dental tariffs - medipos20181122112630 am) medipos... · 8109 infection control/barrier techniques...
TRANSCRIPT
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DENTAL TARIFFS
Effective: 1 January 2019
TARIFF CODE TARIFF DESCRIPTION TARIFF DESCRIPTION...CONTINUED DISCIPLINE CODE DISCIPLINE DESCRIPTION TARIFF AMOUNT
200 Medicine 94 Prosthodontic R 0.00
200 Medicine 64 Orthodontics R 0.00
200 Medicine 62 Maxillo-facial and Oral Surgery R 0.00
200 Medicine 54 General Dental Practice R 0.00
8101 Full examination and charting and treatment planning
95 Dental therapy R 107.19
8101 Full examination and charting and treatment planning
54 General Dental Practice R 205.96
8102 Comprehensive Consultation 95 Dental therapy R 173.03
8102 Comprehensive Consultation 54 General Dental Practice R 332.59
8104 Consultation for a specific problem not requiring
full mouth examination charting and ... 95 Dental therapy R 83.49
8104 Consultation for a specific problem not requiring
full mouth examination charting and ... 54 General Dental Practice R 100.00
8106 Special report Provision of a written treatment plan and quotation
94 Prosthodontic R 211.46
8106 Special report Provision of a written treatment plan and quotation
92 Periodontics R 211.46
8106 Special report Provision of a written treatment plan and quotation
64 Orthodontics R 211.46
8106 Special report Provision of a written treatment plan and quotation
62 Maxillo-facial and Oral Surgery R 211.46
8106 Special report Provision of a written treatment plan and quotation
54 General Dental Practice R 211.46
8107 Intraoral radiograph - periapical Intra-oral radiographs 95 Dental therapy R 80.45
8107 Intraoral radiograph - periapical Intra-oral radiographs 94 Prosthodontic R 83.37
8107 Intraoral radiograph - periapical Intra-oral radiographs 92 Periodontics R 83.37
8107 Intraoral radiograph - periapical Intra-oral radiographs 64 Orthodontics R 83.37
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8107 Intraoral radiograph - periapical Intra-oral radiographs 62 Maxillo-facial and Oral Surgery R 83.37
8107 Intraoral radiograph - periapical Intra-oral radiographs 54 General Dental Practice R 83.37
8108 Intraoral radiographs - complete series Full mouth intra-oral x-rays (maximum) 95 Dental therapy R 644.95
8108 Intraoral radiographs - complete series Full mouth intra-oral x-rays (maximum) 94 Prosthodontic R 645.29
8108 Intraoral radiographs - complete series Full mouth intra-oral x-rays (maximum) 92 Periodontics R 645.29
8108 Intraoral radiographs - complete series Full mouth intra-oral x-rays (maximum) 64 Orthodontics R 645.29
8108 Intraoral radiographs - complete series Full mouth intra-oral x-rays (maximum) 62 Maxillo-facial and Oral Surgery R 645.29
8108 Intraoral radiographs - complete series Full mouth intra-oral x-rays (maximum) 54 General Dental Practice R 645.29
8109 Infection control/barrier techniques Infection Control 95 Dental therapy R 18.54
8109 Infection control/barrier techniques Infection Control 94 Prosthodontic R 18.54
8109 Infection control/barrier techniques Infection Control 92 Periodontics R 18.54
8109 Infection control/barrier techniques Infection Control 64 Orthodontics R 18.54
8109 Infection control/barrier techniques Infection Control 62 Maxillo-facial and Oral Surgery R 18.54
8109 Infection control/barrier techniques Infection Control 54 General Dental Practice R 18.54
8110 Prov. of sterilised and wrapped instrumentation
95 Dental therapy R 47.75
8110 Prov. of sterilised and wrapped instrumentation
94 Prosthodontic R 47.87
8110 Prov. of sterilised and wrapped instrumentation
92 Periodontics R 47.87
8110 Prov. of sterilised and wrapped instrumentation
64 Orthodontics R 47.87
8110 Prov. of sterilised and wrapped instrumentation
62 Maxillo-facial and Oral Surgery R 47.87
8110 Prov. of sterilised and wrapped instrumentation
54 General Dental Practice R 47.87
8112 Intraoral radiograph-bitewing 95 Dental therapy R 80.45
8112 Intraoral radiograph-bitewing 94 Prosthodontic R 83.37
8112 Intraoral radiograph-bitewing 92 Periodontics R 83.37
8112 Intraoral radiograph-bitewing 64 Orthodontics R 83.37
8112 Intraoral radiograph-bitewing 62 Maxillo-facial and Oral Surgery R 83.37
8112 Intraoral radiograph-bitewing 54 General Dental Practice R 83.37
8113 Intraoral radiograph - occlusal Occlusal radiographs 95 Dental therapy R 138.32
8113 Intraoral radiograph - occlusal Occlusal radiographs 94 Prosthodontic R 143.60
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8113 Intraoral radiograph - occlusal Occlusal radiographs 92 Periodontics R 143.60
8113 Intraoral radiograph - occlusal Occlusal radiographs 64 Orthodontics R 143.60
8113 Intraoral radiograph - occlusal Occlusal radiographs 62 Maxillo-facial and Oral Surgery R 143.60
8113 Intraoral radiograph - occlusal Occlusal radiographs 54 General Dental Practice R 143.60
8114 Hand-wrist Radiograph 94 Prosthodontic R 333.37
8114 Hand-wrist Radiograph 92 Periodontics R 333.37
8114 Hand-wrist Radiograph 64 Orthodontics R 333.37
8114 Hand-wrist Radiograph 62 Maxillo-facial and Oral Surgery R 333.37
8114 Hand-wrist Radiograph 54 General Dental Practice R 333.37
8115 Extraoral radiograph - panoramic Extra-oral radiograph - per film 95 Dental therapy R 321.47
8115 Extraoral radiograph - panoramic Extra-oral radiograph - per film 94 Prosthodontic R 333.37
8115 Extraoral radiograph - panoramic Extra-oral radiograph - per film 92 Periodontics R 333.37
8115 Extraoral radiograph - panoramic Extra-oral radiograph - per film 64 Orthodontics R 333.37
8115 Extraoral radiograph - panoramic Extra-oral radiograph - per film 62 Maxillo-facial and Oral Surgery R 333.37
8115 Extraoral radiograph - panoramic Extra-oral radiograph - per film 54 General Dental Practice R 333.37
8116 Extraoral radiograph-cephalometric Maximum for treatment plan (item 8115) 95 Dental therapy R 321.47
8116 Extraoral radiograph-cephalometric Maximum for treatment plan (item 8115) 94 Prosthodontic R 333.37
8116 Extraoral radiograph-cephalometric Maximum for treatment plan (item 8115) 92 Periodontics R 333.37
8116 Extraoral radiograph-cephalometric Maximum for treatment plan (item 8115) 64 Orthodontics R 333.37
8116 Extraoral radiograph-cephalometric Maximum for treatment plan (item 8115) 62 Maxillo-facial and Oral Surgery R 333.37
8116 Extraoral radiograph-cephalometric Maximum for treatment plan (item 8115) 54 General Dental Practice R 333.37
8117 Diagnostic models Study models - unmounted or mounted on a hinge/a
94 Prosthodontic R 89.55
8117 Diagnostic models Study models - unmounted or mounted on a hinge/a
92 Periodontics R 89.55
8117 Diagnostic models Study models - unmounted or mounted on a hinge/a
64 Orthodontics R 89.55
8117 Diagnostic models Study models - unmounted or mounted on a hinge/a
62 Maxillo-facial and Oral Surgery R 89.55
8117 Diagnostic models Study models - unmounted or mounted on a hinge/a
54 General Dental Practice R 89.55
8118 Extraoral radiograph-skull/facial bone 94 Prosthodontic R 333.37
8118 Extraoral radiograph-skull/facial bone 92 Periodontics R 333.37
8118 Extraoral radiograph-skull/facial bone 64 Orthodontics R 333.37
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8118 Extraoral radiograph-skull/facial bone 62 Maxillo-facial and Oral Surgery R 333.37
8118 Extraoral radiograph-skull/facial bone 54 General Dental Practice R 333.37
8119 Diagnostic models mounted Study models-mounted on a moveable condyle artic
94 Prosthodontic R 225.40
8119 Diagnostic models mounted Study models-mounted on a moveable condyle artic
92 Periodontics R 225.40
8119 Diagnostic models mounted Study models-mounted on a moveable condyle artic
64 Orthodontics R 225.40
8119 Diagnostic models mounted Study models-mounted on a moveable condyle artic
62 Maxillo-facial and Oral Surgery R 225.40
8119 Diagnostic models mounted Study models-mounted on a moveable condyle artic
54 General Dental Practice R 225.40
8121 Oral and/or facial image (digital/conventional) Photographs-per photograph(diagnostic 95 Dental therapy R 86.07
8121 Oral and/or facial image (digital/conventional) Photographs-per photograph(diagnostic 94 Prosthodontic R 89.55
8121 Oral and/or facial image (digital/conventional) Photographs-per photograph(diagnostic 92 Periodontics R 89.55
8121 Oral and/or facial image (digital/conventional) Photographs-per photograph(diagnostic 64 Orthodontics R 89.55
8121 Oral and/or facial image (digital/conventional) Photographs-per photograph(diagnostic 62 Maxillo-facial and Oral Surgery R 89.55
8121 Oral and/or facial image (digital/conventional) Photographs-per photograph(diagnostic 54 General Dental Practice R 89.55
8123 Caries susceptibility tests (By Arrangement) Caries susceptibility tests 54 General Dental Practice R 93.14
8124 Pulp vitality test 54 General Dental Practice R 24.60
8129 Office/hospital visit after regularly scheduled hours
Add. fee for emergency treatment outside normal
95 Dental therapy R 257.19
8129 Office/hospital visit after regularly scheduled hours
Add. fee for emergency treatment outside normal
62 Maxillo-facial and Oral Surgery R 310.11
8129 Office/hospital visit after regularly scheduled hours
Add. fee for emergency treatment outside normal
54 General Dental Practice R 310.11
8131 Emergency dental treatment Emerg. treatment where no other treatment item i
95 Dental therapy R 107.19
8131 Emergency dental treatment Emerg. treatment where no other treatment item i
94 Prosthodontic R 257.75
8131 Emergency dental treatment Emerg. treatment where no other treatment item i
54 General Dental Practice R 126.41
8132 Root canal therapy -gross pulpal debridement 54 General Dental Practice R 206.74
8133 Recementing of inlay- crown or bridge per unit.
94 Prosthodontic R 160.56
8133 Recementing of inlay-crown or bridge p/unit. 54 General Dental Practice R 126.41
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8135 Removal of inlay or crown per unit. 94 Prosthodontic R 251.57
8135 Removal of inlay or crown per unit. 54 General Dental Practice R 251.57
8136 Access through a prosthetic crown or inlay 54 General Dental Practice R 112.58
8137 Temporary crown placed as an emergency procedure
94 Prosthodontic R 433.71
8137 Temporary crown placed as an emergency procedure
54 General Dental Practice R 433.71
8138 Remove retention post (prefabricated or cast) Pre-formed metal crown as an emergency procedure
54 General Dental Practice R 165.17
8140 House/extended care facility/hospital call Treatment at a venue other than the surgery
95 Dental therapy R 170.11
8140 House/extended care facility/hospital call Treatment at a venue other than the surgery
92 Periodontics R 205.40
8140 House/extended care facility/hospital call Treatment at a venue other than the surgery
54 General Dental Practice R 205.40
8141 Inhale sedation/electronic analgesia - 1st 15 min
54 General Dental Practice R 92.58
8143 Each additional 15 minutes. 54 General Dental Practice R 47.87
8144 Intravenous sedation. 54 General Dental Practice R 55.50
8145 Local anaesthetic per visit 95 Dental therapy R 18.09
8145 Local anaesthetic per visit 94 Prosthodontic R 80.45
8145 Local anaesthetic per visit 92 Periodontics R 80.45
8145 Local anaesthetic per visit 62 Maxillo-facial and Oral Surgery R 80.45
8145 Local anaesthetic per visit 54 General Dental Practice R 80.45
8147 Use of own monitoring equipment in rooms for price
dures performed under intravenous sedation
54 General Dental Practice R 197.64
8151 Oral hygiene not to be billed together with 8153
Oral hygiene instructions 95 Dental therapy R 84.27
8151 Oral hygiene not to be billed together with 8153
Oral hygiene instructions 94 Prosthodontic R 253.15
8151 Oral hygiene not to be billed together with 8153
Oral hygiene instructions 92 Periodontics R 253.15
8151 Oral hygiene not to be billed together with 8153
Oral hygiene instructions 54 General Dental Practice R 126.41
8153 OH instruction each additional visit not with 8151
Follow-up visit for re-evaluation of oral hygiene
94 Prosthodontic R 123.37
Page 6 of 109
8153 OH instruction each additional visit not with 8151
Follow-up visit for re-evaluation of oral hygiene
92 Periodontics R 123.37
8153 OH instruction each additional visit not with 8151
Follow-up visit for re-evaluation of oral hygiene
54 General Dental Practice R 93.70
8155 Polishing - complete dentition Polishing only 94 Prosthodontic R 128.09
8155 Polishing - complete dentition Polishing only 92 Periodontics R 176.41
8155 Polishing - complete dentition Polishing only 54 General Dental Practice R 128.09
8157 Re-burnishing and polishing of restoration comp dent
Refurnishing/polishing of restorations. 54 General Dental Practice R 128.09
8158 Enamel micro abrasion 54 General Dental Practice R 117.08
8159 Prophylaxis - complete dentition Scaling and polishing 94 Prosthodontic R 251.69
8159 Prophylaxis - complete dentition Scaling and polishing 92 Periodontics R 354.61
8159 Prophylaxis - complete dentition Scaling and polishing 54 General Dental Practice R 251.69
8161 Topical application of fluoride-child 94 Prosthodontic R 128.09
8161 Topical application of fluoride-child 92 Periodontics R 128.09
8161 Topical application of fluoride-child 54 General Dental Practice R 128.09
8162 Topical application of fluoride - adult Topical application of fluoride-adult (12 years
94 Prosthodontic R 128.09
8162 Topical application of fluoride - adult Topical application of fluoride-adult (12 years
92 Periodontics R 128.09
8162 Topical application of fluoride - adult Topical application of fluoride-adult (12 years
54 General Dental Practice R 128.09
8163 Dental sealant Fissure sealant: per tooth 94 Prosthodontic R 84.61
8163 Dental sealant Fissure sealant: per tooth 54 General Dental Practice R 84.49
8165 Sedative filling Placement of temporary filling Sedative filling 54 General Dental Practice R 128.09
8166 Application of desensitising resin per tooth 54 General Dental Practice R 84.61
8167 Application of desensitising medicament Treatment of hypersensitive dentine 54 General Dental Practice R 98.32
8169 Occlusal guard Bite plate or occlusal guards 54 General Dental Practice R 492.02
8172 Cost of orthotic device 94 Prosthodontic R 0.00
8172 Cost of orthotic device 92 Periodontics R 0.00
8172 Cost of orthotic device 64 Orthodontics R 0.00
8172 Cost of orthotic device 62 Maxillo-facial and Oral Surgery R 0.00
8172 Cost of orthotic device 54 General Dental Practice R 0.00
8173 Space maintainer fixed per abutment Fixed space maintainers per abutment unit 64 Orthodontics R 237.52
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8173 Space maintainer fixed per abutment Fixed space maintainers per abutment unit 54 General Dental Practice R 237.52
8175 Space maintainer removable Removable space maintainer (all inclusive fee).
54 General Dental Practice R 306.30
8176 Periodontal Screening 54 General Dental Practice R 175.50
8177 Oral hygiene instruction for the periodontally compromised patient. 54 General Dental Practice R 193.94
8178 OH instruction each add visit periodontally comp pat
Oral hygiene evaluation for the periodontally
54 General Dental Practice R 104.61
8179 Polishing complete dentition periodontally comp pat
Plaque removal for the periodontally compromised
54 General Dental Practice R 146.97
8180 Prophylaxis complete dentition periodontally comp pa
Scaling & polishing for period. compromised pati
54 General Dental Practice R 273.26
8183 Intra-muscular or sub-cut. injection therapy. 54 General Dental Practice R 56.30
8189 Re-examination existing condition-GDP Biopsy of bone: Needle biopsy 54 General Dental Practice R 101.12
8190 Consultation-GDP 54 General Dental Practice R 208.54
8192 Appositioning (suturing) of soft tissue injuries 54 General Dental Practice R 631.35
8201 Extractions: Single tooth/Proprietary homeopathic
medicine-All forms(Homeopath) 62 Maxillo-facial and Oral Surgery R 192.02
8201 Extractions: Single tooth/Proprietary homeopathic
medicine-All forms(Homeopath) 54 General Dental Practice R 128.09
8202 Each additional tooth in the same quadrant/ Non-proprietary homeopathic meds(tablets & caps)
62 Maxillo-facial and Oral Surgery R 77.41
8202 Each additional tooth in the same quadrant/ Non-proprietary homeopathic meds(tablets & caps)
54 General Dental Practice R 51.57
8213 Surgical removal of residual roots (cutting proceed)
(incl cutting of soft tissue & bone etc) 54 General Dental Practice R 553.26
8214 Surg. removal of residual roots: each subseq. tooth
54 General Dental Practice R 426.63
8220 Use of suture provided by practitioner (see note 4)
92 Periodontics R 0.00
8220 Use of suture provided by practitioner (see note 4)
62 Maxillo-facial and Oral Surgery R 0.00
8220 Use of suture provided by practitioner (see note 4)
54 General Dental Practice R 0.00
8231 Full upper and lower dentures incl.soft/metal bases
94 Prosthodontic R 4 311.93
8231 Full upper and lower dentures incl.soft/metal bases
54 General Dental Practice R 2 065.52
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8232 Full upper or lower dentures incl. soft/metal bases
94 Prosthodontic R 3 016.98
8232 Full upper or lower dentures incl. soft/metal bases
54 General Dental Practice R 1 273.16
8233 Partial denture: One tooth. 54 General Dental Practice R 592.02
8234 Partial denture: Two teeth. 54 General Dental Practice R 592.02
8235 Partial denture: Three teeth. 54 General Dental Practice R 885.84
8236 Partial denture: Four teeth 54 General Dental Practice R 885.84
8237 Partial denture: Five teeth. 54 General Dental Practice R 885.84
8238 Partial denture: Six teeth. 54 General Dental Practice R 1 174.95
8239 Partial denture: Seven teeth. 54 General Dental Practice R 1 174.95
8240 Partial denture: Eight teeth. 54 General Dental Practice R 1 174.95
8241 Partial denture: Nine or more teeth. 54 General Dental Practice R 1 174.95
8244 Immediate Denture - maxillary 94 Prosthodontic R 1 910.00
8244 Immediate Denture - maxillary 54 General Dental Practice R 1 273.16
8245 Immediate Denture - mandibular 94 Prosthodontic R 1 886.97
8245 Immediate Denture - mandibular 54 General Dental Practice R 1 257.87
8251 Cast rest or clasp gold per rest or clasp. 94 Prosthodontic R 0.00
8251 Cast rest or clasp gold per rest or clasp. 92 Periodontics R 0.00
8251 Cast rest or clasp gold per rest or clasp. 54 General Dental Practice R 115.85
8253 Wrought gold clasp or rest per clasp or rest 94 Prosthodontic R 0.00
8253 Wrought gold clasp or rest per clasp or rest 92 Periodontics R 0.00
8253 Wrought gold clasp or rest per clasp or rest 54 General Dental Practice R 115.85
8255 Stainless steel clasp or rest per clasp or rest. 94 Prosthodontic R 0.00
8255 Stainless steel clasp or rest per clasp or rest. 92 Periodontics R 0.00
8255 Stainless steel clasp or rest per clasp or rest. 54 General Dental Practice R 121.79
8257 Lingual or palatal bar. 94 Prosthodontic R 0.00
8257 Lingual or palatal bar. 92 Periodontics R 0.00
8257 Lingual or palatal bar. 54 General Dental Practice R 143.60
8259 Reline of denture (laboratory) 94 Prosthodontic R 688.43
8259 Reline of denture (laboratory) 92 Periodontics R 476.97
8259 Reline of denture (laboratory) 54 General Dental Practice R 476.97
8261 Remodelling per denture. 94 Prosthodontic R 765.62
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8261 Remodelling per denture. 92 Periodontics R 765.62
8261 Remodelling per denture. 54 General Dental Practice R 765.62
8263 Reline of denture in self curing acrylic (intra-oral)
94 Prosthodontic R 378.09
8263 Reline of denture in self curing acrylic (intra-oral)
92 Periodontics R 302.47
8263 Reline of denture in self curing acrylic (intra-oral)
54 General Dental Practice R 302.47
8265 Tissues conditioning per arch including self-cure r
Tissue conditioner 94 Prosthodontic R 253.15
8265 Tissues conditioning per arch including self-cure r
Tissue conditioner 92 Periodontics R 197.64
8265 Tissues conditioning per arch including self-cure r
Tissue conditioner 62 Maxillo-facial and Oral Surgery R 197.64
8265 Tissues conditioning per arch including self-cure r
Tissue conditioner 54 General Dental Practice R 197.64
8267 Reline complete or partial denture (laboratory)
94 Prosthodontic R 696.19
8267 Reline complete or partial denture (laboratory)
92 Periodontics R 696.19
8267 Reline complete or partial denture (laboratory)
54 General Dental Practice R 696.19
8269 Repair of denture or other intra-oral appl. 94 Prosthodontic R 172.81
8269 Repair of denture or other intra-oral appl. 92 Periodontics R 0.00
8269 Repair of denture or other intra-oral appl. 54 General Dental Practice R 160.56
8270 Add clasp to existing partial denture 54 General Dental Practice R 115.85
8271 Additional tooth to existing partial denture 54 General Dental Practice R 115.85
8273 Impression to repair or modify a denture or other
Add fee for impression for 8269/8270/8271/8846
94 Prosthodontic R 92.58
8273 Impression to repair or modify a denture or other
Add fee for impression for 8269/8270/8271/8846
92 Periodontics R 92.58
8273 Impression to repair or modify a denture or other
Add fee for impression for 8269/8270/8271/8846
54 General Dental Practice R 92.58
8275 Adjustment of denture 94 Prosthodontic R 92.58
8275 Adjustment of denture 92 Periodontics R 92.58
8275 Adjustment of denture 54 General Dental Practice R 92.58
Page 10 of 109
8281 Metal base to partial denture. 94 Prosthodontic R 1 364.61
8281 Metal base to partial denture. 92 Periodontics R 1 364.61
8281 Metal base to partial denture. 54 General Dental Practice R 1 364.61
8301 Direct pulp capping/Consultation Duration 1-15 mins
94 Prosthodontic R 0.00
8301 Direct pulp capping/Consultation Duration 1-15 mins
92 Periodontics R 0.00
8301 Direct pulp capping/Consultation Duration 1-15 mins
54 General Dental Practice R 168.20
8303 Indirect pulp capping/Consultation Duration 31-45 m
95 Dental therapy R 152.25
8303 Indirect pulp capping/Consultation Duration 31-45 m
94 Prosthodontic R 0.00
8303 Indirect pulp capping/Consultation Duration 31-45 m
92 Periodontics R 0.00
8303 Indirect pulp capping/Consultation Duration 31-45 m
54 General Dental Practice R 168.20
8304 Rubber dam per arch Rubber dam - per arch/Consultation Duration 46 -
94 Prosthodontic R 98.76
8304 Rubber dam per arch Rubber dam - per arch/Consultation Duration 46 -
92 Periodontics R 98.76
8304 Rubber dam per arch Rubber dam - per arch/Consultation Duration 46 -
54 General Dental Practice R 98.76
8306 Cost of Mineral Trioxide Aggregate 94 Prosthodontic R 0.00
8306 Cost of Mineral Trioxide Aggregate 92 Periodontics R 0.00
8306 Cost of Mineral Trioxide Aggregate 54 General Dental Practice R 0.00
8307 Amputation of pulp (pulpotomy) 94 Prosthodontic R 165.17
8307 Amputation of pulp (pulpotomy) 92 Periodontics R 165.17
8307 Amputation of pulp (pulpotomy) 54 General Dental Practice R 165.17
8325 Internal bleaching - per tooth Bleaching of non-vital teeth per tooth - 1st vis
94 Prosthodontic R 449.10
8325 Internal bleaching - per tooth Bleaching of non-vital teeth per tooth - 1st vis
92 Periodontics R 0.00
8325 Internal bleaching - per tooth Bleaching of non-vital teeth per tooth - 1st vis
54 General Dental Practice R 299.44
8327 Internal bleaching - each additional visit Each additional visit for non-vital 94 Prosthodontic R 215.39
Page 11 of 109
bleaching.
