Dental Care

1

2

3

4

1.

General dental care (therapy, ambulatory care, surgery, orthopedics and orthodontics)

1.1

Examination during the first visit

examination

13,96

1.2

Follow-up during treatment

examination

6,98

1.3

Dental examination + issue of medical report by 

1.3.1

A medical specialist

consultation

20,94

1.4

Evaluation of dental X-rays

examination

3,48

1.5

Evaluation of visiograms, panoramic radiographs, orthopantomograms and teleroentgenograms

examination

10,46

1.6

Consideration of the results of additional examinations

examination

3,48

1.7

Description of dental risk factors, promotion of dental health, teeth cleaning tips

consultation

6,98

1.8

Coating of one tooth with a fluoride-containing medication or sealant

manipulation

2,8

1.9

Coating of each next tooth with a fluoride-containing medication or sealant

manipulation

2,1

1.10

Selective grinding of cusps

manipulation

2,8

1.11

Selective grinding of cusps of two adjacent teeth (supraclusion)

manipulation

4,18

1.12

Control of oral hygiene using special oral hygiene indices (key teeth are evaluated)

manipulation

5,58

1.13

Control of oral hygiene using colouring agents

manipulation

6,98

1.14

Removal of plaque from one tooth + cleaning of one tooth

manipulation

2,1

1.15

Removal of calculus from one tooth (using hooks)

manipulation

4,18

1.16

Removal of calculus from one tooth using dental instruments and chemical agents

manipulation

8,3

1.17

Ultrasonic scaling of one tooth

manipulation

4,16

1.19

Removal of calculus from one tooth using a sand blaster

manipulation

4,16

1.20

Removal of calculus, plaque, treatment of tooth root of one tooth using Vektor device

manipulation

5,18

1.21

Polishing of one tooth after removal of calculus

manipulation

2,8

1.22

Temporary dental filling

manipulation

3,48

1.23

Removal of one hard dental filling

manipulation

8,38

1.24

Removal of one defective filling

manipulation

4,18

1.28

Oral instillation (irrigation) with an antiseptic agent

manipulation

2,1

1.29

Gingival retraction of one tooth

manipulation

2,1

1.30

Hemostatic agent

manipulation

2,1

1.31

Provisional splinting using composite resin, per tooth (cost of consumables is not included)

manipulation

6,98

1.32

Provisional splinting using fiberglass tape, per tooth

manipulation

17,44

1.33

Provisional splinting using fiberglass tape + framing of one tooth (cost of consumables is not included)

manipulation

6,98

1.34

Coagulation of hypertrophied interdental gingival

manipulation

2,8

1.35

Local management of oral lesions using medications

manipulation

15,58

1.45

Topical anesthesia 

manipulation

3,48

1,46

Infiltration anesthesia

manipulation

6,98

1.47

Regional nerve block

manipulation

10,46

1.48

Intraligamentary anesthesia

manipulation

6,98

1.49

Dental diagnostics of one tooth 

manipulation

3,48

2.1

Non-invasive sealing of fissures of one tooth

manipulation

10,38

2.2

Invasive sealing of fissures of one tooth

manipulation

15,58

2.3

Preparation of hard tissues of one tooth during treatment of caries (I, II, III, IV, V class of Black’s classification) and non-carious diseases developed after tooth eruption + localization of cavities

manipulation

2.3.1

Minimal invasive cavity preparation

manipulation

8,3

2.3.2

Cavity preparation in case of 1/3 of dental crown damage

manipulation

12,46

2.3.3

Cavity preparation in case of 1/2 of dental crown damage

manipulation

18,7

2.3.4

Cavity preparation in case of more than 1/2 of dental crown damage

manipulation

23,88

2.4

Separating cement base

manipulation

8,3

2.5

Separating glass-ionomer cement base

manipulation

10,38

2.6

Separating photocurable base (composite, compomer, flow)

manipulation

8,3

2.7

Separating base made with the help of the adhesive system

manipulation

8,3

2.8

Therapeutic calcium-containing base

manipulation

8,3

2.9

Endodontic treatment of one tooth (in case of pulpitis or apical periodontitis)

manipulation

2.9.1

Preparation of carious cavity and cavity of a single-rooted tooth

manipulation

12,46

2.9.2

Preparation of carious cavity and cavity of a multi-rooted tooth

manipulation

18,7

2.9.3

Application of a devitalizing paste

manipulation

4,16

2.9.4

Preparation of one root canal with a good patency using dental instruments

manipulation

10,38

2.9.5

Preparation of one root canal with a bad patency using dental instruments

manipulation

22,84

2.9.8

Pulp amputation

manipulation

3,12

2.9.9

Application of filling paste over root canal orifice

manipulation

5,18

2.9.10

Extraction of the pulp from one tooth

manipulation

5,18

2.9.11

Removal of filling paste and preparation of one root canal using dental instruments

manipulation

20,76

2.9.12

Removal of cement or resorcin-formalin and preparation of one root canal using dental instruments

