two months. This tariff code may not be used for the repair/replacement of a temporary restorations, which is included as part of the restoration |
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|
|
|
|
8414 |
Additional fee for provision of a crown within an existing clasp or rest |
+L |
T |
A |
149.88 |
- |
149.88 |