8327 Internal bleaching - each additional visit Each additional visit for non-vital bleaching.
92 Periodontics R 0.00
8327 Internal bleaching - each additional visit Each additional visit for non-vital bleaching.
54 General Dental Practice R 143.60
8328 Each add. canal - anteriors and premolars 94 Prosthodontic R 0.00
8328 Each add. canal - anteriors and premolars 92 Periodontics R 0.00
8328 Each add. canal - anteriors and premolars 54 General Dental Practice R 234.83
8329 Each additional canal - anteriors and premolars
94 Prosthodontic R 0.00
8329 Each additional canal - anteriors and premolars
92 Periodontics R 0.00
8329 Each additional canal - anteriors and premolars
54 General Dental Practice R 293.38
8330 Removal of fractured post or instrument 94 Prosthodontic R 165.17
8330 Removal of fractured post or instrument 92 Periodontics R 165.17
8330 Removal of fractured post or instrument 54 General Dental Practice R 165.17
8332 Anterior teeth inclusive of premolars - per visit
94 Prosthodontic R 0.00
8332 Anterior teeth inclusive of premolars - per visit
92 Periodontics R 0.00
8332 Anterior teeth inclusive of premolars - per visit
54 General Dental Practice R 126.41
8333 Multi-canal tooth - per visit 94 Prosthodontic R 177.41
8333 Multi-canal tooth - per visit 92 Periodontics R 0.00
8333 Multi-canal tooth - per visit 54 General Dental Practice R 177.41
8334 Re-preparation of previously obturated canal per canal 94 Prosthodontic R 225.40
8334 Re-preparation of previously obturated canal per canal 92 Periodontics R 186.86
8334 Re-preparation of previously obturated canal per canal 54 General Dental Practice R 186.86
8335 First canal - anteriors and premolars 94 Prosthodontic R 0.00
8335 First canal - anteriors and premolars 92 Periodontics R 0.00
8335 First canal - anteriors and premolars 54 General Dental Practice R 574.04
8336 First canal - molars 94 Prosthodontic R 0.00
8336 First canal - molars 92 Periodontics R 0.00
Page 12 of 109
8336 First canal - molars 54 General Dental Practice R 790.23
8337 Each additional canal - molars 94 Prosthodontic R 0.00
8337 Each additional canal - molars 92 Periodontics R 0.00
8337 Each additional canal - molars 54 General Dental Practice R 234.83
8338 First canal - anteriors and premolars 94 Prosthodontic R 0.00
8338 First canal - anteriors and premolars 92 Periodontics R 0.00
8338 First canal - anteriors and premolars 54 General Dental Practice R 878.21
8339 First canal - molars 94 Prosthodontic R 0.00
8339 First canal - molars 92 Periodontics R 0.00
8339 First canal - molars 54 General Dental Practice R 1 207.09
8340 Each additional canal - molars 94 Prosthodontic R 0.00
8340 Each additional canal - molars 92 Periodontics R 0.00
8340 Each additional canal - molars 54 General Dental Practice R 293.38
8341 Plastic restorations: Amalgam - one surface 95 Dental therapy R 219.55
8341 Plastic restorations: Amalgam - one surface 94 Prosthodontic R 251.57
8341 Plastic restorations: Amalgam - one surface 92 Periodontics R 251.57
8341 Plastic restorations: Amalgam - one surface 54 General Dental Practice R 251.57
8342 Plastic restorations: Amalgam - two surfaces 95 Dental therapy R 270.67
8342 Plastic restorations: Amalgam - two surfaces 94 Prosthodontic R 310.11
8342 Plastic restorations: Amalgam - two surfaces 92 Periodontics R 310.11
8342 Plastic restorations: Amalgam - two surfaces 54 General Dental Practice R 310.11
8343 Plastic restorations: Amalgam - three surfaces 95 Dental therapy R 329.89
8343 Plastic restorations: Amalgam - three surfaces 94 Prosthodontic R 378.09
8343 Plastic restorations: Amalgam - three surfaces 92 Periodontics R 378.09
8343 Plastic restorations: Amalgam - three surfaces 54 General Dental Practice R 378.09
8344 Plastic restoration: Amalgam - four or more surfaces
95 Dental therapy R 367.64
8344 Plastic restoration: Amalgam - four or more surfaces
94 Prosthodontic R 421.35
8344 Plastic restoration: Amalgam - four or more surfaces
92 Periodontics R 421.35
8344 Plastic restoration: Amalgam - four or more surfaces
54 General Dental Practice R 421.35
Page 13 of 109
8345 Preformed post retention per post 94 Prosthodontic R 248.65
8345 Preformed post retention per post 92 Periodontics R 248.65
8345 Preformed post retention per post 54 General Dental Practice R 248.65
8347 Pin retention for restoration 94 Prosthodontic R 124.94
8347 Pin retention for restoration 92 Periodontics R 124.94
8347 Pin retention for restoration 54 General Dental Practice R 124.94
8348 Pin retention for restoration - each additional pin
94 Prosthodontic R 115.85
8348 Pin retention for restoration - each additional pin
92 Periodontics R 115.85
8348 Pin retention for restoration - each additional pin
54 General Dental Practice R 115.85
8349 Carving a plastic restoration to accommodate an
existing removable prosthesis 94 Prosthodontic R 0.00
8349 Carving a plastic restoration to accommodate an
existing removable prosthesis 92 Periodontics R 0.00
8349 Carving a plastic restoration to accommodate an
existing removable prosthesis 54 General Dental Practice R 51.01
8350 Resin crown-anterior primary tooth (direct) 95 Dental therapy R 478.88
8350 Resin crown-anterior primary tooth (direct) 94 Prosthodontic R 549.00
8350 Resin crown-anterior primary tooth (direct) 92 Periodontics R 549.00
8350 Resin crown-anterior primary tooth (direct) 54 General Dental Practice R 549.00
8351 Acid etch restoration: One surface. 95 Dental therapy R 265.73
8351 Acid etch restoration: One surface. 94 Prosthodontic R 276.18
8351 Acid etch restoration: One surface. 92 Periodontics R 276.18
8351 Acid etch restoration: One surface. 54 General Dental Practice R 276.18
8352 Resin - two surfaces - anterior 95 Dental therapy R 333.93
8352 Resin - two surfaces - anterior 94 Prosthodontic R 347.31
8352 Resin - two surfaces - anterior 92 Periodontics R 347.31
8352 Resin - two surfaces - anterior 54 General Dental Practice R 347.31
8353 Acid etch restoration: Three surfaces. 95 Dental therapy R 399.10
8353 Acid etch restoration: Three surfaces. 94 Prosthodontic R 415.17
8353 Acid etch restoration: Three surfaces. 92 Periodontics R 415.17
8353 Acid etch restoration: Three surfaces. 54 General Dental Practice R 415.17
Page 14 of 109
8354 Acid etch restoration: more than three surfaces.
95 Dental therapy R 445.51
8354 Acid etch restoration: more than three surfaces.
94 Prosthodontic R 463.15
8354 Acid etch restoration: more than three surfaces.
92 Periodontics R 463.15
8354 Acid etch restoration: more than three surfaces.
54 General Dental Practice R 463.15
8355 Composite veneers (direct) - No 8099. 94 Prosthodontic R 438.54
8355 Composite veneers (direct) - No 8099. 92 Periodontics R 438.54
8355 Composite veneers (direct) - No 8099. 54 General Dental Practice R 438.54
8357 Preformed metal crown. 94 Prosthodontic R 257.75
8357 Preformed metal crown. 92 Periodontics R 257.75
8357 Preformed metal crown. 54 General Dental Practice R 257.75
8361 Metal inlays on posterior teeth - one surface 94 Prosthodontic R 757.87
8361 Metal inlays on posterior teeth - one surface 92 Periodontics R 0.00
8361 Metal inlays on posterior teeth - one surface 54 General Dental Practice R 384.15
8362 Metal inlays on posterior teeth: Two surfaces 94 Prosthodontic R 1 098.88
8362 Metal inlays on posterior teeth: Two surfaces 92 Periodontics R 0.00
8362 Metal inlays on posterior teeth: Two surfaces 54 General Dental Practice R 561.92
8363 Metal inlays on posterior teeth: Three surfaces
94 Prosthodontic R 1 704.06
8363 Metal inlays on posterior teeth: Three surfaces
92 Periodontics R 0.00
8363 Metal inlays on posterior teeth: Three surfaces
54 General Dental Practice R 936.86
8364 Metal inlays on posterior teeth: Four or more surface
94 Prosthodontic R 1 704.06
8364 Metal inlays on posterior teeth: Four or more surface
92 Periodontics R 0.00
8364 Metal inlays on posterior teeth: Four or more surface
54 General Dental Practice R 1 132.93
8366 Pin retention as part of cast restoration; irresp
94 Prosthodontic R 253.15
8366 Pin retention as part of cast restoration; irresp
92 Periodontics R 0.00
Page 15 of 109
8366 Pin retention as part of cast restoration; irresp
54 General Dental Practice R 186.86
8367 Resin- one surface posterior One surface on premolar or molar/Een vlak op voo
95 Dental therapy R 288.09
8367 Resin- one surface posterior One surface on premolar or molar/Een vlak op voo
94 Prosthodontic R 299.44
8367 Resin- one surface posterior One surface on premolar or molar/Een vlak op voo
92 Periodontics R 299.44
8367 Resin- one surface posterior One surface on premolar or molar/Een vlak op voo
54 General Dental Practice R 299.44
8368 Two surfaces on premolar or molar/Twee vlakke
95 Dental therapy R 356.30
8368 Two surfaces on premolar or molar/Twee vlakke
94 Prosthodontic R 370.34
8368 Two surfaces on premolar or molar/Twee vlakke
92 Periodontics R 370.34
8368 Two surfaces on premolar or molar/Twee vlakke
54 General Dental Practice R 370.34
8369 Three surfaces on premolar or molar/Drie vlakke
95 Dental therapy R 430.34
8369 Three surfaces on premolar or molar/Drie vlakke
94 Prosthodontic R 447.75
8369 Three surfaces on premolar or molar/Drie vlakke
92 Periodontics R 447.75
8369 Three surfaces on premolar or molar/Drie vlakke
54 General Dental Practice R 447.75
8370 Four or more surfaces on premolar of molar 95 Dental therapy R 462.92
8370 Four or more surfaces on premolar of molar 94 Prosthodontic R 481.46
8370 Four or more surfaces on premolar of molar 92 Periodontics R 481.46
8370 Four or more surfaces on premolar of molar 54 General Dental Practice R 481.46
8371 Ceramic/Resin bonded inlays/veneers - one surface.
94 Prosthodontic R 915.29
8371 Ceramic/Resin bonded inlays/veneers - one surface.
54 General Dental Practice R 463.15
8372 Ceramic/Resin bonded inlays/veneers - 2 surfaces.
94 Prosthodontic R 1 318.21
8372 Ceramic/Resin bonded inlays/veneers - 2 54 General Dental Practice R 683.71
Page 16 of 109
surfaces.