manipulation

31,16

2.9.15

Antiseptic treatment of one root canal

manipulation

5,18

2.9.16

Treatment of one root canal with special agents (lubricants) for retrieval and enlargement of root canals

manipulation

8,3

2.9.17

Therapeutic packing of one root canal

manipulation

8,3

2.9.23

Measurement of root canal length with Apexlocator

manipulation

8,3

2.10

Restoration of one dental crown with a chemical cure composite during treatment of caries (I, II, III, IV or V class of Black’s classification) + cavity localization regardless of surface

manipulation

2.10.1

Minimally invasive preparation of cavity and restoration of one dental crown with a chemical cure composite during treatment of caries (I, II, III, IV or V class of Black’s classification) + cavity localization regardless of surface 

manipulation

15,58

2.10.2

Restoration of one dental crown with a chemical cure composite in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (less than 1/3 of crown is damaged)

manipulation

20,76

2.10.3

Restoration of one dental crown with a chemical cure composite in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (less than 1/2 of crown is damaged)

manipulation

22,84

2.10.4

Restoration of one dental crown with a chemical cure composite in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (more than 1/2 of crown is damaged)

manipulation

31,16

2.11

Restoration of one dental crown with a light-cured composite in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface

manipulation

2.11.1

Minimally invasive preparation of cavity and restoration of one dental crown with a light-cured composite in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface

manipulation

20,76

2.11.2

Restoration of one dental crown with a light-cured composite in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (less than 1/3 of crown is damaged)

manipulation

25,96

2.11.3

Restoration of one dental crown with a light-cured composite in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (less than 1/2 of crown is damaged)

manipulation

31,16

2.11.4

Restoration of one dental crown with a light-cured composite in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (more than 1/2 of crown is damaged)

manipulation

36,34

2.12

Restoration of one dental crown with a compomer in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface

manipulation

2.12.1

Minimally invasive preparation of cavity and restoration of one dental crown with a compomer in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface

manipulation

20,76

2.12.2

Restoration of one dental crown with a compomer in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (less than 1/3 of crown is damaged)

manipulation

25,96

2.12.3

Restoration of one dental crown with a compomer in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (less than 1/2 of crown is damaged)

manipulation

31,16

2.12.4

Restoration of one dental crown with a compomer in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (more than 1/2 of crown is damaged)

manipulation

36,34

2.13

Restoration of one dental crown with silver amalgam in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface

manipulation

2.13.1

Restoration of one dental crown with silver amalgam in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (less than 1/3 of crown is damaged)

manipulation

15,58

2.13.2

Restoration of one dental crown with silver amalgam in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (less than 1/2 of crown is damaged)

manipulation

20,76

2.14

Restoration of one dental crown with a light cured glass-ionomer cement in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface

manipulation

2.14.1

Minimally invasive preparation of cavity and restoration of one dental crown with a light cured glass-ionomer cement in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface

manipulation

20,76

2.14.2

Restoration of one dental crown with a light cured glass-ionomer cement in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (less than 1/3 of crown is damaged)

manipulation

25,96

2.14.3

Restoration of one dental crown with a light cured glass-ionomer cement in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (less than 1/2 of crown is damaged)

manipulation

31,16

2.14.4

Restoration of one dental crown with a light cured glass-ionomer cement in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (more than 1/2 of crown is damaged)

manipulation

36,34

2.15

Restoration of a dental crown with a parapulpar pin (cost of a filling is not included)

manipulation

2.16

Restoration of a dental crown with a fiber-glass or carbon-fiber post in one root canal (cost of a filling is not included)

manipulation

25,96

2.17

Restoration of a dental crown with an anchor (intrapulpar post) in one root canal (cost of a filling is not included)

manipulation

25,96

2.18

Direct veneering of a dental crown (cost of a filling is not included)

manipulation

20,76

2.19

Restoration of a crown angle chip (cost of a filling is not included)

manipulation

10,38

2.20

Restoration of a crown angle damaged by caries or pulpitis (cost of a filling is not included

manipulation

15,58

2.21

Full restoration of an anatomic shape of a front tooth crown (cost of a filling is not included)

manipulation

25,96

2.22

Full restoration of an anatomic shape of a grinding tooth crown (cost of a filling is not included)

manipulation

31,16

2.23

Application of a matrix

manipulation

4,16

2.24

Placement of a matrix retainer

manipulation

4,16

2.25

Placement of interdental wedges

manipulation

20,8

2.27

Finishing and polishing of a composite filling

manipulation

2.27.1

Finishing and polishing of a chemical cure composite filling

manipulation

8,3

2.27.2

Finishing and polishing of a light-cured composite filling

manipulation

15,58

2.28

Finishing and polishing of a glass-ionomer cement filling

manipulation

10,38

2.30

Sealing of a filling

manipulation

5,18

Note:

Cost of consumables are not included in the rates above and shall be paid for separately.