Dental Care

1.

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

1.

1.

Examination during the first visit

14,10

1.

2.

Follow-up during treatment

7,05

1.

3.

Dental examination and conclusion: 

1.

3.

1.

by a medical specialist

21,14

1.

4.

Evaluation of dental X-rays

3,53

1.

5.

Evaluation of visiograms, panoramic radiographs, orthopantomograms and teleroentgenograms

10,57

1.

6.

Evaluation of the results of other examinations

3,48

1.

7.

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

7,05

1.

8.

Coating of one tooth with fluoride-containing medication or sealant

2,82

9.

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

21200

1.

10.

Selective grinding of cusps on one tooth

5,57

1.

14.

Removal of plaque from one tooth + cleaning of one tooth

2,09

1.

15.

Removal of calculus from one tooth (using hooks)

4,18

1.

16.

Removal of calculus from one tooth using chemical agents

5,57

1.

17.

Ultrasonic scaling of one tooth

2,79

1.

19.

Removal of calculus from one tooth using a dental sandblaster

2,79

1.

21.

Polishing of one tooth after removal of calculus

2,79

1.

22.

Temporary dental filling

3,48

1.

23.

Removal of one hard dental filling

8,36

1.

24.

Removal of one defective filling

4,23

1.

28.

Oral instillation (irrigation) with an antiseptic

2,12

1.

29.

Gingival retraction of one tooth

2,12

1.

30.

Use of a hemostatic agent

2,09

1.

32.

Provisional splinting using fiberglass tape, per tooth

17,40

1.

33.

Provisional splinting using fiberglass tape + replacement of one tooth (cost of materials is not included)

6,96

1.

45.

Application anesthesia

3,48

1.

46.

Infiltration anesthesia

6,96

1.

47.

Regional nerve block

10,44

1.

48.

Intraligamentary anesthesia

6,96

2.

3.

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

2.

3.

1.

Minimal invasive cavity preparation

5,57

2.

3.

2.

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

8,36

2.

3.

3.

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

12,53

2.

3.

4.

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

16,01

2.

4.

Separating cement base

5,57

2.

5.

Separating glass-ionomer cement base

6,96

2.

6.

Separating photocurable base (composite, compomer, flow)

5,57

2.

7.

Separating base made with the help of an adhesive system

5,57

2.

8.

Calcium-containing pupl cap

5,57

2.

9.

1.

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

8,36

2.

9.

2.

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

12,53

2.

9.

3.

Application of a devitalizing paste

2,79

2.

9.

4.

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

6,96

2.

9.

5.

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

15,35

2.

9.

8.

Pulp amputation

2,09

2.

9.

9.

Application of filling paste over root canal orifice

3,48

2.

9.

10.

Extirpation of a pulp from one root canal

3,48

2.

9.

11.

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

13,92

2.

9.

12.

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

20,88

2.

9.

15.

Antiseptic preparation of one root canal

3,48

2.

9.

17.

Therapeutic packing of one root canal

5,57

2.

9.

18.

Removal of a foreign body from one root canal

17,40

2.

9.

19.

Removal of a post or core from one root canal

20,88

2.

9.

20.

Filling of one root canal with a paste (canal sealer)

10,44

2.

9.

21.

Filling of one root canal with gutta-percha points and sealer using a condensation method

12,53

2.

10.

1.

Restoration of one dental crown during treatment of caries (I, II, III, IV or V class of Black’s classification) + cavity localization regardless of surface + minimally invasive preparation of cavity 

10,44

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 (up to 1/3 of crown damaged)

13,92

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 (up to 1/2 of crown damaged)

15,33

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 damaged)

20,88

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: 

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

13,92

2.

11.

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 (up to 1/3 of crown damaged)

17,40

2.

11.

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 (up to 1/2 of crown damaged)

20,88

2.

11.

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 damaged)

24,36

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:

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

13,92

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 (up to 1/3 of crown damaged)

17,40

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 (up to 1/2 of crown damaged)

20,88

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 damaged)

24,36

2.

14.

Restoration of one dental crown with 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: 

2.

14.

1.

Minimally invasive preparation of cavity and restoration of one dental crown with 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

13,92

2.

14.

2.

Restoration of one dental crown with glass-ionomer cement in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity (up to 1/3 of crown damaged)

17,40

2.

14.

3.

Restoration of one dental crown with 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 (up to 1/2 of crown damaged)

20,88

2.

14.

4.

Restoration of one dental crown with 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 damaged)

24,36

2.

15.

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

13,92

2.

16.

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

0,00

2.

17.

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

17,40

2.

18.

Direct veneer covering of dental crown (cost of filling is not included)

13,92

2.

19.

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

6,96

2.

20.

Restoration of a crown angle in patients with caries or pulpitis (cost of filling is not included)

10,44

2.

21.

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

17,40

2.

22.

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

20,88

2.

23.

Application of a matrix

2,79

2.

24.

Placement of a matrix retainer

2,79

2.

25.

Placement of interdental wedges

1,39

2.

27.

1.

Finishing and polishing of a chemical cure composite filling

5,57

2.

27.

2.

Finishing and polishing of a light-cured composite filling

10,44

2.

28.

Finishing and polishing of a glass-ionomer cement filling

6,96

2.

30.

Sealing of a filling

3,48

2.

32.

Curettement of periodontal pockets of one tooth

6,96

2.

33.

Irrigation of a periodontal pocket of one tooth

2,09

2.

34.

Application of a anti-inflammatory dressing on one sextant

6,96

2.

35.

Application of a protective dressing on one sextant

6,96

2.

36.

5.

Non-invasive laser-assisted sealing of fissures on one tooth with light-cured sealants

6,96

3.

7.

Extraction of one single-rooted tooth

13,92

3.

9.

Extraction of one single-rooted tooth (cutting, excavation and making of a mucoperiosteal flap)

13,92

3.

10.

Extraction of one multi-rooted tooth

20,88

3.

11.

Extraction of one multi-rooted tooth (excavation and making of a mucoperiosteal flap)

13,92

3.

12.

Extraction of one multi-rooted tooth (cutting, excavation and making of a mucoperiosteal flap)

20,88

8.

1.

Spot X-ray

12,53

Note: the above rates do not included the cost of medications, medical products and other consumables. Patients shall pay for medications, medical products and other consumables.