8373 Ceramic/Resin bonded inlays/veneers - 3 surfaces/
94 Prosthodontic R 2 048.21
8373 Ceramic/Resin bonded inlays/veneers - 3 surfaces/
54 General Dental Practice R 1 126.85
8374 Ceramic and/or resin inlays/veneers - 4 surfaces
94 Prosthodontic R 2 048.21
8374 Ceramic and/or resin inlays/veneers - 4 surfaces
54 General Dental Practice R 1 364.61
8375 Prefabricated resin crown Ceramic/Resin bonded inlays/veneers - 5 surfaces
94 Prosthodontic R 257.75
8375 Prefabricated resin crown Ceramic/Resin bonded inlays/veneers - 5 surfaces
54 General Dental Practice R 257.75
8376 Prefabricated post and core in addition to crown
94 Prosthodontic R 688.43
8376 Prefabricated post and core in addition to crown
54 General Dental Practice R 688.43
8379 Cost of posts - noble metals only 94 Prosthodontic R 95.85
8379 Cost of posts - noble metals only 54 General Dental Practice R 95.85
8381 Inlay-resin-one surface 94 Prosthodontic R 915.29
8381 Inlay-resin-one surface 54 General Dental Practice R 463.15
8382 Inlay/Onlay-resin-two surfaces 94 Prosthodontic R 1 318.21
8382 Inlay/Onlay-resin-two surfaces 54 General Dental Practice R 683.71
8383 Inlay/onlay-resin-three surfaces 94 Prosthodontic R 2 048.21
8383 Inlay/onlay-resin-three surfaces 54 General Dental Practice R 1 126.85
8384 Inlay/onlay-resin-four or more surfaces 94 Prosthodontic R 2 048.21
8384 Inlay/onlay-resin-four or more surfaces 54 General Dental Practice R 1 364.61
8391 Single post (thimble or coping). 94 Prosthodontic R 290.33
8391 Single post (thimble or coping). 54 General Dental Practice R 290.33
8392 Cast post (each additional) 54 General Dental Practice R 172.81
8397 Cast core with pins (not with 8137). 94 Prosthodontic R 602.13
8397 Cast core with pins (not with 8137). 54 General Dental Practice R 463.15
8398 Core build-up including any pins 94 Prosthodontic R 561.92
8398 Core build-up including any pins 54 General Dental Practice R 561.92
Page 17 of 109
8401 Cast full crown 94 Prosthodontic R 2 126.86
8401 Cast full crown 92 Periodontics R 0.00
8401 Cast full crown 54 General Dental Practice R 1 444.73
8403 Cast three-quarter crown 94 Prosthodontic R 2 126.86
8403 Cast three-quarter crown 92 Periodontics R 0.00
8403 Cast three-quarter crown 54 General Dental Practice R 1 444.73
8404 Crown 3/4 porcelain/ceramic 94 Prosthodontic R 2 048.21
8404 Crown 3/4 porcelain/ceramic 92 Periodontics R 0.00
8404 Crown 3/4 porcelain/ceramic 54 General Dental Practice R 1 364.50
8405 Acrylic jacket crown. 94 Prosthodontic R 2 048.21
8405 Acrylic jacket crown. 92 Periodontics R 0.00
8405 Acrylic jacket crown. 54 General Dental Practice R 1 364.50
8407 Acrylic veneered crown. 94 Prosthodontic R 2 126.86
8407 Acrylic veneered crown. 92 Periodontics R 0.00
8407 Acrylic veneered crown. 54 General Dental Practice R 1 444.73
8409 Porcelain jacket crown. 94 Prosthodontic R 2 126.86
8409 Porcelain jacket crown. 92 Periodontics R 0.00
8409 Porcelain jacket crown. 54 General Dental Practice R 1 444.73
8410 Provisional Crown 94 Prosthodontic R 421.35
8410 Provisional Crown 92 Periodontics R 280.78
8410 Provisional Crown 62 Maxillo-facial and Oral Surgery R 0.00
8410 Provisional Crown 54 General Dental Practice R 280.78
8411 Porcelain veneered crown 94 Prosthodontic R 2 126.86
8411 Porcelain veneered crown 92 Periodontics R 0.00
8411 Porcelain veneered crown 54 General Dental Practice R 1 444.73
8413 Facing replacement (not with 8137). 94 Prosthodontic R 280.78
8413 Facing replacement (not with 8137). 92 Periodontics R 0.00
8413 Facing replacement (not with 8137). 54 General Dental Practice R 280.78
8414 Additional Fee for Crown with existing clasp 94 Prosthodontic R 83.37
8414 Additional Fee for Crown with existing clasp 92 Periodontics R 0.00
8414 Additional Fee for Crown with existing clasp 54 General Dental Practice R 83.37
8415 Pontic-porcelain/ceramic Removal of inlays and crowns (per unit) & 94 Prosthodontic R 0.00
Page 18 of 109
bridge
8415 Pontic-porcelain/ceramic Removal of inlays and crowns (per unit) & bridge
92 Periodontics R 0.00
8415 Pontic-porcelain/ceramic Removal of inlays and crowns (per unit) & bridge
54 General Dental Practice R 1 179.22
8416 Pontic-cast metal 94 Prosthodontic R 0.00
8416 Pontic-cast metal 92 Periodontics R 0.00
8416 Pontic-cast metal 54 General Dental Practice R 936.86
8417 Pontic-resin with metal 94 Prosthodontic R 0.00
8417 Pontic-resin with metal 92 Periodontics R 0.00
8417 Pontic-resin with metal 54 General Dental Practice R 1 179.22
8418 Pontic-porcelain fused to metal 94 Prosthodontic R 0.00
8418 Pontic-porcelain fused to metal 92 Periodontics R 0.00
8418 Pontic-porcelain fused to metal 54 General Dental Practice R 1 179.22
8419 Provisional pontic 94 Prosthodontic R 421.35
8419 Provisional pontic 92 Periodontics R 0.00
8419 Provisional pontic 54 General Dental Practice R 280.78
8432 Inlay/onlay retainer - netal - two surfaces 94 Prosthodontic R 1 098.88
8432 Inlay/onlay retainer - netal - two surfaces 92 Periodontics R 0.00
8432 Inlay/onlay retainer - netal - two surfaces 54 General Dental Practice R 561.92
8433 Inlay/onlay retainer - metal - three surfaces 94 Prosthodontic R 1 704.06
8433 Inlay/onlay retainer - metal - three surfaces 92 Periodontics R 0.00
8433 Inlay/onlay retainer - metal - three surfaces 54 General Dental Practice R 936.86
8434 Inlay/onlay retainer - metal - four or more surfaces
94 Prosthodontic R 1 704.06
8434 Inlay/onlay retainer - metal - four or more surfaces
92 Periodontics R 0.00
8434 Inlay/onlay retainer - metal - four or more surfaces
54 General Dental Practice R 1 132.93
8436 Inlay/onlay retainer - porcelain - two surfaces 94 Prosthodontic R 1 318.21
8436 Inlay/onlay retainer - porcelain - two surfaces 92 Periodontics R 0.00
8436 Inlay/onlay retainer - porcelain - two surfaces 54 General Dental Practice R 683.71
8437 Inlay/onlay retainer - porcelain - three surfaces
94 Prosthodontic R 2 048.21
Page 19 of 109
8437 Inlay/onlay retainer - porcelain - three surfaces
92 Periodontics R 0.00
8437 Inlay/onlay retainer - porcelain - three surfaces
54 General Dental Practice R 1 126.85
8438 Inlay/onlay retainer - porcelain - four or more surfaces 94 Prosthodontic R 2 048.21
8438 Inlay/onlay retainer - porcelain - four or more surfaces 92 Periodontics R 0.00
8438 Inlay/onlay retainer - porcelain - four or more surfaces 54 General Dental Practice R 1 364.61
8441 Crown retainer - full cast metal 94 Prosthodontic R 2 126.86
8441 Crown retainer - full cast metal 92 Periodontics R 0.00
8441 Crown retainer - full cast metal 54 General Dental Practice R 1 444.73
8442 Crown retainer - 3/4 cast metal 94 Prosthodontic R 2 126.86
8442 Crown retainer - 3/4 cast metal 92 Periodontics R 0.00
8442 Crown retainer - 3/4 cast metal 54 General Dental Practice R 1 444.73
8443 Crow retainer - porcelain/ceramic 94 Prosthodontic R 2 126.86
8443 Crow retainer - porcelain/ceramic 92 Periodontics R 0.00
8443 Crow retainer - porcelain/ceramic 54 General Dental Practice R 1 444.73
8444 Crown retainer - 3/4 procelain/ceramic 94 Prosthodontic R 2 126.86
8444 Crown retainer - 3/4 procelain/ceramic 92 Periodontics R 0.00
8444 Crown retainer - 3/4 procelain/ceramic 54 General Dental Practice R 0.00
8445 Crown retainer - porcelain with metal 94 Prosthodontic R 2 126.86
8445 Crown retainer - porcelain with metal 92 Periodontics R 0.00
8445 Crown retainer - porcelain with metal 54 General Dental Practice R 1 444.73
8446 Crown retainer - resin with metal 94 Prosthodontic R 2 126.86
8446 Crown retainer - resin with metal 92 Periodontics R 0.00
8446 Crown retainer - resin with metal 54 General Dental Practice R 1 444.73
8447 Provisional crown retainer 94 Prosthodontic R 421.35
8447 Provisional crown retainer 92 Periodontics R 0.00
8447 Provisional crown retainer 54 General Dental Practice R 280.78
8499 The relevant MASA 54 General Dental Practice R 0.00
8501 Prosthodontic consultation. 94 Prosthodontic R 262.48
8503 Occlusal analysis on adjustable articulator. 94 Prosthodontic R 421.35
8503 Occlusal analysis on adjustable articulator. 54 General Dental Practice R 280.78
8505 Pantographic recording. 94 Prosthodontic R 611.24
Page 20 of 109
8505 Pantographic recording. 54 General Dental Practice R 407.53
8506 Extensive consultation-Prosthodontist "Detailed clinical examination records radiograp
94 Prosthodontic R 686.74
8507 Examination/treatment planning 94 Prosthodontic R 421.35
8508 Electrognathographic recording. 94 Prosthodontic R 654.50
8508 Electrognathographic recording. 54 General Dental Practice R 436.30
8509 Electrognathographic recording with comp. analysis.
94 Prosthodontic R 1 086.64
8509 Electrognathographic recording with comp. analysis.
54 General Dental Practice R 724.28
8514 Recement bridge 94 Prosthodontic R 160.56
8514 Recement bridge 54 General Dental Practice R 126.41
8515 Recementing of crowns/inlays/bridges per abutment.
54 General Dental Practice R 254.72
8516 Remove bridge 94 Prosthodontic R 251.57
8516 Remove bridge 54 General Dental Practice R 251.57
8517 Re-implantation of a tooth. 94 Prosthodontic R 438.54
8517 Re-implantation of a tooth. 54 General Dental Practice R 292.25
8518 Repair bridge 94 Prosthodontic R 280.78
8518 Repair bridge 54 General Dental Practice R 280.78
8533 Implant supported removable complete overdenture
94 Prosthodontic R 3 401.92
8533 Implant supported removable complete overdenture
54 General Dental Practice R 2 267.87
8534 Implant supported removable partial overdenture
94 Prosthodontic R 2 721.48
8534 Implant supported removable partial overdenture
54 General Dental Practice R 1 814.27
8536 Crown-implant/abutment supported-porcelain/ceramic
94 Prosthodontic R 2 480.46
8536 Crown-implant/abutment supported-porcelain/ceramic
54 General Dental Practice R 1 875.41
8537 Crown-implant/abutment supported-porcelain with
metal 94 Prosthodontic R 2 480.46
8537 Crown-implant/abutment supported-porcelain with
metal 92 Periodontics R 0.00
Page 21 of 109
8537 Crown-implant/abutment supported-porcelain with
metal 62 Maxillo-facial and Oral Surgery R 0.00
8537 Crown-implant/abutment supported-porcelain with
metal 54 General Dental Practice R 1 875.41
8538 Crown-implant/abutment supported-cast metal
94 Prosthodontic R 2 480.46
8538 Crown-implant/abutment supported-cast metal
54 General Dental Practice R 1 875.41
8546 Crown retainer-implant abutment supported-porcelain
ceramic 94 Prosthodontic R 2 480.46
8546 Crown retainer-implant abutment supported-porcelain
ceramic 54 General Dental Practice R 1 875.41
8547 Crown retainer-implant abutment supported-porcelain
with metal 94 Prosthodontic R 2 480.46
8547 Crown retainer-implant abutment supported-porcelain
with metal 54 General Dental Practice R 1 875.41
8548 Crown retainer-implant abutment supported-cast metal
94 Prosthodontic R 2 480.46
8548 Crown retainer-implant abutment supported-cast metal
54 General Dental Practice R 1 875.41
8551 Occlusal adjustment major Major occlusal adjustment. 94 Prosthodontic R 1 200.79
8551 Occlusal adjustment major Major occlusal adjustment. 64 Orthodontics R 1 200.79
8551 Occlusal adjustment major Major occlusal adjustment. 54 General Dental Practice R 800.57
8552 Veneer-porcelain (laboratory) 94 Prosthodontic R 1 455.51
8552 Veneer-porcelain (laboratory) 54 General Dental Practice R 970.23
8553 Occlusal adjustment minor Minor occlusal adjustment. 94 Prosthodontic R 382.70
8553 Occlusal adjustment minor Minor occlusal adjustment. 92 Periodontics R 382.70
8553 Occlusal adjustment minor Minor occlusal adjustment. 64 Orthodontics R 382.70
8553 Occlusal adjustment minor Minor occlusal adjustment. 54 General Dental Practice R 279.33
8554 Bonded veneers - only with 8099. 94 Prosthodontic R 1 455.51
8554 Bonded veneers - only with 8099. 54 General Dental Practice R 970.23
8560 Cost of ceramic block 94 Prosthodontic R 714.49
8560 Cost of ceramic block 54 General Dental Practice R 714.49
8561 Class I and Class VI gold foil restoration. 94 Prosthodontic R 1 098.88
8561 Class I and Class VI gold foil restoration. 54 General Dental Practice R 732.70
Page 22 of 109
8563 Class V gold foil restoration. 94 Prosthodontic R 1 285.84
8563 Class V gold foil restoration. 54 General Dental Practice R 857.19
8565 Class III gold foil restoration. 94 Prosthodontic R 1 617.54
8565 Class III gold foil restoration. 54 General Dental Practice R 1 078.32
8570 Fabrication of computer generated ceramic restoration 94 Prosthodontic R 1 428.38
8570 Fabrication of computer generated ceramic restoration 54 General Dental Practice R 1 428.38
8578 Prefabricated abutment 94 Prosthodontic R 352.03
8578 Prefabricated abutment 54 General Dental Practice R 234.83
8579 Custom abutment 94 Prosthodontic R 1 605.18
8579 Custom abutment 54 General Dental Practice R 1 070.23
8581 Single post + coping (+ 8099). 94 Prosthodontic R 428.99
8582 Double post 94 Prosthodontic R 611.24
8583 Triple post + coping (+ 8099). 94 Prosthodontic R 757.87
8583 Triple post + coping (+ 8099). 54 General Dental Practice R 0.00
8584 Connector bar-implant supported Dental implant supported connecting bar 94 Prosthodontic R 3 401.92
8584 Connector bar-implant supported Dental implant supported connecting bar 54 General Dental Practice R 2 267.87
8585 Connector bar 94 Prosthodontic R 3 401.92
8585 Connector bar 54 General Dental Practice R 2 267.87
8586 Stress breaker 94 Prosthodontic R 1 268.77
8586 Stress breaker 54 General Dental Practice R 846.07
8587 Copings (+ 8099). 94 Prosthodontic R 352.03
8587 Copings (+ 8099). 54 General Dental Practice R 188.32
8590 Periodic maint. of existing implant prosthesis. 94 Prosthodontic R 155.84
8590 Periodic maint. of existing implant prosthesis. 54 General Dental Practice R 103.71
8592 Osteo-integrated abutment restoration - per abutment
94 Prosthodontic R 2 480.46
8594 Repair implant supported prosthesis 94 Prosthodontic R 172.81
8594 Repair implant supported prosthesis 54 General Dental Practice R 115.17
8595 Repair implant abutment 94 Prosthodontic R 172.81
8595 Repair implant abutment 54 General Dental Practice R 115.17
8597 Locks and milled rests. 94 Prosthodontic R 172.81
8597 Locks and milled rests. 54 General Dental Practice R 115.17
Page 23 of 109
8599 Precision attachments. 94 Prosthodontic R 421.35
8599 Precision attachments. 54 General Dental Practice R 280.78
8600 Cost of implant components 94 Prosthodontic R 0.00
8600 Cost of implant components 92 Periodontics R 0.00
8600 Cost of implant components 62 Maxillo-facial and Oral Surgery R 0.00
8611 Sanitary pontic (not with 8513). 94 Prosthodontic R 1 285.84
8613 Posterior pontic (not with 8513). 94 Prosthodontic R 1 573.04
8615 Anterior pontic (not with 8513). 94 Prosthodontic R 1 699.33
8617 Retainer cast metal 94 Prosthodontic R 1 098.88
8617 Retainer cast metal 54 General Dental Practice R 561.92
8631 Root canal therapy - first canal. 94 Prosthodontic R 1 491.02
8633 Root canal therapy - additional canal. 94 Prosthodontic R 374.94
8635 Apexification of root canal - per visit. 94 Prosthodontic R 248.65
8635 Apexification of root canal - per visit. 54 General Dental Practice R 168.20
8640 Removal of fractured post/instrument from root canal
94 Prosthodontic R 438.54
8643 Full upper and lower dentures - no major complications.
94 Prosthodontic R 5 528.90
8645 Full upper and lower dentures - with major complications
94 Prosthodontic R 6 800.81
8649 Full upper OR lower dentures - no major complications
94 Prosthodontic R 3 401.92
8651 Full upper OR lower denture - with major complications
94 Prosthodontic R 3 826.20
8652 Complete overdenture 94 Prosthodontic R 3 401.92
8652 Complete overdenture 54 General Dental Practice R 2 267.87
8653 Partial overdenture 94 Prosthodontic R 2 721.48
8653 Partial overdenture 54 General Dental Practice R 1 814.27
8654 Denture fxd impl/abut sup cmpl 94 Prosthodontic R 3 826.20
8654 Denture fxd impl/abut sup cmpl 54 General Dental Practice R 2 550.79
8655 Denture fxd impl/abut sup prtl 94 Prosthodontic R 2 622.04
8655 Denture fxd impl/abut sup prtl 54 General Dental Practice R 2 040.68
8657 Replacement of precision attachment 94 Prosthodontic R 172.81
8657 Replacement of precision attachment 54 General Dental Practice R 160.56
Page 24 of 109
8658 Interim complete denture 94 Prosthodontic R 1 886.97
8658 Interim complete denture 54 General Dental Practice R 1 257.87
8659 Interim partial denture 94 Prosthodontic R 1 509.56
8659 Interim partial denture 54 General Dental Practice R 1 006.30
8660 Additional fee to implant supported fixed-detachable
denture-per implant 94 Prosthodontic R 352.03
8660 Additional fee to implant supported fixed-detachable
denture-per implant 54 General Dental Practice R 352.03
8661 Diagnostic dentures (not with 8668). 94 Prosthodontic R 3 401.92
8662 Remounting and occlusal adjustment of dentures.
94 Prosthodontic R 490.90
8662 Remounting and occlusal adjustment of dentures.
54 General Dental Practice R 327.41
8663 Chrome cobalt base or gold base for full denture
94 Prosthodontic R 1 024.95
8663 Chrome cobalt base or gold base for full denture
54 General Dental Practice R 683.27
8664 Remount of crown or bridge for ext. prosthetics.
94 Prosthodontic R 512.92
8664 Remount of crown or bridge for ext. prosthetics.
54 General Dental Practice R 327.41
8667 Soft base - per denture. 94 Prosthodontic R 1 024.95
8667 Soft base - per denture. 54 General Dental Practice R 683.27
8671 Metal frame to partial denture. 94 Prosthodontic R 3 401.92
8672 Additional fee for altered model in partial denture.
94 Prosthodontic R 131.24
8672 Additional fee for altered model in partial denture.
54 General Dental Practice R 87.64
8674 Additive partial denture. 94 Prosthodontic R 1 543.60
8674 Additive partial denture. 54 General Dental Practice R 1 029.10
8701 Periodontal consultation - not with 8703/8705/8707.
92 Periodontics R 262.48
8703 Detailed clinical examination - not with 8701/8707.
92 Periodontics R 686.74
8705 Periodic re-examination. 92 Periodontics R 205.40
8707 Periodontal screening - not with 92 Periodontics R 205.40
Page 25 of 109
8701/8703/8705.
8723 Provisional splinting - per sextant. 94 Prosthodontic R 352.03
8723 Provisional splinting - per sextant. 92 Periodontics R 352.03
8723 Provisional splinting - per sextant. 54 General Dental Practice R 234.83
8725 Provisional splinting - wire + resin - per sextant.
94 Prosthodontic R 510.90
8725 Provisional splinting - wire + resin - per sextant.
92 Periodontics R 510.90
8725 Provisional splinting - wire + resin - per sextant.
54 General Dental Practice R 340.57
8727 Provisional splinting- intra coronal per tooth Provisional splinting - per tooth included. 94 Prosthodontic R 160.56
8727 Provisional splinting- intra coronal per tooth Provisional splinting - per tooth included. 92 Periodontics R 160.56
8727 Provisional splinting- intra coronal per tooth Provisional splinting - per tooth included. 54 General Dental Practice R 106.96
8731 Periodontal abscess - treatment acute phase. 92 Periodontics R 302.47
8731 Periodontal abscess - treatment acute phase. 54 General Dental Practice R 201.80
8737 Root planning - four or more teeth per quadrant
Root planning -with/without periodontal curettage
92 Periodontics R 686.74
8737 Root planning - four or more teeth per quadrant
Root planning -with/without periodontal curettage
54 General Dental Practice R 506.40
8739 Root planning - one to three teeth per quadrant
Root planning - per sextant. 92 Periodontics R 548.09
8739 Root planning - one to three teeth per quadrant
Root planning - per sextant. 54 General Dental Practice R 402.93
8741 Gingivectomy-gingivoplasty-- per quadrant. 92 Periodontics R 906.07
8741 Gingivectomy-gingivoplasty-- per quadrant. 62 Maxillo-facial and Oral Surgery R 0.00
8741 Gingivectomy-gingivoplasty-- per quadrant. 54 General Dental Practice R 660.68
8743 Gingivectomy-gingivoplasty per sextant. 92 Periodontics R 719.33
8743 Gingivectomy-gingivoplasty per sextant. 54 General Dental Practice R 527.87
8749 Flap operation - per quadrant. 92 Periodontics R 2 057.53
8749 Flap operation - per quadrant. 54 General Dental Practice R 1 371.58
8751 Flap operation - per sextant. 92 Periodontics R 1 704.06
8751 Flap operation - per sextant. 54 General Dental Practice R 1 135.96
8753 Flap procedure root planning and four or more surgical services- per quadrant 92 Periodontics R 2 550.01
8753 Flap procedure root planning and four or more surgical services- per quadrant 54 General Dental Practice R 1 700.12
Page 26 of 109
8755 Flap operation - more than three - per sextant.
92 Periodontics R 2 066.64
8755 Flap operation - more than three - per sextant.
54 General Dental Practice R 1 377.76
8756 Clinical crown lengthening 92 Periodontics R 1 253.26
8756 Clinical crown lengthening 54 General Dental Practice R 835.51
8759 Pedicle flapped graft. 92 Periodontics R 941.46
8759 Pedicle flapped graft. 54 General Dental Practice R 627.75
8761 Masticatory mucosal autograft. 92 Periodontics R 1 023.38
8761 Masticatory mucosal autograft. 62 Maxillo-facial and Oral Surgery R 1 023.38
8761 Masticatory mucosal autograft. 54 General Dental Practice R 682.14
8762 Masticatory mucosal autograft - more than 4 teeth.
92 Periodontics R 1 537.31
8762 Masticatory mucosal autograft - more than 4 teeth.
62 Maxillo-facial and Oral Surgery R 1 537.31
8762 Masticatory mucosal autograft - more than 4 teeth.
54 General Dental Practice R 1 024.95
8763 Wedge resection. 92 Periodontics R 602.13
8763 Wedge resection. 54 General Dental Practice R 401.35
8765 Hemisection/Resection of a root/Tunnel preparation
94 Prosthodontic R 827.31
8765 Hemisection/Resection of a root/Tunnel preparation
92 Periodontics R 827.31
8765 Hemisection/Resection of a root/Tunnel preparation
54 General Dental Practice R 551.47
8766 Bone regenerative/repair - for flap operation. 92 Periodontics R 492.58
8766 Bone regenerative/repair - for flap operation. 54 General Dental Practice R 328.09
8767 Bone regenerative/repair procedure - single site.
92 Periodontics R 1 276.53
8767 Bone regenerative/repair procedure - single site.
62 Maxillo-facial and Oral Surgery R 1 276.53
8767 Bone regenerative/repair procedure - single site.
54 General Dental Practice R 851.01
8768 Any other periodontal procedure - single tooth.
92 Periodontics R 602.13
8768 Any other periodontal procedure - single 62 Maxillo-facial and Oral Surgery R 0.00
Page 27 of 109
tooth.
8768 Any other periodontal procedure - single tooth.
54 General Dental Practice R 401.35
8769 Subseq. removal of membrane - guided tissue regene.
92 Periodontics R 602.13
8769 Subseq. removal of membrane - guided tissue regene.
62 Maxillo-facial and Oral Surgery R 602.13
8769 Subseq. removal of membrane - guided tissue regene.
54 General Dental Practice R 401.35
8770 Cost of bone regenerative/repair material. 92 Periodontics R 0.00
8770 Cost of bone regenerative/repair material. 62 Maxillo-facial and Oral Surgery R 0.00
8770 Cost of bone regenerative/repair material. 54 General Dental Practice R 0.00
8772 Submucosal connective tissue autograft 92 Periodontics R 1 034.05
8772 Submucosal connective tissue autograft 62 Maxillo-facial and Oral Surgery R 1 034.05
8772 Submucosal connective tissue autograft 54 General Dental Practice R 689.55
8773 Cost of intrapocket chemotherapeutic agent 92 Periodontics R 0.00
8773 Cost of intrapocket chemotherapeutic agent 54 General Dental Practice R 0.00
8781 Oral medical consultation/examin. and diagnosis.
92 Periodontics R 205.40
8782 Cons. Examin. Diagn & Treatment Oral Dis: Complex
92 Periodontics R 361.12
8783 Subsequent consultation for same disease/condition.
92 Periodontics R 152.81
8787 Any other procedure connected with oral medicine.
92 Periodontics R 216.07
8787 Any other procedure connected with oral medicine.
54 General Dental Practice R 143.94
8801 First consultation: Orthodontist 64 Orthodontics R 262.48
8803 Subsequent consultation: Orthodontist 64 Orthodontics R 152.81
8811 Tracing and analysis of 8116. 94 Prosthodontic R 38.54
8811 Tracing and analysis of 8116. 92 Periodontics R 38.54
8811 Tracing and analysis of 8116. 64 Orthodontics R 38.54
8811 Tracing and analysis of 8116. 62 Maxillo-facial and Oral Surgery R 38.54
8811 Tracing and analysis of 8116. 54 General Dental Practice R 38.54
8837 Diagnosis and treatment planning. 64 Orthodontics R 121.79
Page 28 of 109
8839 Orthodontic diagnostic setup. 64 Orthodontics R 257.75
8839 Orthodontic diagnostic setup. 54 General Dental Practice R 257.75
8840 Treatment planning for orthognathic surgery. 64 Orthodontics R 0.00
8840 Treatment planning for orthognathic surgery. 62 Maxillo-facial and Oral Surgery R 0.00
8840 Treatment planning for orthognathic surgery. 54 General Dental Practice R 0.00
8841 Single arch treatment: Mild 64 Orthodontics R 13 909.61
8841 Single arch treatment: Mild 54 General Dental Practice R 9 273.29
8842 Single arch treatment: Moderate. 64 Orthodontics R 16 346.92
8842 Single arch treatment: Moderate. 54 General Dental Practice R 10 897.91
8843 Single arch treatment: Severe. 64 Orthodontics R 18 624.79
8843 Single arch treatment: Severe. 54 General Dental Practice R 12 416.46
8846 Retainers Removable: Repair 64 Orthodontics R 176.41
8846 Retainers Removable: Repair 54 General Dental Practice R 117.30
8847 Retainers: Replacement. 64 Orthodontics R 609.44
8847 Retainers: Replacement. 54 General Dental Practice R 406.18
8848 Retainers: Fixed:Repair or replacement per unit.
64 Orthodontics R 260.90
8848 Retainers: Fixed:Repair or replacement per unit.
54 General Dental Practice R 174.16
8849 Retainer 64 Orthodontics R 609.44
8849 Retainer 54 General Dental Practice R 406.18
8850 Treatment of Myofascial pain: lst Consultation.
94 Prosthodontic R 290.33
8850 Treatment of Myofascial pain: lst Consultation.
64 Orthodontics R 290.33
8850 Treatment of Myofascial pain: lst Consultation.
54 General Dental Practice R 193.48
8851 Treatment of Myofascial pain: subseq. consultation.
94 Prosthodontic R 152.81
8851 Treatment of Myofascial pain: subseq. consultation.
64 Orthodontics R 152.81
8851 Treatment of Myofascial pain: subseq. consultation.
54 General Dental Practice R 101.91
8852 Bite plate for TMJ dysfunction 94 Prosthodontic R 640.57
Page 29 of 109
8852 Bite plate for TMJ dysfunction 92 Periodontics R 640.57
8852 Bite plate for TMJ dysfunction 64 Orthodontics R 640.57
8852 Bite plate for TMJ dysfunction 62 Maxillo-facial and Oral Surgery R 640.57
8852 Bite plate for TMJ dysfunction 54 General Dental Practice R 486.18
8855 Consultation-cleft palate therapy (house or hosp)
94 Prosthodontic R 352.03
8855 Consultation-cleft palate therapy (house or hosp)
64 Orthodontics R 352.03
8855 Consultation-cleft palate therapy (house or hosp)
54 General Dental Practice R 234.83
8856 Consultation-cleft palate (subsequent) 94 Prosthodontic R 172.81
8856 Consultation-cleft palate (subsequent) 64 Orthodontics R 172.81
8856 Consultation-cleft palate (subsequent) 54 General Dental Practice R 115.17
8857 Consultation-cleft palate (maximum) 94 Prosthodontic R 1 202.37
8857 Consultation-cleft palate (maximum) 64 Orthodontics R 1 202.37
8857 Consultation-cleft palate (maximum) 54 General Dental Practice R 801.69
8858 Functional appliance 64 Orthodontics R 3 880.91
8858 Functional appliance 54 General Dental Practice R 2 587.31
8861 Minor corrective therapy: Fixed. 64 Orthodontics R 2 581.13
8861 Minor corrective therapy: Fixed. 54 General Dental Practice R 1 720.79
8862 Minor corrective therapy: Removable (single). 64 Orthodontics R 2 154.28
8862 Minor corrective therapy: Removable (single). 54 General Dental Practice R 1 436.41
8863 Minor corrective therapy: Removable (per additional)
64 Orthodontics R 1 082.71
8863 Minor corrective therapy: Removable (per additional)
54 General Dental Practice R 721.91
8865 Maxillary or mandibular arch 64 Orthodontics R 6 885.42
8865 Maxillary or mandibular arch 54 General Dental Practice R 4 590.02
8866 Combined upper and lower arch 64 Orthodontics R 9 469.48
8866 Combined upper and lower arch 54 General Dental Practice R 6 312.95
8867 Single arch treatment: Mild 64 Orthodontics R 7 400.93
8867 Single arch treatment: Mild 54 General Dental Practice R 4 934.07
8868 Single arch treatment: Moderate. 64 Orthodontics R 9 128.80
8868 Single arch treatment: Moderate. 54 General Dental Practice R 6 085.98
Page 30 of 109
8869 Single arch treatment: Severe. 64 Orthodontics R 10 677.13
8869 Single arch treatment: Severe. 54 General Dental Practice R 7 118.35
8873 Class I Malocclusions: Mild. 64 Orthodontics R 13 544.10
8873 Class I Malocclusions: Mild. 54 General Dental Practice R 9 029.37
8874 Class I Malocclusions: Mild 64 Orthodontics R 26 535.05
8874 Class I Malocclusions: Mild 54 General Dental Practice R 17 690.08
8875 Class I Malocclusions: Moderate. 64 Orthodontics R 16 626.59
8875 Class I Malocclusions: Moderate. 54 General Dental Practice R 11 084.65
8876 Class I Malocclusions: Moderate. 54 General Dental Practice R 20 711.76
8877 Class I Malocclusions: Severe. 64 Orthodontics R 19 382.55
8877 Class I Malocclusions: Severe. 54 General Dental Practice R 12 921.62
8878 Class I Malocclusions: Severe. 54 General Dental Practice R 23 505.03
8879 Class I Malocclusions: Severe with complications.
64 Orthodontics R 21 782.33
8879 Class I Malocclusions: Severe with complications.
54 General Dental Practice R 14 521.75
8880 Class I Malocclusions: Severe plus complications
54 General Dental Practice R 26 081.12
8881 Class II & III Malocclusions: Mild. 64 Orthodontics R 19 382.55
8881 Class II & III Malocclusions: Mild. 54 General Dental Practice R 12 921.62
8882 Class II & III: Mild 54 General Dental Practice R 21 591.66
8883 Class II & III Malocclusions: Moderate. 64 Orthodontics R 21 782.33
8883 Class II & III Malocclusions: Moderate. 54 General Dental Practice R 14 521.75
8884 Class II & III: Moderate. 54 General Dental Practice R 24 154.25
8885 Class II & III Malocclusions: Severe. 64 Orthodontics R 24 452.46
8885 Class II & III Malocclusions: Severe. 54 General Dental Practice R 16 301.87
8886 Class II & III: Severe. 54 General Dental Practice R 26 901.79
8887 Class II & III Malocclusions: Severe with complic.
64 Orthodontics R 27 550.33
8887 Class II & III Malocclusions: Severe with complic.
54 General Dental Practice R 18 367.04
8888 Class II & III: Severe plus complications. 54 General Dental Practice R 29 933.83
8890 Orthodontic Treatment 64 Orthodontics R 0.00
8890 Orthodontic Treatment 54 General Dental Practice R 0.00
Page 31 of 109
8891 Orthodontics: Deposit 64 Orthodontics R 0.00
8891 Orthodontics: Deposit 54 General Dental Practice R 0.00
8892 Orthodontics: First Instalment 64 Orthodontics R 0.00
8892 Orthodontics: First Instalment 54 General Dental Practice R 0.00
8901 MFO Surgeon: Consultation at consulting rooms.
62 Maxillo-facial and Oral Surgery R 262.48
8901 MFO Surgeon: Consultation at consulting rooms.
54 General Dental Practice R 0.00
8902 Detailed clinical examination; radiographic interpret
62 Maxillo-facial and Oral Surgery R 686.74
8903 MFO Surgeon: Consultation at Hosp./N.Home/House.
62 Maxillo-facial and Oral Surgery R 230.00
8904 MFO Surgeon: Subsequent consultation. 62 Maxillo-facial and Oral Surgery R 152.81
8905 Weekend visits and night visits - 62 Maxillo-facial and Oral Surgery R 336.52
8907 MFO Surgeon: Subsequent cons. per week - maximum.
62 Maxillo-facial and Oral Surgery R 382.70
8908 Removal of roots from maxillary antrum (Caldwell-Luc
62 Maxillo-facial and Oral Surgery R 2 506.75
8908 Removal of roots from maxillary antrum (Caldwell-Luc
54 General Dental Practice R 1 671.13
8909 Closure of oral antral fistula - acute or chronic.
62 Maxillo-facial and Oral Surgery R 1 921.70
8909 Closure of oral antral fistula - acute or chronic.
54 General Dental Practice R 1 281.24
8911 Caldwell-Luc procedure. 62 Maxillo-facial and Oral Surgery R 751.69
8911 Caldwell-Luc procedure. 54 General Dental Practice R 501.24
8917 Biopsies: Intra-oral. 92 Periodontics R 425.96
8917 Biopsies: Intra-oral. 62 Maxillo-facial and Oral Surgery R 425.96
8917 Biopsies: Intra-oral. 54 General Dental Practice R 319.55
8919 Biopsy of bone - needle biopsy. 62 Maxillo-facial and Oral Surgery R 737.76
8919 Biopsy of bone - needle biopsy. 54 General Dental Practice R 491.80
8921 Biopsy of bone: Open. 62 Maxillo-facial and Oral Surgery R 1 207.09
8921 Biopsy of bone: Open. 54 General Dental Practice R 804.72
8931 Local treatment of post-extraction haemorrhage.
95 Dental therapy R 78.31
Page 32 of 109
8931 Local treatment of post-extraction haemorrhage.
62 Maxillo-facial and Oral Surgery R 555.74
8931 Local treatment of post-extraction haemorrhage.
54 General Dental Practice R 92.58
8933 Treatment of haemorrhage - blood dyscrasias - week.
62 Maxillo-facial and Oral Surgery R 1 921.70
8933 Treatment of haemorrhage - blood dyscrasias - week.
54 General Dental Practice R 1 281.24
8935 Treatment of post-extraction septic socket. 95 Dental therapy R 78.31
8935 Treatment of post-extraction septic socket. 62 Maxillo-facial and Oral Surgery R 145.06
8935 Treatment of post-extraction septic socket. 54 General Dental Practice R 92.58
8937 Surgical removal of erupted tooth req.elevation of
mucoperiosteal flap & removal of bone etc. 94 Prosthodontic R 0.00
8937 Surgical removal of erupted tooth req.elevation of
mucoperiosteal flap & removal of bone etc. 92 Periodontics R 546.41
8937 Surgical removal of erupted tooth req.elevation of
mucoperiosteal flap & removal of bone etc. 62 Maxillo-facial and Oral Surgery R 737.76
8937 Surgical removal of erupted tooth req.elevation of
mucoperiosteal flap & removal of bone etc. 54 General Dental Practice R 546.41
8941 Surgical removal of impacted tooth- first tooth
us 94 Prosthodontic R 0.00
8941 Surgical removal of impacted tooth- first tooth
us 62 Maxillo-facial and Oral Surgery R 1 191.58
8941 Surgical removal of impacted tooth- first tooth
us 54 General Dental Practice R 906.07
8943 Surgical removal of impacted tooth- second tooth
94 Prosthodontic R 0.00
8943 Surgical removal of impacted tooth- second tooth
62 Maxillo-facial and Oral Surgery R 642.02
8943 Surgical removal of impacted tooth- second tooth
54 General Dental Practice R 486.18
8945 Surgical removal of impacted tooth - third and subsequent teeth 94 Prosthodontic R 0.00
8945 Surgical removal of impacted tooth - third and subsequent teeth 62 Maxillo-facial and Oral Surgery R 364.27
8945 Surgical removal of impacted tooth - third and subsequent teeth 54 General Dental Practice R 276.18
8953 Surgical removal of residual roots (cutting proceed)
incl cutting of soft tissue & bone etc. 94 Prosthodontic R 0.00
8953 Surgical removal of residual roots (cutting incl cutting of soft tissue & bone etc. 62 Maxillo-facial and Oral Surgery R 737.76
Page 33 of 109
proceed)
8957 Alveolotomy or alveolectomy (per jaw). 92 Periodontics R 670.91
8957 Alveolotomy or alveolectomy (per jaw). 62 Maxillo-facial and Oral Surgery R 1 006.52
8957 Alveolotomy or alveolectomy (per jaw). 54 General Dental Practice R 670.91
8958 Tracheostomy 62 Maxillo-facial and Oral Surgery R 845.63
8958 Tracheostomy 54 General Dental Practice R 563.93
8959 Pharyngostomy 62 Maxillo-facial and Oral Surgery R 845.63
8959 Pharyngostomy 54 General Dental Practice R 563.93
8961 Auto-transplantation of teeth 62 Maxillo-facial and Oral Surgery R 1 650.01
8961 Auto-transplantation of teeth 54 General Dental Practice R 1 100.00
8962 Harvest iliac crest graft 62 Maxillo-facial and Oral Surgery R 498.32
8962 Harvest iliac crest graft 54 General Dental Practice R 405.50
8963 Harvest rib graft 62 Maxillo-facial and Oral Surgery R 697.76
8963 Harvest rib graft 54 General Dental Practice R 465.29
8964 Harvest cranium graft 62 Maxillo-facial and Oral Surgery R 546.41
8964 Harvest cranium graft 54 General Dental Practice R 364.27
8965 Peripheral neurectomy. 62 Maxillo-facial and Oral Surgery R 1 650.01
8965 Peripheral neurectomy. 54 General Dental Practice R 1 100.00
8966 Functional repair of oronasal fistula (local flaps).
62 Maxillo-facial and Oral Surgery R 2 295.18
8966 Functional repair of oronasal fistula (local flaps).
54 General Dental Practice R 1 530.12
8967 Cysts of jaws: Intra-oral approach. 62 Maxillo-facial and Oral Surgery R 2 292.14
8967 Cysts of jaws: Intra-oral approach. 54 General Dental Practice R 1 528.21
8969 Cysts of jaws: Extra-oral approach. 62 Maxillo-facial and Oral Surgery R 3 671.92
8969 Cysts of jaws: Extra-oral approach. 54 General Dental Practice R 2 447.88
8971 Surgical treatment of soft tissue tumours 92 Periodontics R 737.76
8971 Surgical treatment of soft tissue tumours 62 Maxillo-facial and Oral Surgery R 737.76
8971 Surgical treatment of soft tissue tumours 54 General Dental Practice R 491.80
8973 Surgical treatment of tumours of the jaws. 62 Maxillo-facial and Oral Surgery R 3 671.92
8973 Surgical treatment of tumours of the jaws. 54 General Dental Practice R 2 447.88
8975 Hemiresection of jaw with splintage of segments.
62 Maxillo-facial and Oral Surgery R 3 857.32
Page 34 of 109
8975 Hemiresection of jaw with splintage of segments.
54 General Dental Practice R 2 571.58
8977 Major repairs of upper or lower jaw. 62 Maxillo-facial and Oral Surgery R 3 854.29
8977 Major repairs of upper or lower jaw. 54 General Dental Practice R 2 569.56
8979 Harvesting of autogenous grafts (intra-oral) 92 Periodontics R 317.98
8979 Harvesting of autogenous grafts (intra-oral) 62 Maxillo-facial and Oral Surgery R 317.98
8979 Harvesting of autogenous grafts (intra-oral) 54 General Dental Practice R 211.92
8981 Surgical exposure of impacted/unerupted teeth.
92 Periodontics R 1 375.40
8981 Surgical exposure of impacted/unerupted teeth.
62 Maxillo-facial and Oral Surgery R 1 375.40
8981 Surgical exposure of impacted/unerupted teeth.
54 General Dental Practice R 1 009.44
8983 Corticotomy - first tooth. 62 Maxillo-facial and Oral Surgery R 1 095.85
8983 Corticotomy - first tooth. 54 General Dental Practice R 730.46
8984 Corticotomy - adjacent or subsequent tooth. 62 Maxillo-facial and Oral Surgery R 555.74
8984 Corticotomy - adjacent or subsequent tooth. 54 General Dental Practice R 370.34
8985 Frenectomy. 92 Periodontics R 1 006.52
8985 Frenectomy. 62 Maxillo-facial and Oral Surgery R 1 006.52
8985 Frenectomy. 54 General Dental Practice R 670.91
8987 Reduction of mylohyoid ridges per side 62 Maxillo-facial and Oral Surgery R 1 650.01
8987 Reduction of mylohyoid ridges per side 54 General Dental Practice R 1 100.00
8989 Torus mandibularis reduction per side 62 Maxillo-facial and Oral Surgery R 1 650.01
8989 Torus mandibularis reduction per side 54 General Dental Practice R 1 100.00
8991 Torus palatinus reduction 62 Maxillo-facial and Oral Surgery R 1 650.01
8991 Torus palatinus reduction 54 General Dental Practice R 1 100.00
8993 Reduction of hypertrophic tuberosity - per side.
62 Maxillo-facial and Oral Surgery R 737.76
8993 Reduction of hypertrophic tuberosity - per side.
54 General Dental Practice R 491.80
8995 Gingivectomy - per jaw. 62 Maxillo-facial and Oral Surgery R 1 467.98
8995 Gingivectomy - per jaw. 54 General Dental Practice R 978.54
8997 Sulcoplasty/Vestibuloplasty. 92 Periodontics R 3 783.28
8997 Sulcoplasty/Vestibuloplasty. 62 Maxillo-facial and Oral Surgery R 3 783.28
Page 35 of 109
8997 Sulcoplasty/Vestibuloplasty. 54 General Dental Practice R 2 522.04
9003 Repositioning mental foramen and nerve - per side.
62 Maxillo-facial and Oral Surgery R 2 292.14
9003 Repositioning mental foramen and nerve - per side.
54 General Dental Practice R 1 528.21
9004 Lateralization if inferior denture nerve (Including bone grafting)/Additional staining pr
62 Maxillo-facial and Oral Surgery R 3 693.72
9004 Lateralization if inferior denture nerve (Including bone grafting)/Additional staining pr
54 General Dental Practice R 2 462.37
9005 Alveolar ridge augmentation by bone graft. 92 Periodontics R 3 857.32
9005 Alveolar ridge augmentation by bone graft. 62 Maxillo-facial and Oral Surgery R 3 857.32
9005 Alveolar ridge augmentation by bone graft. 54 General Dental Practice R 2 571.58
9007 Alveolar ridge augmentation by alloplastic material.
Amniotic Fluid karyotyping 4755 62 Maxillo-facial and Oral Surgery R 2 427.88
9007 Alveolar ridge augmentation by alloplastic material.
Amniotic Fluid karyotyping 4755 54 General Dental Practice R 1 618.66
9008 Alveolar ridge augmentation across 1 to 2 adjacent t
92 Periodontics R 915.29
9008 Alveolar ridge augmentation across 1 to 2 adjacent t
62 Maxillo-facial and Oral Surgery R 915.29
9008 Alveolar ridge augmentation across 1 to 2 adjacent t
54 General Dental Practice R 500.45
9009 Alveolar ridge augmentation across 3 or more tooth s
94 Prosthodontic R 0.00
9009 Alveolar ridge augmentation across 3 or more tooth s
92 Periodontics R 1 668.55
9009 Alveolar ridge augmentation across 3 or more tooth s
62 Maxillo-facial and Oral Surgery R 1 668.55
9009 Alveolar ridge augmentation across 3 or more tooth s
54 General Dental Practice R 1 112.25
9010 Sinus lift procedure/ Sinus lig prosedure 94 Prosthodontic R 0.00
9010 Sinus lift procedure/ Sinus lig prosedure 92 Periodontics R 2 506.75
9010 Sinus lift procedure/ Sinus lig prosedure 62 Maxillo-facial and Oral Surgery R 2 506.75
9010 Sinus lift procedure/ Sinus lig prosedure 54 General Dental Practice R 1 671.13
9011 Incision and drainage of pyogenic abscesses. 95 Dental therapy R 147.75
9011 Incision and drainage of pyogenic abscesses. 62 Maxillo-facial and Oral Surgery R 469.22
Page 36 of 109
9011 Incision and drainage of pyogenic abscesses. 54 General Dental Practice R 312.92
9013 Incision/Drainage pyogenic abscess - extra-oral.
62 Maxillo-facial and Oral Surgery R 642.02
9013 Incision/Drainage pyogenic abscess - extra-oral.
54 General Dental Practice R 427.98
9015 Apicectomy including retrograde filling - anterior.
94 Prosthodontic R 827.31
9015 Apicectomy including retrograde filling - anterior.
92 Periodontics R 827.31
9015 Apicectomy including retrograde filling - anterior.
62 Maxillo-facial and Oral Surgery R 827.31
9015 Apicectomy including retrograde filling - anterior.
54 General Dental Practice R 623.60
9016 Apicectomy including retrograde filling - posterior.
94 Prosthodontic R 1 650.01
9016 Apicectomy including retrograde filling - posterior.
92 Periodontics R 1 650.01
9016 Apicectomy including retrograde filling - posterior.
62 Maxillo-facial and Oral Surgery R 1 650.01
9016 Apicectomy including retrograde filling - posterior.
54 General Dental Practice R 1 100.00
9017 Decortication/saucerisation/sequestromy - osteomye.
62 Maxillo-facial and Oral Surgery R 3 397.20
9017 Decortication/saucerisation/sequestromy - osteomye.
54 General Dental Practice R 2 264.84
9019 Sequestrectomy intra-oral per sextant and or ramus
62 Maxillo-facial and Oral Surgery R 737.76
9019 Sequestrectomy intra-oral per sextant and or ramus
54 General Dental Practice R 491.80
9021 Soft tissue injuries - minor. 62 Maxillo-facial and Oral Surgery R 827.31
9021 Soft tissue injuries - minor. 54 General Dental Practice R 623.60
9023 Soft tissue injuries - major. 62 Maxillo-facial and Oral Surgery R 1 741.13
9023 Soft tissue injuries - major. 54 General Dental Practice R 1 160.90
9024 Dento-alveolar fracture per sextant 62 Maxillo-facial and Oral Surgery R 827.31
9024 Dento-alveolar fracture per sextant 54 General Dental Practice R 551.47
9025 Treatment by closed reduction with inter. fixation.
62 Maxillo-facial and Oral Surgery R 1 854.62
Page 37 of 109
9025 Treatment by closed reduction with inter. fixation.
54 General Dental Practice R 1 236.64
9027 Treatment of compound fracture - eyelet wiring.
62 Maxillo-facial and Oral Surgery R 2 604.17
9027 Treatment of compound fracture - eyelet wiring.
54 General Dental Practice R 1 736.52
9029 Treatment of fracture by metal cap splintage. 62 Maxillo-facial and Oral Surgery R 2 884.06
9029 Treatment of fracture by metal cap splintage. 54 General Dental Practice R 1 922.48
9031 Treatment of open reduction with rest of occlusion.
62 Maxillo-facial and Oral Surgery R 4 274.62
9031 Treatment of open reduction with rest of occlusion.
54 General Dental Practice R 2 849.79
9035 Le Fort I or Guerin fracture./Cell Culture: Amniotic Fluid 4751 62 Maxillo-facial and Oral Surgery R 2 609.12
9035 Le Fort I or Guerin fracture./Cell Culture: Amniotic Fluid 4751 54 General Dental Practice R 1 571.13
9037 Le Fort II or middle third of face. 62 Maxillo-facial and Oral Surgery R 4 274.62
9037 Le Fort II or middle third of face. 54 General Dental Practice R 2 574.39
9039 Le Fort III or craniofacial disjunction. 62 Maxillo-facial and Oral Surgery R 6 130.81
9039 Le Fort III or craniofacial disjunction. 54 General Dental Practice R 3 692.15
9041 Zygomatic arch fracture - closed reduction 62 Maxillo-facial and Oral Surgery R 1 854.62
9041 Zygomatic arch fracture - closed reduction 54 General Dental Practice R 1 236.64
9043 Unstable and/or comminuted zygoma. 62 Maxillo-facial and Oral Surgery R 3 716.87
9043 Unstable and/or comminuted zygoma. 54 General Dental Practice R 2 477.76
9045 Fracture requiring multiple interosseous wiring.
Crossmatching B-cell 4608 62 Maxillo-facial and Oral Surgery R 5 568.12
9045 Fracture requiring multiple interosseous wiring.
Crossmatching B-cell 4608 54 General Dental Practice R 3 712.15
9046 Placement of Zygomaticus fixture per fixture3 62 Maxillo-facial and Oral Surgery R 3 677.77
9046 Placement of Zygomaticus fixture per fixture3 54 General Dental Practice R 2 452.03
9047 Improvement of occlusal function - no reduction.
Corssmatching T-cells 4607 62 Maxillo-facial and Oral Surgery R 7 793.29
9047 Improvement of occlusal function - no reduction.
Corssmatching T-cells 4607 54 General Dental Practice R 5 195.30
9048 Removal of internal fixation devices per site 62 Maxillo-facial and Oral Surgery R 714.27
9048 Removal of internal fixation devices per site 54 General Dental Practice R 476.07
9049 Osteotomy of mandible - no Donation 62 Maxillo-facial and Oral Surgery R 6 494.63
Page 38 of 109
reduction./Directed
9049 Osteotomy of mandible - no reduction./Directed
Donation 54 General Dental Practice R 4 330.02
9050 Total subapical osteotomy/Paternity investigation -
3 client 62 Maxillo-facial and Oral Surgery R 11 880.05
9050 Total subapical osteotomy/Paternity investigation -
3 client 54 General Dental Practice R 7 920.26
9051 Genioplasty - no reduction. 62 Maxillo-facial and Oral Surgery R 3 716.87
9051 Genioplasty - no reduction. 54 General Dental Practice R 2 477.76
9052 Midfacial exposure - no reduction. 62 Maxillo-facial and Oral Surgery R 5 883.85
9052 Midfacial exposure - no reduction. 54 General Dental Practice R 3 922.49
9053 Coronoidectomy (intra-oral approach). 62 Maxillo-facial and Oral Surgery R 2 318.55
9053 Coronoidectomy (intra-oral approach). 54 General Dental Practice R 1 545.85
9055 Osteotomy (Schukardt) - no reduction. 62 Maxillo-facial and Oral Surgery R 6 494.63
9055 Osteotomy (Schukardt) - no reduction. 54 General Dental Practice R 4 330.02
9057 Osteotomy (Wassmund) - no reduction. 62 Maxillo-facial and Oral Surgery R 6 494.63
9057 Osteotomy (Wassmund) - no reduction. 54 General Dental Practice R 4 330.02
9059 Le Fort I-osteotomy - no reduction. 62 Maxillo-facial and Oral Surgery R 12 220.84
9059 Le Fort I-osteotomy - no reduction. 54 General Dental Practice R 8 147.34
9060 Le Fort I osteotomy with repositioning - no reduc.
62 Maxillo-facial and Oral Surgery R 13 718.93
9060 Le Fort I osteotomy with repositioning - no reduc.
54 General Dental Practice R 9 145.88
9061 Palatal osteotomy - no reduction. 62 Maxillo-facial and Oral Surgery R 4 274.62
9061 Palatal osteotomy - no reduction. 54 General Dental Practice R 2 849.79
9062 Le Fort I osteotomy - multiple segments - No reduct.
62 Maxillo-facial and Oral Surgery R 15 600.29
9062 Le Fort I osteotomy - multiple segments - No reduct.
54 General Dental Practice R 10 400.16
9063 Le Fort II osteotomy - facial deformities - no red.
62 Maxillo-facial and Oral Surgery R 15 607.93
9063 Le Fort II osteotomy - facial deformities - no red.
54 General Dental Practice R 10 405.32
9065 Le Fort III osteotomy - congenital deformities. 62 Maxillo-facial and Oral Surgery R 23 391.67
9065 Le Fort III osteotomy - congenital deformities. 54 General Dental Practice R 15 594.33
Page 39 of 109
9066 Surgically assisted maxillary or mandibular expan-
sion 62 Maxillo-facial and Oral Surgery R 3 716.87
9066 Surgically assisted maxillary or mandibular expan-
sion 54 General Dental Practice R 2 477.76
9069 Functional tongue reduction - No reduction. 62 Maxillo-facial and Oral Surgery R 2 783.94
9069 Functional tongue reduction - No reduction. 54 General Dental Practice R 1 855.85
9071 Geniohyoidotomy - no reduction. 62 Maxillo-facial and Oral Surgery R 1 670.11
9071 Geniohyoidotomy - no reduction. 54 General Dental Practice R 1 113.60
9072 Funct. closure of secondary oro-nasal fistula. 62 Maxillo-facial and Oral Surgery R 12 220.84
9072 Funct. closure of secondary oro-nasal fistula. 54 General Dental Practice R 8 147.34
9074 Diagnostic arthroscopy. 62 Maxillo-facial and Oral Surgery R 1 845.07
9074 Diagnostic arthroscopy. 54 General Dental Practice R 1 230.23
9075 Condylectomy or coronoidectomy or both/menisectomy.
62 Maxillo-facial and Oral Surgery R 4 635.75
9075 Condylectomy or coronoidectomy or both/menisectomy.
54 General Dental Practice R 3 090.35
9076 Arthrocentesis TMJ 62 Maxillo-facial and Oral Surgery R 1 018.77
9076 Arthrocentesis TMJ 54 General Dental Practice R 679.22
9077 Intra-articular injection - per injection. 62 Maxillo-facial and Oral Surgery R 278.21
9077 Intra-articular injection - per injection. 54 General Dental Practice R 185.28
9079 Trigger point injection: per injection. HLA low res.Class II DNA/locus DRB1 4427 62 Maxillo-facial and Oral Surgery R 217.19
9079 Trigger point injection: per injection. HLA low res.Class II DNA/locus DRB1 4427 54 General Dental Practice R 144.61
9081 Condyle neck osteotomy (Ward/Kostecka). 62 Maxillo-facial and Oral Surgery R 1 854.62
9081 Condyle neck osteotomy (Ward/Kostecka). 54 General Dental Practice R 1 236.64
9083 Temperomand artroplasty (le Clerk/Toller procedure).
62 Maxillo-facial and Oral Surgery R 4 635.75
9083 Temperomand artroplasty (le Clerk/Toller procedure).
54 General Dental Practice R 3 090.35
9085 Reduction temporomandibular joint - no anaesth.
62 Maxillo-facial and Oral Surgery R 368.76
9085 Reduction temporomandibular joint - no anaesth.
54 General Dental Practice R 245.95
9087 Reduction temporomandibular joint - with aneast.
62 Maxillo-facial and Oral Surgery R 746.75
9087 Reduction temporomandibular joint - with 54 General Dental Practice R 497.75
Page 40 of 109
aneast.
9089 Red. temporomandibular joint with anaest/immobil.
62 Maxillo-facial and Oral Surgery R 1 854.62
9089 Red. temporomandibular joint with anaest/immobil.
54 General Dental Practice R 1 236.64
9091 Red. temporomandibular joint dis.- open reduction.
62 Maxillo-facial and Oral Surgery R 4 635.75
9091 Red. temporomandibular joint dis.- open reduction.
54 General Dental Practice R 3 090.35
9092 Total joint reconstruction - alloplastic or bone. 62 Maxillo-facial and Oral Surgery R 12 375.55
9092 Total joint reconstruction - alloplastic or bone. 54 General Dental Practice R 8 250.37
9093 Removal of salivary calculus. 62 Maxillo-facial and Oral Surgery R 837.42
9093 Removal of salivary calculus. 54 General Dental Practice R 558.21
9095 Removal of salivary gland. 62 Maxillo-facial and Oral Surgery R 2 063.83
9095 Removal of salivary gland. 54 General Dental Practice R 1 375.96
9096 Removal of salivary Gland 62 Maxillo-facial and Oral Surgery R 3 057.54
9096 Removal of salivary Gland 54 General Dental Practice R 2 038.55
9101 Surgical obturator - Modified denture. 94 Prosthodontic R 256.18
9101 Surgical obturator - Modified denture. 54 General Dental Practice R 170.90
9102 Surgical obturator - continuous base. 94 Prosthodontic R 695.29
9102 Surgical obturator - continuous base. 54 General Dental Practice R 463.49
9103 Surgical obturator - split base. 94 Prosthodontic R 1 035.62
9103 Surgical obturator - split base. 54 General Dental Practice R 690.57
9104 Interim obturator on existing denture. 94 Prosthodontic R 1 562.37
9104 Interim obturator on existing denture. 54 General Dental Practice R 1 041.46
9105 Interim obturator on new denture. 94 Prosthodontic R 4 824.62
9105 Interim obturator on new denture. 54 General Dental Practice R 3 216.31
9106 Definitive obturator - open. 94 Prosthodontic R 1 562.37
9106 Definitive obturator - open. 54 General Dental Practice R 1 041.46
9107 Definitive obturator - silicone glove. 94 Prosthodontic R 3 016.98
9107 Definitive obturator - silicone glove. 54 General Dental Practice R 2 011.36
9108 Mandib. resection prosthesis with guide flange.
94 Prosthodontic R 3 705.86
9108 Mandib. resection prosthesis with guide 54 General Dental Practice R 2 470.68
Page 41 of 109
flange
9109 Mandib. resection prosthesis without guide flange.
Prevention of Haemolytic Disease Test 94 Prosthodontic R 3 443.49
9109 Mandib. resection prosthesis without guide flange.
Prevention of Haemolytic Disease Test 54 General Dental Practice R 2 295.51
9110 Mandib. resection prosthesis - Palatal augmentation.
94 Prosthodontic R 695.29
9110 Mandib. resection prosthesis - Palatal augmentation.
54 General Dental Practice R 463.49
9111 Glossal resection prosthesis - simple prosthesis.
Red cell Rh phenotype 3834 94 Prosthodontic R 1 449.89
9111 Glossal resection prosthesis - simple prosthesis.
Red cell Rh phenotype 3834 54 General Dental Practice R 966.52
9112 Glossal resection prosthesis - complex prosthesis.
94 Prosthodontic R 2 171.70
9112 Glossal resection prosthesis - complex prosthesis.
54 General Dental Practice R 1 447.88
9113 Radiotherapy appliances: Carriers - simple. 94 Prosthodontic R 1 562.37
9113 Radiotherapy appliances: Carriers - simple. 54 General Dental Practice R 1 041.46
9114 Radiotherapy appliances: Carriers - complex. 94 Prosthodontic R 4 311.93
9114 Radiotherapy appliances: Carriers - complex. 54 General Dental Practice R 2 874.73
9115 Radiotherapy appliances: Shields - simple. 94 Prosthodontic R 1 562.37
9115 Radiotherapy appliances: Shields - simple. 54 General Dental Practice R 1 041.46
9116 Radiotherapy appliances: Shields - complex. 94 Prosthodontic R 4 311.93
9116 Radiotherapy appliances: Shields - complex. 54 General Dental Practice R 2 874.73
9117 Radiotherapy appliances: Cone locators. 94 Prosthodontic R 1 562.37
9117 Radiotherapy appliances: Cone locators. 54 General Dental Practice R 1 041.46
9118 Chemotherapeutic agent carriers. 94 Prosthodontic R 1 562.37
9118 Chemotherapeutic agent carriers. 54 General Dental Practice R 1 041.46
9119 Passive presurgical prosthesis. 94 Prosthodontic R 1 382.81
9119 Passive presurgical prosthesis. 64 Orthodontics R 1 382.81
9119 Passive presurgical prosthesis. 54 General Dental Practice R 921.80
9120 Active presurgical orthopaedic appliance - minor.
94 Prosthodontic R 1 382.81
9120 Active presurgical orthopaedic appliance - 64 Orthodontics R 1 382.81
Page 42 of 109
minor.
9120 Active presurgical orthopaedic appliance - minor.
54 General Dental Practice R 921.80
9121 Active presurgical orthopaedic appliance - moderate.
94 Prosthodontic R 2 046.64
9121 Active presurgical orthopaedic appliance - moderate.
64 Orthodontics R 2 046.64
9121 Active presurgical orthopaedic appliance - moderate.
54 General Dental Practice R 1 364.27
9122 Active presurgical orthopaedic appliance - severe.
94 Prosthodontic R 3 443.49
9122 Active presurgical orthopaedic appliance - severe.
64 Orthodontics R 3 443.49
9122 Active presurgical orthopaedic appliance - severe.
54 General Dental Practice R 2 295.51
9123 Active presurgical orthopaedic appiance adjustment.
94 Prosthodontic R 174.94
9123 Active presurgical orthopaedic appiance adjustment.
64 Orthodontics R 174.94
9123 Active presurgical orthopaedic appiance adjustment.
54 General Dental Practice R 116.74
9125 Speech aid/obturator with palatal modification.
94 Prosthodontic R 696.75
9125 Speech aid/obturator with palatal modification.
54 General Dental Practice R 464.49
9126 Speech aid/obturator with velar modification. Test tube agglutination 3953 94 Prosthodontic R 1 562.37
9126 Speech aid/obturator with velar modification. Test tube agglutination 3953 54 General Dental Practice R 1 041.46
9127 Speech aid/obturator with pharyngeal modification.
94 Prosthodontic R 3 443.49
9127 Speech aid/obturator with pharyngeal modification.
54 General Dental Practice R 2 295.51
9128 Speech aid/obturator adjustment. 94 Prosthodontic R 174.94
9128 Speech aid/obturator adjustment. 54 General Dental Practice R 116.74
9129 Speech aid/obturator surgical prosthesis. Therapeutic venisection 0208 94 Prosthodontic R 1 382.81
9129 Speech aid/obturator surgical prosthesis. Therapeutic venisection 0208 54 General Dental Practice R 921.80
9130 Speech appliances: Palatal lift. 94 Prosthodontic R 695.29
Page 43 of 109
9130 Speech appliances: Palatal lift. 54 General Dental Practice R 463.49
9131 Speech appliances: Palatal stimulating. 94 Prosthodontic R 1 562.37
9131 Speech appliances: Palatal stimulating. 54 General Dental Practice R 1 041.46
9132 Speech appliances: Speech bulb. 94 Prosthodontic R 3 443.49
9132 Speech appliances: Speech bulb. 54 General Dental Practice R 2 295.51
9133 Speech appliances: Adjustments. 94 Prosthodontic R 174.94
9133 Speech appliances: Adjustments. 54 General Dental Practice R 116.74
9134 Speech appliances (Other) - by arrangement. 94 Prosthodontic R 0.00
9134 Speech appliances (Other) - by arrangement. 54 General Dental Practice R 0.00
9135 Auricular prosthesis - simple. 94 Prosthodontic R 4 311.93
9135 Auricular prosthesis - simple. 54 General Dental Practice R 2 874.73
9136 Auricular prosthesis - complex. 94 Prosthodontic R 5 596.21
9136 Auricular prosthesis - complex. 54 General Dental Practice R 3 750.92
9137 Nasal prosthesis - simple./Bone Marrow Donor Typing
(Serology) 94 Prosthodontic R 4 311.93
9137 Nasal prosthesis - simple./Bone Marrow Donor Typing
(Serology) 54 General Dental Practice R 2 874.73
9138 Nasal prosthesis - complex. 94 Prosthodontic R 5 596.21
9138 Nasal prosthesis - complex. 54 General Dental Practice R 3 750.92
9139 Ocular prosthesis - conformer. 94 Prosthodontic R 1 562.37
9139 Ocular prosthesis - conformer. 54 General Dental Practice R 1 041.46
9140 Ocular prosthesis using modified stock appliance.
94 Prosthodontic R 3 876.20
9140 Ocular prosthesis using modified stock appliance.
54 General Dental Practice R 2 584.06
9141 Ocular prosthesis using custom appliance. 94 Prosthodontic R 5 596.21
9141 Ocular prosthesis using custom appliance. 54 General Dental Practice R 3 750.92
9142 Orbital prosthesis - simple (excl. ocular section).
94 Prosthodontic R 3 876.20
9142 Orbital prosthesis - simple (excl. ocular section).
54 General Dental Practice R 2 584.06
9143 Orbital prosthesis - complex (excl. ocular section).
94 Prosthodontic R 5 596.21
9143 Orbital prosthesis - complex (excl. ocular 54 General Dental Practice R 3 750.92
Page 44 of 109
section).
9148 Other body prostheses - simple. 94 Prosthodontic R 3 876.20
9148 Other body prostheses - simple. 54 General Dental Practice R 2 584.06
9149 Other body prostheses - complex./Chorionic Villus
Sample Karyotyping 4755 94 Prosthodontic R 5 596.21
9149 Other body prostheses - complex./Chorionic Villus
Sample Karyotyping 4755 54 General Dental Practice R 3 750.92
9150 Surgical facial prostheses - simple. 94 Prosthodontic R 3 016.98
9150 Surgical facial prostheses - simple. 54 General Dental Practice R 2 011.36
9151 Surgical facial prostheses - complex. 94 Prosthodontic R 3 876.20
9151 Surgical facial prostheses - complex. 54 General Dental Practice R 2 584.06
9155 Cranial prosthesis. 94 Prosthodontic R 1 562.37
9155 Cranial prosthesis. 54 General Dental Practice R 1 041.46
9156 Custom implants: Cranial - acrylic/elast/metallic.
94 Prosthodontic R 1 885.74
9156 Custom implants: Cranial - acrylic/elast/metallic.
54 General Dental Practice R 1 257.31
9157 Implants: Facial - simple. 94 Prosthodontic R 941.92
9157 Implants: Facial - simple. 54 General Dental Practice R 627.98
9158 Implants: Facial - complex./Blood: DNA extraction
94 Prosthodontic R 1 885.74
9158 Implants: Facial - complex./Blood: DNA extraction
54 General Dental Practice R 1 257.31
9159 Implants: Ocular - custom made./HLA low res.Class II
PCR Locus DQB 4427 94 Prosthodontic R 941.92
9159 Implants: Ocular - custom made./HLA low res.Class II
PCR Locus DQB 4427 54 General Dental Practice R 627.98
9160 Implants: Body - special prosthesis. 94 Prosthodontic R 4 193.28
9160 Implants: Body - special prosthesis. 54 General Dental Practice R 2 795.63
9161 Appliances: Splints - simple. 94 Prosthodontic R 426.63
9161 Appliances: Splints - simple. 54 General Dental Practice R 284.15
9162 Appliances: Splints - complex./Karyotyping products
of cenception 4755 94 Prosthodontic R 1 562.37
9162 Appliances: Splints - complex./Karyotyping products
of cenception 4755 54 General Dental Practice R 1 041.46
Page 45 of 109
9163 Appliances: Templates - simple./Cell culture product
of conception 4751 94 Prosthodontic R 426.63
9163 Appliances: Templates - simple./Cell culture product
of conception 4751 54 General Dental Practice R 284.15
9164 Appliances: Templates - complex./Additional analysis
mosaicism 94 Prosthodontic R 1 562.37
9164 Appliances: Templates - complex./Additional analysis
mosaicism 54 General Dental Practice R 1 041.46
9165 Appliances: Conformers - simple. 94 Prosthodontic R 426.63
9165 Appliances: Conformers - simple. 54 General Dental Practice R 284.15
9166 Appliances: Conformers - complex. 94 Prosthodontic R 1 562.37
9166 Appliances: Conformers - complex. 54 General Dental Practice R 1 041.46
9167 Trismus appliance - simple. 94 Prosthodontic R 174.94
9167 Trismus appliance - simple. 54 General Dental Practice R 116.74
9168 Trismus appliance - complex. 94 Prosthodontic R 1 562.37
9168 Trismus appliance - complex. 54 General Dental Practice R 1 041.46
9169 Orthoses (for paralysed patients). 94 Prosthodontic R 3 443.49
9169 Orthoses (for paralysed patients). 54 General Dental Practice R 2 295.51
9170 Facial palsy appliances. 94 Prosthodontic R 1 035.62
9170 Facial palsy appliances. 54 General Dental Practice R 690.57
9171 Oral splints (per commissure). 94 Prosthodontic R 426.63
9171 Oral splints (per commissure). 54 General Dental Practice R 284.15
9172 Dynamic oral retractors (per arm). 94 Prosthodontic R 426.63
9172 Dynamic oral retractors (per arm). 54 General Dental Practice R 284.15
9174 Burn appliances: Other. 94 Prosthodontic R 0.00
9174 Burn appliances: Other. 54 General Dental Practice R 0.00
9175 Attendance in theatre - per hour. 94 Prosthodontic R 576.63
9175 Attendance in theatre - per hour. 54 General Dental Practice R 384.15
9180 Placement of sub-periosteal implant - do NOT reduce.
62 Maxillo-facial and Oral Surgery R 1 664.95
9180 Placement of sub-periosteal implant - do NOT reduce.
54 General Dental Practice R 1 664.95
9181 Placement of sub-periosteal implant pros. - no reduction
62 Maxillo-facial and Oral Surgery R 1 664.95
Page 46 of 109
9181 Placement of sub-perio. implant pros. - no reduction
54 General Dental Practice R 1 664.95
9182 Placem. of endosteal implant - per implant. 92 Periodontics R 1 250.12
9182 Placem. of endosteal implant - per implant. 62 Maxillo-facial and Oral Surgery R 1 250.12
9182 Placem. of endosteal implant - per implant. 54 General Dental Practice R 833.49
9183 Placem. of single osseointegrated implant per jaw.
92 Periodontics R 1 594.51
9183 Placem. of single osseointegrated implant per jaw.
62 Maxillo-facial and Oral Surgery R 1 594.51
9183 Placem. of single osseointegrated implant per jaw.
54 General Dental Practice R 1 173.16
9184 Placem. 2nd osseointegrated implant in same jaw.
94 Prosthodontic R 1 195.96
9184 Placem. 2nd osseointegrated implant in same jaw.
92 Periodontics R 1 196.29
9184 Placem. 2nd osseointegrated implant in same jaw.
62 Maxillo-facial and Oral Surgery R 1 196.29
9184 Placem. 2nd osseointegrated implant in same jaw.
54 General Dental Practice R 880.79
9185 Placem. 3rd & subseq. osseointegrated implant.
94 Prosthodontic R 800.90
9185 Placem. 3rd & subseq. osseointegrated implant.
92 Periodontics R 801.24
9185 Placem. 3rd & subseq. osseointegrated implant.
62 Maxillo-facial and Oral Surgery R 801.24
9185 Placem. 3rd & subseq. osseointegrated implant.
54 General Dental Practice R 587.87
9187 Cost of endosteal implant body 92 Periodontics R 0.00
9187 Cost of endosteal implant body 54 General Dental Practice R 0.00
9188 Cost of prefabricated abutment 54 General Dental Practice R 0.00
9189 Cost of implants. 54 General Dental Practice R 0.00
9190 Exposure of single osseointegrated implant. 94 Prosthodontic R 589.55
9190 Exposure of single osseointegrated implant. 92 Periodontics R 589.55
9190 Exposure of single osseointegrated implant. 62 Maxillo-facial and Oral Surgery R 589.55
9190 Exposure of single osseointegrated implant. 54 General Dental Practice R 435.17
9191 Expos. of 2nd osseointegrated implant - same 94 Prosthodontic R 443.04
Page 47 of 109
jaw.
9191 Expos. of 2nd osseointegrated implant - same jaw.
92 Periodontics R 443.04
9191 Expos. of 2nd osseointegrated implant - same jaw.
62 Maxillo-facial and Oral Surgery R 443.04
9191 Expos. of 2nd osseointegrated implant - same jaw.
54 General Dental Practice R 327.08
9192 Expos. of 3rd & subseq. osseoint. implant. 94 Prosthodontic R 297.98
9192 Expos. of 3rd & subseq. osseoint. implant. 92 Periodontics R 297.98
9192 Expos. of 3rd & subseq. osseoint. implant. 62 Maxillo-facial and Oral Surgery R 297.98
9192 Expos. of 3rd & subseq. osseoint. implant. 54 General Dental Practice R 219.22
9198 Implant removal 92 Periodontics R 813.49
9198 Implant removal 62 Maxillo-facial and Oral Surgery R 813.49
9198 Implant removal 54 General Dental Practice R 542.25
9201 Consultation at rooms. 98 Oral pathology R 265.73
9203 Consultation at hospital - nursing home or house.
98 Oral pathology R 232.81
9205 Subsequent consultation. 98 Oral pathology R 154.61
9207 Night consultation. / After hours consultation 98 Oral pathology R 340.67
9220 Repair of cleft hard palate (uniateral). 62 Maxillo-facial and Oral Surgery R 6 825.99
9220 Repair of cleft hard palate (uniateral). 54 General Dental Practice R 4 550.80
9222 Repair of cleft hard palate (bilateral - one procedure). 62 Maxillo-facial and Oral Surgery R 8 664.76
9222 Repair of cleft hard palate (bilateral - one procedure). 54 General Dental Practice R 5 776.54
9224 Repair of cleft hard palate (bilateral in two procedures). 62 Maxillo-facial and Oral Surgery R 12 909.94
9224 Repair of cleft hard palate (bilateral in two procedures). 54 General Dental Practice R 8 607.68
9226 Repair of cleft soft palate (without muscle reconstruction). 62 Maxillo-facial and Oral Surgery R 5 719.57
9226 Repair of cleft soft palate (without muscle reconstruction). 54 General Dental Practice R 3 813.16
9228 Repair of soft palatum (with muscle reconstruc-
tion. 62 Maxillo-facial and Oral Surgery R 8 305.43
9228 Repair of soft palatum (with muscle reconstruc-
tion. 54 General Dental Practice R 5 536.98
9230 Repair of submucosal cleft and/or bifid uvula (with muscle reconstruction). 62 Maxillo-facial and Oral Surgery R 6 183.96
9230 Repair of submucosal cleft and/or bifid uvula (with muscle reconstruction). 54 General Dental Practice R 4 122.49
9232 Velopharyngeal reconstruction 62 Maxillo-facial and Oral Surgery R 6 363.51
Page 48 of 109
(uncomplicated).
9232 Velopharyngeal reconstruction (uncomplicated).
54 General Dental Practice R 4 242.27
9234 Velopharyngeal reconstruction (complicated type).
62 Maxillo-facial and Oral Surgery R 6 803.96
9234 Velopharyngeal reconstruction (complicated type).
54 General Dental Practice R 4 536.20
9238 Functional repair of oro-nasal fistula (distant flaps - in a single procedure). 62 Maxillo-facial and Oral Surgery R 3 891.81
9238 Functional repair of oro-nasal fistula (distant flaps - in a single procedure). 54 General Dental Practice R 2 594.73
9240 Functional repair of oro-nasal fistula - 2 proced.
62 Maxillo-facial and Oral Surgery R 6 790.03
9240 Functional repair of oro-nasal fistula - 2 proced.
54 General Dental Practice R 4 526.65
9246 Secondary periost. swivel flaps for bone induction.
62 Maxillo-facial and Oral Surgery R 3 393.39
9246 Secondary periost. swivel flaps for bone induction.
54 General Dental Practice R 2 262.03
9248 Lipadhesion 62 Maxillo-facial and Oral Surgery R 1 268.43
9248 Lipadhesion 54 General Dental Practice R 845.51
9250 Unilateral cleft lip repair (without muscle recon.)
62 Maxillo-facial and Oral Surgery R 2 234.40
9250 Unilateral cleft lip repair (without muscle recon.)
54 General Dental Practice R 1 489.55
9252 Unilateral cleft lip repair (with muscle reconstruc.
62 Maxillo-facial and Oral Surgery R 3 029.56
9252 Unilateral cleft lip repair (with muscle reconstruc.
54 General Dental Practice R 2 019.45
9254 Bilateral cleft lip repair (without muscle reconstr)
62 Maxillo-facial and Oral Surgery R 3 120.12
9254 Bilateral cleft lip repair (without muscle reconstr)
54 General Dental Practice R 2 080.12
9256 Bilateral cleft lip repair (with muscle reconstruc.)
62 Maxillo-facial and Oral Surgery R 4 819.90
9256 Bilateral cleft lip repair (with muscle reconstruc.)
54 General Dental Practice R 3 213.50
9258 Anterior nasal floor repair (between alveolus) 62 Maxillo-facial and Oral Surgery R 1 216.98
9258 Anterior nasal floor repair (between alveolus) 54 General Dental Practice R 811.46
Page 49 of 109
9260 Partial revision of secondary cleft lip deformity
62 Maxillo-facial and Oral Surgery R 1 216.98
9260 Partial revision of secondary cleft lip deformity
54 General Dental Practice R 811.46
9262 Total revision of secondary cleft lip deformity 62 Maxillo-facial and Oral Surgery R 2 749.67
9262 Total revision of secondary cleft lip deformity 54 General Dental Practice R 1 833.15
9264 Abbe-flap (in two stages) 62 Maxillo-facial and Oral Surgery R 3 113.83
9264 Abbe-flap (in two stages) 54 General Dental Practice R 2 075.97
9266 Columella reconstruction 62 Maxillo-facial and Oral Surgery R 1 840.46
9266 Columella reconstruction 54 General Dental Practice R 1 227.09
9268 Partial reconstruction of nose due to cleft deform.
62 Maxillo-facial and Oral Surgery R 2 339.00
9268 Partial reconstruction of nose due to cleft deform.
54 General Dental Practice R 1 559.33
9270 Complete reconstruction of nose due to cleft deform.
62 Maxillo-facial and Oral Surgery R 3 696.64
9270 Complete reconstruction of nose due to cleft deform.
54 General Dental Practice R 2 464.28
9272 Paranasal augmentation for nasal base deviation
62 Maxillo-facial and Oral Surgery R 1 840.46
9272 Paranasal augmentation for nasal base deviation
54 General Dental Practice R 1 227.09
9274 Anterior table - frontal sinus and/or supraorbital
rim 62 Maxillo-facial and Oral Surgery R 6 253.96
9280 Open reduction and fixation of nasal fracutures
62 Maxillo-facial and Oral Surgery R 3 583.04
9282 Manupulation and immobilisation of nasal fractur
62 Maxillo-facial and Oral Surgery R 366.07
9284 Musculofascial flap 62 Maxillo-facial and Oral Surgery R 0.00
9301 Casting of model in plaster per model 94 Prosthodontic R 36.52
9301 Casting of model in plaster per model 93 Dental Technician R 36.07
9301 Casting of model in plaster per model 92 Periodontics R 36.52
9301 Casting of model in plaster per model 64 Orthodontics R 36.52
9301 Casting of model in plaster per model 62 Maxillo-facial and Oral Surgery R 36.52
9301 Casting of model in plaster per model 54 General Dental Practice R 36.52
Page 50 of 109
9303 Casting of model in super hard stone per model
94 Prosthodontic R 51.91
9303 Casting of model in super hard stone per model
93 Dental Technician R 51.24
9303 Casting of model in super hard stone per model
92 Periodontics R 51.91
9303 Casting of model in super hard stone per model
64 Orthodontics R 51.91
9303 Casting of model in super hard stone per model
62 Maxillo-facial and Oral Surgery R 51.91
9303 Casting of model in super hard stone per model
54 General Dental Practice R 51.91
9305 Casting and trimming of study model per model
94 Prosthodontic R 95.85
9305 Casting and trimming of study model per model
93 Dental Technician R 94.72
9305 Casting and trimming of study model per model
92 Periodontics R 95.85
9305 Casting and trimming of study model per model
64 Orthodontics R 95.85
9305 Casting and trimming of study model per model
62 Maxillo-facial and Oral Surgery R 95.85
9305 Casting and trimming of study model per model /
54 General Dental Practice R 95.85
9307 Casting and trimming of gnathostatic study model
per model 94 Prosthodontic R 124.84
9307 Casting and trimming of gnathostatic study model
per model 93 Dental Technician R 123.26
9307 Casting and trimming of gnathostatic study model
per model 92 Periodontics R 124.84
9307 Casting and trimming of gnathostatic study model
per model 64 Orthodontics R 124.84
9307 Casting and trimming of gnathostatic study model
per model 62 Maxillo-facial and Oral Surgery R 124.84
9307 Casting and trimming of gnathostatic study model
per model 54 General Dental Practice R 124.84
9309 New trimmed base to supplied model per model
94 Prosthodontic R 44.16
Page 51 of 109
9309 New trimmed base to supplied model per model
93 Dental Technician R 43.48
9309 New trimmed base to supplied model per model
92 Periodontics R 44.16
9309 New trimmed base to supplied model per model
64 Orthodontics R 44.16
9309 New trimmed base to supplied model per model
62 Maxillo-facial and Oral Surgery R 44.16
9309 New trimmed base to supplied model per model
54 General Dental Practice R 44.16
9311 Trimming of supplied model per model 94 Prosthodontic R 26.74
9311 Trimming of supplied model per model 93 Dental Technician R 26.52
9311 Trimming of supplied model per model 92 Periodontics R 26.74
9311 Trimming of supplied model per model 64 Orthodontics R 26.74
9311 Trimming of supplied model per model 62 Maxillo-facial and Oral Surgery R 26.74
9311 Trimming of supplied model per model 54 General Dental Practice R 26.74
9312 Gingival tissue mask per impression (incl. material
94 Prosthodontic R 207.42
9312 Gingival tissue mask per impression (incl. material
93 Dental Technician R 204.72
9312 Gingival tissue mask per impression (incl. material
92 Periodontics R 207.42
9312 Gingival tissue mask per impression (incl. material
62 Maxillo-facial and Oral Surgery R 207.42
9312 Gingival tissue mask per impression (incl. material
54 General Dental Practice R 207.42
9313 Duplicating model per model 94 Prosthodontic R 111.46
9313 Duplicating model per model 93 Dental Technician R 110.00
9313 Duplicating model per model 92 Periodontics R 111.46
9313 Duplicating model per model 64 Orthodontics R 111.46
9313 Duplicating model per model 62 Maxillo-facial and Oral Surgery R 111.46
9313 Duplicating model per model 54 General Dental Practice R 111.46
9314 Refractory model per unit (including material & duplicating) 94 Prosthodontic R 109.43
9314 Refractory model per unit (including material & duplicating) 93 Dental Technician R 108.09
9314 Refractory model per unit (including material & duplicating) 62 Maxillo-facial and Oral Surgery R 109.43
Page 52 of 109
9314 Refractory model per unit (including material & duplicating) 54 General Dental Practice R 109.43
9315 Models and dup models for crown & bridge work
inclusive of one removable die 94 Prosthodontic R 151.80
9315 Models and dup models for crown & bridge work
inclusive of one removable die 93 Dental Technician R 149.78
9315 Models and dup models for crown & bridge work
inclusive of one removable die 92 Periodontics R 151.80
9315 Models and dup models for crown & bridge work
inclusive of one removable die 64 Orthodontics R 151.80
9315 Models and dup models for crown & bridge work
inclusive of one removable die 62 Maxillo-facial and Oral Surgery R 151.80
9315 Models and dup models for crown & bridge work
inclusive of one removable die 54 General Dental Practice R 151.80
9317 Sectional models for crown & bridge work inclusive
of one removable die 94 Prosthodontic R 134.61
9317 Sectional models for crown & bridge work inclusive
of one removable die 93 Dental Technician R 132.70
9317 Sectional models for crown & bridge work inclusive
of one removable die 92 Periodontics R 134.61
9317 Sectional models for crown & bridge work inclusive
of one removable die 64 Orthodontics R 134.61
9317 Sectional models for crown & bridge work inclusive
of one removable die 62 Maxillo-facial and Oral Surgery R 134.61
9317 Sectional models for crown & bridge work inclusive
of one removable die 54 General Dental Practice R 134.61
9319 Each additional die for items 9315 & 9317 per die
94 Prosthodontic R 34.61
9319 Each additional die for items 9315 & 9317 per die
93 Dental Technician R 34.15
9319 Each additional die for items 9315 & 9317 per die
92 Periodontics R 34.61
9319 Each additional die for items 9315 & 9317 per die
64 Orthodontics R 34.61
9319 Each additional die for items 9315 & 9317 per die
62 Maxillo-facial and Oral Surgery R 34.61
9319 Each additional die for items 9315 & 9317 per die
54 General Dental Practice R 34.61
Page 53 of 109
9320 Pindex or indexed model tray per die 94 Prosthodontic R 34.61
9320 Pindex or indexed model tray per die 93 Dental Technician R 34.15
9320 Pindex or indexed model tray per die 92 Periodontics R 34.61
9320 Pindex or indexed model tray per die 64 Orthodontics R 34.61
9320 Pindex or indexed model tray per die 62 Maxillo-facial and Oral Surgery R 34.61
9320 Pindex or indexed model tray per die 54 General Dental Practice R 34.61
9321 Occlusion block per block 94 Prosthodontic R 132.58
9321 Occlusion block per block 93 Dental Technician R 130.78
9321 Occlusion block per block 92 Periodontics R 132.58
9321 Occlusion block per block 64 Orthodontics R 132.58
9321 Occlusion block per block 62 Maxillo-facial and Oral Surgery R 132.58
9321 Occlusion block per block 54 General Dental Practice R 132.58
9323 Occlusion block on baseplate per block 94 Prosthodontic R 167.08
9323 Occlusion block on baseplate per block 93 Dental Technician R 165.05
9323 Occlusion block on baseplate per block 92 Periodontics R 167.08
9323 Occlusion block on baseplate per block 64 Orthodontics R 167.08
9323 Occlusion block on baseplate per block 62 Maxillo-facial and Oral Surgery R 167.08
9323 Occlusion block on baseplate per block 54 General Dental Practice R 167.08
9327 Infection control per impression in imp. material
94 Prosthodontic R 24.94
9327 Infection control per impression in imp. material
93 Dental Technician R 24.60
9327 Infection control per impression in imp. material
92 Periodontics R 24.94
9327 Infection control per impression in imp. material
64 Orthodontics R 24.94
9327 Infection control per impression in imp. material
62 Maxillo-facial and Oral Surgery R 24.94
9327 Infection control per impression in imp. material
54 General Dental Practice R 24.94
9329 Fit & supply of disposable articulator (including cost of articulator) 94 Prosthodontic R 65.17
9329 Fit & supply of disposable articulator (including cost of articulator) 93 Dental Technician R 64.61
9329 Fit & supply of disposable articulator (including cost of articulator) 64 Orthodontics R 65.17
9329 Fit & supply of disposable articulator (including cost of articulator) 62 Maxillo-facial and Oral Surgery R 65.17
Page 54 of 109
9329 Fit & supply of disposable articulator (including cost of articulator) 54 General Dental Practice R 65.17
9330 Delivery charge per completed procedure 94 Prosthodontic R 69.10
9330 Delivery charge per completed procedure 93 Dental Technician R 68.20
9330 Delivery charge per completed procedure 92 Periodontics R 69.10
9330 Delivery charge per completed procedure 64 Orthodontics R 69.10
9330 Delivery charge per completed procedure 62 Maxillo-facial and Oral Surgery R 69.10
9330 Delivery charge per completed procedure 54 General Dental Practice R 69.10
9331 Full upper and lower dentures. 94 Prosthodontic R 1 781.47
9331 Full upper and lower dentures. 93 Dental Technician R 1 759.90
9331 Full upper and lower dentures. 92 Periodontics R 1 781.47
9331 Full upper and lower dentures. 64 Orthodontics R 1 781.47
9331 Full upper and lower dentures. 62 Maxillo-facial and Oral Surgery R 1 781.47
9331 Full upper and lower dentures. 54 General Dental Practice R 1 781.47
9333 Full upper or lower denture. 94 Prosthodontic R 1 042.48
9333 Full upper or lower denture. 93 Dental Technician R 1 029.78
9333 Full upper or lower denture. 92 Periodontics R 1 042.48
9333 Full upper or lower denture. 64 Orthodontics R 1 042.48
9333 Full upper or lower denture. 62 Maxillo-facial and Oral Surgery R 1 042.48
9333 Full upper or lower denture. 54 General Dental Practice R 1 042.48
9335 Set up and waxing of full upper and lower dentures.
94 Prosthodontic R 614.27
9335 Set up and waxing of full upper and lower dentures.
93 Dental Technician R 606.97
9335 Set up and waxing of full upper and lower dentures.
92 Periodontics R 614.27
9335 Set up and waxing of full upper and lower dentures.
64 Orthodontics R 614.27
9335 Set up and waxing of full upper and lower dentures.
62 Maxillo-facial and Oral Surgery R 614.27
9335 Set up and waxing of full upper and lower dentures.
54 General Dental Practice R 614.27
9337 Set up and waxing of full upper or lower dentures.
94 Prosthodontic R 410.79
9337 Set up and waxing of full upper or lower 93 Dental Technician R 405.84
Page 55 of 109
dentures.
9337 Set up and waxing of full upper or lower dentures.
92 Periodontics R 410.79
9337 Set up and waxing of full upper or lower dentures.
64 Orthodontics R 410.79
9337 Set up and waxing of full upper or lower dentures.
62 Maxillo-facial and Oral Surgery R 410.79
9337 Set up and waxing of full upper or lower dentures.
54 General Dental Practice R 410.79
9339 Waxing and finishing of full upper & lower dentures.
94 Prosthodontic R 1 092.48
9339 Waxing and finishing of full upper & lower dentures.
93 Dental Technician R 1 079.22
9339 Waxing and finishing of full upper & lower dentures.
92 Periodontics R 1 092.48
9339 Waxing and finishing of full upper & lower dentures.
64 Orthodontics R 1 092.48
9339 Waxing and finishing of full upper & lower dentures.
62 Maxillo-facial and Oral Surgery R 1 092.48
9339 Waxing and finishing of full upper & lower dentures.
54 General Dental Practice R 1 092.48
9341 Waxing and finishing of full upper or lower denture.
94 Prosthodontic R 610.34
9341 Waxing and finishing of full upper or lower denture.
93 Dental Technician R 603.15
9341 Waxing and finishing of full upper or lower denture.
92 Periodontics R 610.34
9341 Waxing and finishing of full upper or lower denture.
64 Orthodontics R 610.34
9341 Waxing and finishing of full upper or lower denture.
62 Maxillo-facial and Oral Surgery R 610.34
9341 Waxing and finishing of full upper or lower denture.
54 General Dental Practice R 610.34
9343 Additional fee for dentures on adj. articulator. 94 Prosthodontic R 1 739.11
9343 Additional fee for dentures on adj. articulator. 93 Dental Technician R 1 718.32
9343 Additional fee for dentures on adj. articulator. 92 Periodontics R 1 739.11
9343 Additional fee for dentures on adj. articulator. 64 Orthodontics R 1 739.11
Page 56 of 109
9343 Additional fee for dentures on adj. articulator. 62 Maxillo-facial and Oral Surgery R 1 739.11
9343 Additional fee for dentures on adj. articulator. 54 General Dental Practice R 1 739.11
9345 Additional fee for immediate dentures - per tooth
94 Prosthodontic R 24.94
9345 Additional fee for immediate dentures - per tooth
93 Dental Technician R 24.60
9345 Additional fee for immediate dentures - per tooth
92 Periodontics R 24.94
9345 Additional fee for immediate dentures - per tooth
64 Orthodontics R 24.94
9345 Additional fee for immediate dentures - per tooth
62 Maxillo-facial and Oral Surgery R 24.94
9345 Additional fee for immediate dentures - per tooth
54 General Dental Practice R 24.94
9346 Additional fee for immediate dentures - not socketed
94 Prosthodontic R 13.48
9346 Additional fee for immediate dentures - not socketed
93 Dental Technician R 13.37
9346 Additional fee for immediate dentures - not socketed
92 Periodontics R 13.48
9346 Additional fee for immediate dentures - not socketed
64 Orthodontics R 13.48
9346 Additional fee for immediate dentures - not socketed
62 Maxillo-facial and Oral Surgery R 13.48
9346 Additional fee for immediate dentures - not socketed
54 General Dental Practice R 13.48
9347 Additional fee for each retry from the third retry
94 Prosthodontic R 395.62
9347 Additional fee for each retry from the third retry
93 Dental Technician R 390.67
9347 Additional fee for each retry from the third retry
92 Periodontics R 395.62
9347 Additional fee for each retry from the third retry
64 Orthodontics R 395.62
9347 Additional fee for each retry from the third retry
62 Maxillo-facial and Oral Surgery R 395.62
9347 Additional fee for each retry from the third 54 General Dental Practice R 395.62
Page 57 of 109
retry
9351 Set-up and finish one-tooth denture 94 Prosthodontic R 477.98
9351 Set-up and finish one-tooth denture 93 Dental Technician R 472.25
9351 Set-up and finish one-tooth denture 92 Periodontics R 477.98
9351 Set-up and finish one-tooth denture 64 Orthodontics R 477.98
9351 Set-up and finish one-tooth denture 62 Maxillo-facial and Oral Surgery R 477.98
9351 Set-up and finish one-tooth denture 54 General Dental Practice R 477.98
9352 Set-up and finish two-tooth denture 94 Prosthodontic R 508.77
9352 Set-up and finish two-tooth denture 93 Dental Technician R 502.59
9352 Set-up and finish two-tooth denture 92 Periodontics R 508.77
9352 Set-up and finish two-tooth denture 64 Orthodontics R 508.77
9352 Set-up and finish two-tooth denture 62 Maxillo-facial and Oral Surgery R 508.77
9352 Set-up and finish two-tooth denture 54 General Dental Practice R 508.77
9353 Set-up and finish three-tooth denture 94 Prosthodontic R 545.17
9353 Set-up and finish three-tooth denture 93 Dental Technician R 538.54
9353 Set-up and finish three-tooth denture 92 Periodontics R 545.17
9353 Set-up and finish three-tooth denture 64 Orthodontics R 545.17
9353 Set-up and finish three-tooth denture 62 Maxillo-facial and Oral Surgery R 545.17
9353 Set-up and finish three-tooth denture 54 General Dental Practice R 545.17
9354 Set-up and finish four-tooth denture 94 Prosthodontic R 575.85
9354 Set-up and finish four-tooth denture 93 Dental Technician R 568.99
9354 Set-up and finish four-tooth denture 92 Periodontics R 575.85
9354 Set-up and finish four-tooth denture 64 Orthodontics R 575.85
9354 Set-up and finish four-tooth denture 62 Maxillo-facial and Oral Surgery R 575.85
9354 Set-up and finish four-tooth denture 54 General Dental Practice R 575.85
9355 Set-up and finish five-tooth denture 94 Prosthodontic R 622.14
9355 Set-up and finish five-tooth denture 93 Dental Technician R 614.39
9355 Set-up and finish five-tooth denture 92 Periodontics R 622.14
9355 Set-up and finish five-tooth denture 64 Orthodontics R 622.14
9355 Set-up and finish five-tooth denture 62 Maxillo-facial and Oral Surgery R 622.14
9355 Set-up and finish five-tooth denture 54 General Dental Practice R 622.14
9356 Set-up and finish six-tooth denture 94 Prosthodontic R 743.04
Page 58 of 109
9356 Set-up and finish six-tooth denture 93 Dental Technician R 734.05
9356 Set-up and finish six-tooth denture 92 Periodontics R 743.04
9356 Set-up and finish six-tooth denture 64 Orthodontics R 743.04
9356 Set-up and finish six-tooth denture 62 Maxillo-facial and Oral Surgery R 743.04
9356 Set-up and finish six-tooth denture 54 General Dental Practice R 743.04
9357 Set-up and finish seven-tooth denture 94 Prosthodontic R 883.03
9357 Set-up and finish seven-tooth denture 93 Dental Technician R 872.48
9357 Set-up and finish seven-tooth denture 92 Periodontics R 883.03
9357 Set-up and finish seven-tooth denture 64 Orthodontics R 883.03
9357 Set-up and finish seven-tooth denture 62 Maxillo-facial and Oral Surgery R 883.03
9357 Set-up and finish seven-tooth denture 54 General Dental Practice R 883.03
9358 Set-up and finish eight-tooth denture 94 Prosthodontic R 936.86
9358 Set-up and finish eight-tooth denture 93 Dental Technician R 925.62
9358 Set-up and finish eight-tooth denture 92 Periodontics R 936.86
9358 Set-up and finish eight-tooth denture 64 Orthodontics R 936.86
9358 Set-up and finish eight-tooth denture 62 Maxillo-facial and Oral Surgery R 936.86
9358 Set-up and finish eight-tooth denture 54 General Dental Practice R 936.86
9359 Set-up and finish nine-tooth denture 94 Prosthodontic R 960.00
9359 Set-up and finish nine-tooth denture 93 Dental Technician R 948.32
9359 Set-up and finish nine-tooth denture 92 Periodontics R 960.00
9359 Set-up and finish nine-tooth denture 64 Orthodontics R 960.00
9359 Set-up and finish nine-tooth denture 62 Maxillo-facial and Oral Surgery R 960.00
9359 Set-up and finish nine-tooth denture 54 General Dental Practice R 960.00
9361 Set-up and waxing of one-tooth denture 94 Prosthodontic R 136.18
9361 Set-up and waxing of one-tooth denture 93 Dental Technician R 134.72
9361 Set-up and waxing of one-tooth denture 92 Periodontics R 136.18
9361 Set-up and waxing of one-tooth denture 64 Orthodontics R 136.18
9361 Set-up and waxing of one-tooth denture 62 Maxillo-facial and Oral Surgery R 136.18
9361 Set-up and waxing of one-tooth denture 54 General Dental Practice R 136.18
9362 Set-up and waxing of two-tooth denture 94 Prosthodontic R 165.05
9362 Set-up and waxing of two-tooth denture 93 Dental Technician R 163.14
9362 Set-up and waxing of two-tooth denture 92 Periodontics R 165.05
Page 59 of 109
9362 Set-up and waxing of two-tooth denture 64 Orthodontics R 165.05
9362 Set-up and waxing of two-tooth denture 62 Maxillo-facial and Oral Surgery R 165.05
9362 Set-up and waxing of two-tooth denture 54 General Dental Practice R 165.05
9363 Set-up and waxing of three-tooth denture 94 Prosthodontic R 187.98
9363 Set-up and waxing of three-tooth denture 93 Dental Technician R 185.84
9363 Set-up and waxing of three-tooth denture 92 Periodontics R 187.98
9363 Set-up and waxing of three-tooth denture 64 Orthodontics R 187.98
9363 Set-up and waxing of three-tooth denture 62 Maxillo-facial and Oral Surgery R 187.98
9363 Set-up and waxing of three-tooth denture 54 General Dental Practice R 187.98
9364 Set-up and waxing of four-tooth denture 94 Prosthodontic R 218.76
9364 Set-up and waxing of four-tooth denture 93 Dental Technician R 216.18
9364 Set-up and waxing of four-tooth denture 92 Periodontics R 218.76
9364 Set-up and waxing of four-tooth denture 64 Orthodontics R 218.76
9364 Set-up and waxing of four-tooth denture 62 Maxillo-facial and Oral Surgery R 218.76
9364 Set-up and waxing of four-tooth denture 54 General Dental Practice R 218.76
9365 Set-up and waxing of five-tooth denture 94 Prosthodontic R 241.91
9365 Set-up and waxing of five-tooth denture 93 Dental Technician R 238.99
9365 Set-up and waxing of five-tooth denture 92 Periodontics R 241.91
9365 Set-up and waxing of five-tooth denture 64 Orthodontics R 241.91
9365 Set-up and waxing of five-tooth denture 62 Maxillo-facial and Oral Surgery R 241.91
9365 Set-up and waxing of five-tooth denture 54 General Dental Practice R 241.91
9366 Set-up and waxing of six-tooth denture 94 Prosthodontic R 285.84
9366 Set-up and waxing of six-tooth denture 93 Dental Technician R 282.59
9366 Set-up and waxing of six-tooth denture 92 Periodontics R 285.84
9366 Set-up and waxing of six-tooth denture 64 Orthodontics R 285.84
9366 Set-up and waxing of six-tooth denture 62 Maxillo-facial and Oral Surgery R 285.84
9366 Set-up and waxing of six-tooth denture 54 General Dental Practice R 285.84
9367 Set-up and waxing of seven-tooth denture 94 Prosthodontic R 314.61
9367 Set-up and waxing of seven-tooth denture 93 Dental Technician R 311.01
9367 Set-up and waxing of seven-tooth denture 92 Periodontics R 314.61
9367 Set-up and waxing of seven-tooth denture 64 Orthodontics R 314.61
9367 Set-up and waxing of seven-tooth denture 62 Maxillo-facial and Oral Surgery R 314.61
Page 60 of 109
9367 Set-up and waxing of seven-tooth denture 54 General Dental Practice R 314.61
9368 Set-up and waxing of eight-tooth denture 94 Prosthodontic R 337.76
9368 Set-up and waxing of eight-tooth denture 93 Dental Technician R 333.83
9368 Set-up and waxing of eight-tooth denture 92 Periodontics R 337.76
9368 Set-up and waxing of eight-tooth denture 64 Orthodontics R 337.76
9368 Set-up and waxing of eight-tooth denture 62 Maxillo-facial and Oral Surgery R 337.76
9368 Set-up and waxing of eight-tooth denture 54 General Dental Practice R 337.76
9369 Set-up and waxing of nine-tooth denture 94 Prosthodontic R 360.90
9369 Set-up and waxing of nine-tooth denture 93 Dental Technician R 356.52
9369 Set-up and waxing of nine-tooth denture 92 Periodontics R 360.90
9369 Set-up and waxing of nine-tooth denture 64 Orthodontics R 360.90
9369 Set-up and waxing of nine-tooth denture 62 Maxillo-facial and Oral Surgery R 360.90
9369 Set-up and waxing of nine-tooth denture 54 General Dental Practice R 360.90
9371 Waxing and finishing of one-tooth denture 94 Prosthodontic R 374.38
9371 Waxing and finishing of one-tooth denture 93 Dental Technician R 369.89
9371 Waxing and finishing of one-tooth denture 92 Periodontics R 374.38
9371 Waxing and finishing of one-tooth denture 64 Orthodontics R 374.38
9371 Waxing and finishing of one-tooth denture 62 Maxillo-facial and Oral Surgery R 374.38
9371 Waxing and finishing of one-tooth denture 54 General Dental Practice R 374.38
9372 Waxing and finishing of two-tooth denture 94 Prosthodontic R 381.91
9372 Waxing and finishing of two-tooth denture 93 Dental Technician R 377.31
9372 Waxing and finishing of two-tooth denture 92 Periodontics R 381.91
9372 Waxing and finishing of two-tooth denture 64 Orthodontics R 381.91
9372 Waxing and finishing of two-tooth denture 62 Maxillo-facial and Oral Surgery R 381.91
9372 Waxing and finishing of two-tooth denture 54 General Dental Practice R 381.91
9373 Waxing and finishing of three-tooth denture 94 Prosthodontic R 387.76
9373 Waxing and finishing of three-tooth denture 93 Dental Technician R 383.03
9373 Waxing and finishing of three-tooth denture 92 Periodontics R 387.76
9373 Waxing and finishing of three-tooth denture 64 Orthodontics R 387.76
9373 Waxing and finishing of three-tooth denture 62 Maxillo-facial and Oral Surgery R 387.76
9373 Waxing and finishing of three-tooth denture 54 General Dental Practice R 387.76
9374 Waxing and finishing of four-tooth denture 94 Prosthodontic R 395.62
Page 61 of 109
9374 Waxing and finishing of four-tooth denture 93 Dental Technician R 390.67
9374 Waxing and finishing of four-tooth denture 92 Periodontics R 395.62
9374 Waxing and finishing of four-tooth denture 64 Orthodontics R 395.62
9374 Waxing and finishing of four-tooth denture 62 Maxillo-facial and Oral Surgery R 395.62
9374 Waxing and finishing of four-tooth denture 54 General Dental Practice R 395.62
9375 Waxing and finishing of five-tooth denture 94 Prosthodontic R 410.79
9375 Waxing and finishing of five-tooth denture 93 Dental Technician R 405.84
9375 Waxing and finishing of five-tooth denture 92 Periodontics R 410.79
9375 Waxing and finishing of five-tooth denture 64 Orthodontics R 410.79
9375 Waxing and finishing of five-tooth denture 62 Maxillo-facial and Oral Surgery R 410.79
9375 Waxing and finishing of five-tooth denture 54 General Dental Practice R 410.79
9376 Waxing and finishing of six-tooth denture 94 Prosthodontic R 426.18
9376 Waxing and finishing of six-tooth denture 93 Dental Technician R 421.01
9376 Waxing and finishing of six-tooth denture 92 Periodontics R 426.18
9376 Waxing and finishing of six-tooth denture 64 Orthodontics R 426.18
9376 Waxing and finishing of six-tooth denture 62 Maxillo-facial and Oral Surgery R 426.18
9376 Waxing and finishing of six-tooth denture 54 General Dental Practice R 426.18
9377 Waxing and finishing of seven-tooth denture 94 Prosthodontic R 531.69
9377 Waxing and finishing of seven-tooth denture 93 Dental Technician R 525.28
9377 Waxing and finishing of seven-tooth denture 92 Periodontics R 531.69
9377 Waxing and finishing of seven-tooth denture 64 Orthodontics R 531.69
9377 Waxing and finishing of seven-tooth denture 62 Maxillo-facial and Oral Surgery R 531.69
9377 Waxing and finishing of seven-tooth denture 54 General Dental Practice R 531.69
9378 Set-up and finishing of eight-tooth denture 94 Prosthodontic R 552.93
9378 Set-up and finishing of eight-tooth denture 93 Dental Technician R 546.19
9378 Set-up and finishing of eight-tooth denture 92 Periodontics R 552.93
9378 Set-up and finishing of eight-tooth denture 64 Orthodontics R 552.93
9378 Set-up and finishing of eight-tooth denture 62 Maxillo-facial and Oral Surgery R 552.93
9378 Set-up and finishing of eight-tooth denture 54 General Dental Practice R 552.93
9379 Set-up and finishing of nine-tooth denture 94 Prosthodontic R 583.59
9379 Set-up and finishing of nine-tooth denture 93 Dental Technician R 576.52
9379 Set-up and finishing of nine-tooth denture 92 Periodontics R 583.59
Page 62 of 109
9379 Set-up and finishing of nine-tooth denture 64 Orthodontics R 583.59
9379 Set-up and finishing of nine-tooth denture 62 Maxillo-facial and Oral Surgery R 583.59
9379 Set-up and finishing of nine-tooth denture 54 General Dental Practice R 583.59
9380 Set-up and finishing of ten (or more) tooth denture
93 Dental Technician R 0.00
9380 Set-up and finishing of ten (or more) tooth denture
64 Orthodontics R 0.00
9380 Set-up and finishing of ten (or more) tooth denture
62 Maxillo-facial and Oral Surgery R 0.00
9380 Set-up and finishing of ten (or more) tooth denture
54 General Dental Practice R 0.00
9383 Additional fee for finishing off in tooth colour bridge material 94 Prosthodontic R 92.14
9383 Additional fee for finishing off in tooth colour bridge material 93 Dental Technician R 91.13
9383 Additional fee for finishing off in tooth colour bridge material 92 Periodontics R 92.14
9383 Additional fee for finishing off in tooth colour bridge material 64 Orthodontics R 92.14
9383 Additional fee for finishing off in tooth colour bridge material 62 Maxillo-facial and Oral Surgery R 92.14
9383 Additional fee for finishing off in tooth colour bridge material 54 General Dental Practice R 92.14
9385 Additional fee for supplying finished denture duplicate model 94 Prosthodontic R 174.84
9385 Additional fee for supplying finished denture duplicate model 93 Dental Technician R 172.59
9385 Additional fee for supplying finished denture duplicate model 92 Periodontics R 174.84
9385 Additional fee for supplying finished denture duplicate model 64 Orthodontics R 174.84
9385 Additional fee for supplying finished denture duplicate model 62 Maxillo-facial and Oral Surgery R 174.84
9385 Additional fee for supplying finished denture duplicate model 54 General Dental Practice R 174.84
9391 Basic charge which includes repair of one fracture
of addition of one tooth 94 Prosthodontic R 303.26
9391 Basic charge which includes repair of one fracture
of addition of one tooth 93 Dental Technician R 299.78
9391 Basic charge which includes repair of one fracture
of addition of one tooth 92 Periodontics R 303.26
9391 Basic charge which includes repair of one fracture
of addition of one tooth 64 Orthodontics R 303.26
9391 Basic charge which includes repair of one fracture
of addition of one tooth 62 Maxillo-facial and Oral Surgery R 303.26
9391 Basic charge which includes repair of one fracture
of addition of one tooth 54 General Dental Practice R 303.26
Page 63 of 109
9393 Additional charge for each additional fracture tooth or clasp 94 Prosthodontic R 94.16
9393 Additional charge for each additional fracture tooth or clasp 93 Dental Technician R 92.81
9393 Additional charge for each additional fracture tooth or clasp 92 Periodontics R 94.16
9393 Additional charge for each additional fracture tooth or clasp 64 Orthodontics R 94.16
9393 Additional charge for each additional fracture tooth or clasp 62 Maxillo-facial and Oral Surgery R 94.16
9393 Additional charge for each additional fracture tooth or clasp 54 General Dental Practice R 94.16
9395 Additional fee for using wire strengthener 94 Prosthodontic R 107.42
9395 Additional fee for using wire strengthener 93 Dental Technician R 106.18
9395 Additional fee for using wire strengthener 92 Periodontics R 107.42
9395 Additional fee for using wire strengthener 64 Orthodontics R 107.42
9395 Additional fee for using wire strengthener 62 Maxillo-facial and Oral Surgery R 107.42
9395 Additional fee for using wire strengthener 54 General Dental Practice R 107.42
9397 Additional fee for using pre-formed strengthener
excluding cost of stengthener 94 Prosthodontic R 115.05
9397 Additional fee for using pre-formed strengthener
excluding cost of stengthener 93 Dental Technician R 113.82
9397 Additional fee for using pre-formed strengthener
excluding cost of stengthener 92 Periodontics R 115.05
9397 Additional fee for using pre-formed strengthener
excluding cost of stengthener 64 Orthodontics R 115.05
9397 Additional fee for using pre-formed strengthener
excluding cost of stengthener 62 Maxillo-facial and Oral Surgery R 115.05
9397 Additional fee for using pre-formed strengthener
excluding cost of stengthener 54 General Dental Practice R 115.05
9398 Additional fee for using any other mesh strengthener
not mentioned in 9396 and 9398 94 Prosthodontic R 182.36
9398 Additional fee for using any other mesh strengthener
not mentioned in 9396 and 9398 93 Dental Technician R 180.12
9398 Additional fee for using any other mesh strengthener
not mentioned in 9396 and 9398 92 Periodontics R 182.36
9398 Additional fee for using any other mesh strengthener
not mentioned in 9396 and 9398 64 Orthodontics R 182.36
9398 Additional fee for using any other mesh strengthener
not mentioned in 9396 and 9398 62 Maxillo-facial and Oral Surgery R 182.36
9398 Additional fee for using any other mesh strengthener
not mentioned in 9396 and 9398 54 General Dental Practice R 182.36
Page 64 of 109
9401 Clear palate *Clear palate 94 Prosthodontic R 134.61
9401 Clear palate *Clear palate 93 Dental Technician R 132.70
9401 Clear palate *Clear palate 92 Periodontics R 134.61
9401 Clear palate *Clear palate 64 Orthodontics R 134.61
9401 Clear palate *Clear palate 62 Maxillo-facial and Oral Surgery R 134.61
9401 Clear palate *Clear palate 54 General Dental Practice R 134.61
9403 Dox grinding of upper and lower dentures 94 Prosthodontic R 170.79
9403 Dox grinding of upper and lower dentures 93 Dental Technician R 168.66
9403 Dox grinding of upper and lower dentures 92 Periodontics R 170.79
9403 Dox grinding of upper and lower dentures 64 Orthodontics R 170.79
9403 Dox grinding of upper and lower dentures 62 Maxillo-facial and Oral Surgery R 170.79
9403 Dox grinding of upper and lower dentures 54 General Dental Practice R 170.79
9405 Inlay to artificial tooth one surface only per inlay
excluding cost of gold 94 Prosthodontic R 293.82
9405 Inlay to artificial tooth one surface only per inlay
excluding cost of gold 93 Dental Technician R 290.11
9405 Inlay to artificial tooth one surface only per inlay
excluding cost of gold 92 Periodontics R 293.82
9405 Inlay to artificial tooth one surface only per inlay
excluding cost of gold 64 Orthodontics R 293.82
9405 Inlay to artificial tooth one surface only per inlay
excluding cost of gold 62 Maxillo-facial and Oral Surgery R 293.82
9405 Inlay to artificial tooth one surface only per inlay
excluding cost of gold 54 General Dental Practice R 293.82
9406 Inlay to artificial tooth multi-surfaces e.g. horseshoe or l-type inlay per inlay 94 Prosthodontic R 376.29
9406 Inlay to artificial tooth multi-surfaces e.g. horseshoe or l-type inlay per inlay 93 Dental Technician R 371.80
9406 Inlay to artificial tooth multi-surfaces e.g. horseshoe or l-type inlay per inlay 92 Periodontics R 376.29
9406 Inlay to artificial tooth multi-surfaces e.g. horseshoe or l-type inlay per inlay 64 Orthodontics R 376.29
9406 Inlay to artificial tooth multi-surfaces e.g. horseshoe or l-type inlay per inlay 62 Maxillo-facial and Oral Surgery R 376.29
9406 Inlay to artificial tooth multi-surfaces e.g. horseshoe or l-type inlay per inlay 54 General Dental Practice R 376.29
9407 Heka base technique per upper or lower denture
94 Prosthodontic R 403.26
9407 Heka base technique per upper or lower denture
93 Dental Technician R 398.32
Page 65 of 109
9407 Heka base technique per upper or lower denture
92 Periodontics R 403.26
9407 Heka base technique per upper or lower denture
64 Orthodontics R 403.26
9407 Heka base technique per upper or lower denture
62 Maxillo-facial and Oral Surgery R 403.26
9407 Heka base technique per upper or lower denture
54 General Dental Practice R 403.26
9409 Frego frame (excluding cost of material) 94 Prosthodontic R 174.84
9409 Frego frame (excluding cost of material) 93 Dental Technician R 172.59
9409 Frego frame (excluding cost of material) 92 Periodontics R 174.84
9409 Frego frame (excluding cost of material) 64 Orthodontics R 174.84
9409 Frego frame (excluding cost of material) 62 Maxillo-facial and Oral Surgery R 174.84
9409 Frego frame (excluding cost of material) 54 General Dental Practice R 174.84
9410 Bl tray (Excluding cost of material) 94 Prosthodontic R 193.94
9410 Bl tray (Excluding cost of material) 93 Dental Technician R 191.69
9410 Bl tray (Excluding cost of material) 64 Orthodontics R 193.94
9410 Bl tray (Excluding cost of material) 62 Maxillo-facial and Oral Surgery R 193.94
9410 Bl tray (Excluding cost of material) 54 General Dental Practice R 193.94
9411 Template per upper or lower denture 94 Prosthodontic R 481.80
9411 Template per upper or lower denture 93 Dental Technician R 476.07
9411 Template per upper or lower denture 92 Periodontics R 481.80
9411 Template per upper or lower denture 64 Orthodontics R 481.80
9411 Template per upper or lower denture 62 Maxillo-facial and Oral Surgery R 481.80
9411 Template per upper or lower denture 54 General Dental Practice R 481.80
9413 Reline of single denture 94 Prosthodontic R 606.52
9413 Reline of single denture 93 Dental Technician R 599.22
9413 Reline of single denture 92 Periodontics R 606.52
9413 Reline of single denture 64 Orthodontics R 606.52
9413 Reline of single denture 62 Maxillo-facial and Oral Surgery R 606.52
9413 Reline of single denture 54 General Dental Practice R 606.52
9415 Remodel of single denture 94 Prosthodontic R 932.93
9415 Remodel of single denture 93 Dental Technician R 921.69
Page 66 of 109
9415 Remodel of single denture 92 Periodontics R 932.93
9415 Remodel of single denture 64 Orthodontics R 932.93
9415 Remodel of single denture 62 Maxillo-facial and Oral Surgery R 932.93
9415 Remodel of single denture 54 General Dental Practice R 932.93
9417 Soft base reline per denture excluding soft base
material 94 Prosthodontic R 1 532.03
9417 Soft base reline per denture excluding soft base
material 93 Dental Technician R 1 513.37
9417 Soft base reline per denture excluding soft base
material 92 Periodontics R 1 532.03
9417 Soft base reline per denture excluding soft base
material 64 Orthodontics R 1 532.03
9417 Soft base reline per denture excluding soft base
material 62 Maxillo-facial and Oral Surgery R 1 532.03
9417 Soft base reline per denture excluding soft base
material 54 General Dental Practice R 1 532.03
9419 Soft base to new denture per denture excluding soft
base material 94 Prosthodontic R 1 532.03
9419 Soft base to new denture per denture excluding soft
base material 93 Dental Technician R 1 513.37
9419 Soft base to new denture per denture excluding soft
base material 92 Periodontics R 1 532.03
9419 Soft base to new denture per denture excluding soft
base material 64 Orthodontics R 1 532.03
9419 Soft base to new denture per denture excluding soft
base material 62 Maxillo-facial and Oral Surgery R 1 532.03
9419 Soft base to new denture per denture excluding soft
base material 54 General Dental Practice R 1 532.03
9421 Gum tinting per denture 94 Prosthodontic R 284.15
9421 Gum tinting per denture 92 Periodontics R 284.15
9421 Gum tinting per denture 64 Orthodontics R 284.15
9421 Gum tinting per denture 62 Maxillo-facial and Oral Surgery R 284.15
9421 Gum tinting per denture 54 General Dental Practice R 284.15
9423 Lingual or palatal bar (excluding cost of material)
94 Prosthodontic R 228.43
9423 Lingual or palatal bar (excluding cost of 93 Dental Technician R 225.73
Page 67 of 109
material)
9423 Lingual or palatal bar (excluding cost of material)
92 Periodontics R 228.43
9423 Lingual or palatal bar (excluding cost of material)
64 Orthodontics R 228.43
9423 Lingual or palatal bar (excluding cost of material)
62 Maxillo-facial and Oral Surgery R 228.43
9423 Lingual or palatal bar (excluding cost of material)
54 General Dental Practice R 228.43
9425 Cleaning & polishing of existing denture per denture
94 Prosthodontic R 186.07
9425 Cleaning & polishing of existing denture per denture
93 Dental Technician R 183.93
9425 Cleaning & polishing of existing denture per denture
92 Periodontics R 186.07
9425 Cleaning & polishing of existing denture per denture
64 Orthodontics R 186.07
9425 Cleaning & polishing of existing denture per denture
62 Maxillo-facial and Oral Surgery R 186.07
9425 Cleaning & polishing of existing denture per denture
54 General Dental Practice R 186.07
9427 Mesh strengthener (excluding cost of material)
94 Prosthodontic R 159.33
9427 Mesh strengthener (excluding cost of material)
93 Dental Technician R 157.42
9427 Mesh strengthener (excluding cost of material)
92 Periodontics R 159.33
9427 Mesh strengthener (excluding cost of material)
64 Orthodontics R 159.33
9427 Mesh strengthener (excluding cost of material)
62 Maxillo-facial and Oral Surgery R 159.33
9427 Mesh strengthener (excluding cost of material)
54 General Dental Practice R 159.33
9429 Theatre/Consultation out of laboratory per hour
part thereof 94 Prosthodontic R 395.62
9429 Theatre/Consultation out of laboratory per hour
part thereof 93 Dental Technician R 390.67
Page 68 of 109
9429 Theatre/Consultation out of laboratory per hour or
part thereof 92 Periodontics R 395.62
9429 Theatre/Consultation out of laboratory per hour or
part thereof 64 Orthodontics R 395.62
9429 Theatre/Consultation out of laboratory per hour or
part thereof 62 Maxillo-facial and Oral Surgery R 395.62
9429 Theatre/Consultation out of laboratory per hour or
part thereof 54 General Dental Practice R 395.62
9431 Special tray acrylic each 94 Prosthodontic R 149.78
9431 Special tray acrylic each 93 Dental Technician R 147.87
9431 Special tray acrylic each 92 Periodontics R 149.78
9431 Special tray acrylic each 64 Orthodontics R 149.78
9431 Special tray acrylic each 62 Maxillo-facial and Oral Surgery R 149.78
9431 Special tray acrylic each 54 General Dental Practice R 149.78
9432 Special Tray Light cure (including material) 94 Prosthodontic R 163.26
9432 Special Tray Light cure (including material) 93 Dental Technician R 161.24
9432 Special Tray Light cure (including material) 92 Periodontics R 163.26
9432 Special Tray Light cure (including material) 64 Orthodontics R 163.26
9432 Special Tray Light cure (including material) 62 Maxillo-facial and Oral Surgery R 163.26
9432 Special Tray Light cure (including material) 54 General Dental Practice R 163.26
9433 Special tray in base plate material each 94 Prosthodontic R 153.59
9433 Special tray in base plate material each 93 Dental Technician R 151.69
9433 Special tray in base plate material each 92 Periodontics R 153.59
9433 Special tray in base plate material each 64 Orthodontics R 153.59
9433 Special tray in base plate material each 62 Maxillo-facial and Oral Surgery R 153.59
9433 Special tray in base plate material each 54 General Dental Practice R 153.59
9435 Provision of single arm clasp to partial denture
94 Prosthodontic R 78.65
9435 Provision of single arm clasp to partial denture
93 Dental Technician R 77.75
9435 Provision of single arm clasp to partial denture
92 Periodontics R 78.65
9435 Provision of single arm clasp to partial denture
64 Orthodontics R 78.65
Page 69 of 109
9435 Provision of single arm clasp to partial denture
62 Maxillo-facial and Oral Surgery R 78.65
9435 Provision of single arm clasp to partial denture
54 General Dental Practice R 78.65
9437 Provision of double arm clasp to partial denture
94 Prosthodontic R 136.18
9437 Provision of double arm clasp to partial denture
93 Dental Technician R 134.72
9437 Provision of double arm clasp to partial denture
92 Periodontics R 136.18
9437 Provision of double arm clasp to partial denture
64 Orthodontics R 136.18
9437 Provision of double arm clasp to partial denture
62 Maxillo-facial and Oral Surgery R 136.18
9437 Provision of double arm clasp to partial denture
54 General Dental Practice R 136.18
9439 Provision of single arm clasp with rest to partial
denture 94 Prosthodontic R 176.52
9439 Provision of single arm clasp with rest to partial
denture 93 Dental Technician R 174.50
9439 Provision of single arm clasp with rest to partial
denture 92 Periodontics R 176.52
9439 Provision of single arm clasp with rest to partial
denture 64 Orthodontics R 176.52
9439 Provision of single arm clasp with rest to partial
denture 62 Maxillo-facial and Oral Surgery R 176.52
9439 Provision of single arm clasp with rest to partial
denture 54 General Dental Practice R 176.52
9441 Provision of double arm clasp with rest to partial
denture 94 Prosthodontic R 237.98
9441 Provision of double arm clasp with rest to partial
denture 93 Dental Technician R 235.17
9441 Provision of double arm clasp with rest to partial
denture 92 Periodontics R 237.98
9441 Provision of double arm clasp with rest to partial
denture 64 Orthodontics R 237.98
9441 Provision of double arm clasp with rest to partial
denture 62 Maxillo-facial and Oral Surgery R 237.98
Page 70 of 109
9441 Provision of double arm clasp with rest to partial
denture 54 General Dental Practice R 237.98
9443 Provision of preformed clasps or Roach ball clasp to
partial denture (excluding cost of clasp) 94 Prosthodontic R 101.69
9443 Provision of preformed clasps or Roach ball clasp to
partial denture (excluding cost of clasp) 93 Dental Technician R 100.56
9443 Provision of preformed clasps or Roach ball clasp to
partial denture (excluding cost of clasp) 92 Periodontics R 101.69
9443 Provision of preformed clasps or Roach ball clasp to
partial denture (excluding cost of clasp) 64 Orthodontics R 101.69
9443 Provision of preformed clasps or Roach ball clasp to
partial denture (excluding cost of clasp) 62 Maxillo-facial and Oral Surgery R 101.69
9443 Provision of preformed clasps or Roach ball clasp to
partial denture (excluding cost of clasp) 54 General Dental Practice R 101.69
9445 Provision of rest only to partial denture 94 Prosthodontic R 101.69
9445 Provision of rest only to partial denture 93 Dental Technician R 100.56
9445 Provision of rest only to partial denture 92 Periodontics R 101.69
9445 Provision of rest only to partial denture 64 Orthodontics R 101.69
9445 Provision of rest only to partial denture 62 Maxillo-facial and Oral Surgery R 101.69
9445 Provision of rest only to partial denture 54 General Dental Practice R 101.69
9447 Provision of cast clasp to partial denture 94 Prosthodontic R 356.97
9447 Provision of cast clasp to partial denture 93 Dental Technician R 352.81
9447 Provision of cast clasp to partial denture 54 General Dental Practice R 356.97
9448 Model of impression inside occlusion block or wax
94 Prosthodontic R 65.17
9448 Model of impression inside occlusion block or wax
93 Dental Technician R 64.61
9448 Model of impression inside occlusion block or wax
92 Periodontics R 65.17
9448 Model of impression inside occlusion block or wax
64 Orthodontics R 65.17
9448 Model of impression inside occlusion block or wax
62 Maxillo-facial and Oral Surgery R 65.17
9448 Model of impression inside occlusion block or wax
54 General Dental Practice R 65.17
9450 15% surcharge on acrylic work finished to a cobalt or gold prosthesis 94 Prosthodontic R 136.18
Page 71 of 109
chrome
9450 15% surcharge on acrylic work finished to a chrome
cobalt or gold prosthesis 93 Dental Technician R 134.72
9450 15% surcharge on acrylic work finished to a chrome
cobalt or gold prosthesis 64 Orthodontics R 136.18
9450 15% surcharge on acrylic work finished to a chrome
cobalt or gold prosthesis 62 Maxillo-facial and Oral Surgery R 136.18
9450 15% surcharge on acrylic work finished to a chrome
cobalt or gold prosthesis 54 General Dental Practice R 136.18
9451 Metal base for full upper or full lower denture each
94 Prosthodontic R 1 222.92
9451 Metal base for full upper or full lower denture each
93 Dental Technician R 1 208.09
9451 Metal base for full upper or full lower denture each
92 Periodontics R 1 222.92
9451 Metal base for full upper or full lower denture each
64 Orthodontics R 1 222.92
9451 Metal base for full upper or full lower denture each
62 Maxillo-facial and Oral Surgery R 1 222.92
9451 Metal base for full upper or full lower denture each
54 General Dental Practice R 1 222.92
9453 Basic charge excluding models & any special trays
94 Prosthodontic R 1 069.33
9453 Basic charge excluding models & any special trays
93 Dental Technician R 1 056.41
9453 Basic charge excluding models & any special trays
92 Periodontics R 1 069.33
9453 Basic charge excluding models & any special trays
64 Orthodontics R 1 069.33
9453 Basic charge excluding models & any special trays
62 Maxillo-facial and Oral Surgery R 1 069.33
9453 Basic charge excluding models & any special trays
54 General Dental Practice R 1 069.33
9455 Additional charge for each one arm clasp 94 Prosthodontic R 44.16
9455 Additional charge for each one arm clasp 93 Dental Technician R 43.48
9455 Additional charge for each one arm clasp 92 Periodontics R 44.16
9455 Additional charge for each one arm clasp 64 Orthodontics R 44.16
Page 72 of 109
9455 Additional charge for each one arm clasp 62 Maxillo-facial and Oral Surgery R 44.16
9455 Additional charge for each one arm clasp 54 General Dental Practice R 44.16
9457 Additional charge for each Roach clasp 94 Prosthodontic R 74.84
9457 Additional charge for each Roach clasp 93 Dental Technician R 73.94
9457 Additional charge for each Roach clasp 92 Periodontics R 74.84
9457 Additional charge for each Roach clasp 64 Orthodontics R 74.84
9457 Additional charge for each Roach clasp 62 Maxillo-facial and Oral Surgery R 74.84
9457 Additional charge for each Roach clasp 54 General Dental Practice R 74.84
9459 Additional charge for each rest 94 Prosthodontic R 40.23
9459 Additional charge for each rest 93 Dental Technician R 39.77
9459 Additional charge for each rest 92 Periodontics R 40.23
9459 Additional charge for each rest 64 Orthodontics R 40.23
9459 Additional charge for each rest 62 Maxillo-facial and Oral Surgery R 40.23
9459 Additional charge for each rest 54 General Dental Practice R 40.23
9461 Additional charge for continuous clasp per tooth
94 Prosthodontic R 44.16
9461 Additional charge for continuous clasp per tooth
93 Dental Technician R 43.48
9461 Additional charge for continuous clasp per tooth
92 Periodontics R 44.16
9461 Additional charge for continuous clasp per tooth
64 Orthodontics R 44.16
9461 Additional charge for continuous clasp per tooth
62 Maxillo-facial and Oral Surgery R 44.16
9461 Additional charge for continuous clasp per tooth
54 General Dental Practice R 44.16
9463 Additional charge for lingual bar per tooth passed
94 Prosthodontic R 103.71
9463 Additional charge for lingual bar per tooth passed
93 Dental Technician R 102.47
9463 Additional charge for lingual bar per tooth passed
92 Periodontics R 103.71
9463 Additional charge for lingual bar per tooth passed
64 Orthodontics R 103.71
9463 Additional charge for lingual bar per tooth 62 Maxillo-facial and Oral Surgery R 103.71
Page 73 of 109
passed
9463 Additional charge for lingual bar per tooth passed
54 General Dental Practice R 103.71
9465 Additional charge for palatal bar 94 Prosthodontic R 165.05
9465 Additional charge for palatal bar 93 Dental Technician R 163.14
9465 Additional charge for palatal bar 92 Periodontics R 165.05
9465 Additional charge for palatal bar 64 Orthodontics R 165.05
9465 Additional charge for palatal bar 62 Maxillo-facial and Oral Surgery R 165.05
9465 Additional charge for palatal bar 54 General Dental Practice R 165.05
9467 Additional charge for onlay 94 Prosthodontic R 439.67
9467 Additional charge for onlay 93 Dental Technician R 434.27
9467 Additional charge for onlay 92 Periodontics R 439.67
9467 Additional charge for onlay 64 Orthodontics R 439.67
9467 Additional charge for onlay 62 Maxillo-facial and Oral Surgery R 439.67
9467 Additional charge for onlay 54 General Dental Practice R 439.67
9469 Additional charge for saddle with finishing line 94 Prosthodontic R 72.92
9469 Additional charge for saddle with finishing line 93 Dental Technician R 72.03
9469 Additional charge for saddle with finishing line 92 Periodontics R 72.92
9469 Additional charge for saddle with finishing line 64 Orthodontics R 72.92
9469 Additional charge for saddle with finishing line 62 Maxillo-facial and Oral Surgery R 72.92
9469 Additional charge for saddle with finishing line 54 General Dental Practice R 72.92
9471 Additional charge for saddle without finishing line
94 Prosthodontic R 42.25
9471 Additional charge for saddle without finishing line
93 Dental Technician R 41.69
9471 Additional charge for saddle without finishing line
92 Periodontics R 42.25
9471 Additional charge for saddle without finishing line
64 Orthodontics R 42.25
9471 Additional charge for saddle without finishing line
62 Maxillo-facial and Oral Surgery R 42.25
9471 Additional charge for saddle without finishing line
54 General Dental Practice R 42.25
9473 Additional charge for horseshoe saddle per 94 Prosthodontic R 72.92
Page 74 of 109
tooth
9473 Additional charge for horseshoe saddle per tooth
93 Dental Technician R 72.03
9473 Additional charge for horseshoe saddle per tooth
92 Periodontics R 72.92
9473 Additional charge for horseshoe saddle per tooth
64 Orthodontics R 72.92
9473 Additional charge for horseshoe saddle per tooth
62 Maxillo-facial and Oral Surgery R 72.92
9473 Additional charge for horseshoe saddle per tooth
54 General Dental Practice R 72.92
9475 Additional charge for fitting of tooth for metal backing per tooth 94 Prosthodontic R 49.88
9475 Additional charge for fitting of tooth for metal backing per tooth 93 Dental Technician R 49.32
9475 Additional charge for fitting of tooth for metal backing per tooth 92 Periodontics R 49.88
9475 Additional charge for fitting of tooth for metal backing per tooth 64 Orthodontics R 49.88
9475 Additional charge for fitting of tooth for metal backing per tooth 62 Maxillo-facial and Oral Surgery R 49.88
9475 Additional charge for fitting of tooth for metal backing per tooth 54 General Dental Practice R 49.88
9477 Additional charge for gold plating per denture (includes a surcharge of R9-30 for gold) 93 Dental Technician R 0.00
9477 Additional charge for gold plating per denture (includes a surcharge of R9-30 for gold) 54 General Dental Practice R 0.00
9479 Additional charge for fitting one distal-extension
hinge (excluding cost of hinge) 94 Prosthodontic R 147.75
9479 Additional charge for fitting one distal-extension
hinge (excluding cost of hinge) 93 Dental Technician R 145.95
9479 Additional charge for fitting one distal-extension
hinge (excluding cost of hinge) 92 Periodontics R 147.75
9479 Additional charge for fitting one distal-extension
hinge (excluding cost of hinge) 64 Orthodontics R 147.75
9479 Additional charge for fitting one distal-extension
hinge (excluding cost of hinge) 62 Maxillo-facial and Oral Surgery R 147.75
9479 Additional charge for fitting one distal-extension
hinge (excluding cost of hinge) 54 General Dental Practice R 147.75
9480 Additional charge per milled edge per tooth 94 Prosthodontic R 128.65
9480 Additional charge per milled edge per tooth 93 Dental Technician R 127.08
9480 Additional charge per milled edge per tooth 92 Periodontics R 128.65
9480 Additional charge per milled edge per tooth 64 Orthodontics R 128.65
Page 75 of 109
9480 Additional charge per milled edge per tooth 62 Maxillo-facial and Oral Surgery R 128.65
9480 Additional charge per milled edge per tooth 54 General Dental Practice R 128.65
9481 Additional charge for each soldering joint 94 Prosthodontic R 180.68
9481 Additional charge for each soldering joint 93 Dental Technician R 178.31
9481 Additional charge for each soldering joint 92 Periodontics R 180.68
9481 Additional charge for each soldering joint 64 Orthodontics R 180.68
9481 Additional charge for each soldering joint 62 Maxillo-facial and Oral Surgery R 180.68
9481 Additional charge for each soldering joint 54 General Dental Practice R 180.68
9483 Additional charge for soldering retention 94 Prosthodontic R 218.76
9483 Additional charge for soldering retention 93 Dental Technician R 216.18
9483 Additional charge for soldering retention 92 Periodontics R 218.76
9483 Additional charge for soldering retention 64 Orthodontics R 218.76
9483 Additional charge for soldering retention 62 Maxillo-facial and Oral Surgery R 218.76
9483 Additional charge for soldering retention 54 General Dental Practice R 218.76
9485 Additional charge for each additional retention soldering joint
94 Prosthodontic R 67.08
9485 Additional charge for each additional retention soldering joint
93 Dental Technician R 66.52
9485 Additional charge for each additional retention soldering joint
92 Periodontics R 67.08
9485 Additional charge for each additional retention soldering joint
64 Orthodontics R 67.08
9485 Additional charge for each additional retention soldering joint
62 Maxillo-facial and Oral Surgery R 67.08
9485 Additional charge for each additional retention soldering joint
54 General Dental Practice R 67.08
9487 Additional charge for each welding joint 94 Prosthodontic R 220.79
9487 Additional charge for each welding joint 93 Dental Technician R 218.10
9487 Additional charge for each welding joint 92 Periodontics R 220.79
9487 Additional charge for each welding joint 64 Orthodontics R 220.79
9487 Additional charge for each welding joint 62 Maxillo-facial and Oral Surgery R 220.79
9487 Additional charge for each welding joint 54 General Dental Practice R 220.79
9489 Additional charge for fitting swing lock including cost of materials to be determined
93 Dental Technician R 178.31
Page 76 of 109
by dentist & technician
9489 Additional charge for fitting swing lock including cost of materials to be determined by dentist & technician
54 General Dental Practice R 180.68
9491 Additional charge for each backing cost 94 Prosthodontic R 176.52
9491 Additional charge for each backing cost 93 Dental Technician R 174.50
9491 Additional charge for each backing cost 92 Periodontics R 176.52
9491 Additional charge for each backing cost 64 Orthodontics R 176.52
9491 Additional charge for each backing cost 62 Maxillo-facial and Oral Surgery R 176.52
9491 Additional charge for each backing cost 54 General Dental Practice R 176.52
9493 Add. charge for each Steel's backing or ponting
cast (plastic work to be charged in addition)
94 Prosthodontic R 192.02
9493 Add. charge for each Steel's backing or ponting
cast (plastic work to be charged in addition)
93 Dental Technician R 189.77
9493 Add. charge for each Steel's backing or ponting
cast (plastic work to be charged in addition)
92 Periodontics R 192.02
9493 Add. charge for each Steel's backing or ponting
cast (plastic work to be charged in addition)
64 Orthodontics R 192.02
9493 Add. charge for each Steel's backing or ponting
cast (plastic work to be charged in addition)
62 Maxillo-facial and Oral Surgery R 192.02
9493 Add. charge for each Steel's backing or ponting
cast (plastic work to be charged in addition)
54 General Dental Practice R 192.02
9495 Dental Technicians Fees 94 Prosthodontic R 278.43
9495 Dental Technicians Fees 93 Dental Technician R 274.94
9495 Dental Technicians Fees 92 Periodontics R 278.43
9495 Dental Technicians Fees 64 Orthodontics R 278.43
9495 Dental Technicians Fees 62 Maxillo-facial and Oral Surgery R 278.43
9495 Dental Technicians Fees 54 General Dental Practice R 278.43
9497 Dental Technicians Fees 94 Prosthodontic R 316.63
9497 Dental Technicians Fees 93 Dental Technician R 312.92
9497 Dental Technicians Fees 92 Periodontics R 316.63
9497 Dental Technicians Fees 64 Orthodontics R 316.63
9497 Dental Technicians Fees 62 Maxillo-facial and Oral Surgery R 316.63
9497 Dental Technicians Fees 54 General Dental Practice R 316.63
Page 77 of 109
9501 Ceramic jacket crown 94 Prosthodontic R 1 215.17
9501 Ceramic jacket crown 93 Dental Technician R 1 200.57
9501 Ceramic jacket crown 92 Periodontics R 1 215.17
9501 Ceramic jacket crown 64 Orthodontics R 1 215.17
9501 Ceramic jacket crown 62 Maxillo-facial and Oral Surgery R 1 215.17
9501 Ceramic jacket crown 54 General Dental Practice R 1 215.17
9502 Ceramic metal substitute coping (incl. material)
94 Prosthodontic R 981.02
9502 Ceramic metal substitute coping (incl. material)
93 Dental Technician R 969.11
9502 Ceramic metal substitute coping (Incl. material)
62 Maxillo-facial and Oral Surgery R 981.02
9502 Ceramic metal substitute coping (incl. material)
54 General Dental Practice R 981.02
9505 Porcelain veneer crown - non-precious metal 94 Prosthodontic R 1 605.06
9505 Porcelain veneer crown - non-precious metal 93 Dental Technician R 1 585.52
9505 Porcelain veneer crown - non-precious metal 92 Periodontics R 1 605.06
9505 Porcelain veneer crown - non-precious metal 64 Orthodontics R 1 605.06
9505 Porcelain veneer crown - non-precious metal 62 Maxillo-facial and Oral Surgery R 1 605.06
9505 Porcelain veneer crown - non-precious metal 54 General Dental Practice R 1 605.06
9507 Additional charge for each soldering joint 94 Prosthodontic R 328.43
9507 Additional charge for each soldering joint 93 Dental Technician R 324.38
9507 Additional charge for each soldering joint 92 Periodontics R 328.43
9507 Additional charge for each soldering joint 64 Orthodontics R 328.43
9507 Additional charge for each soldering joint 62 Maxillo-facial and Oral Surgery R 328.43
9507 Additional charge for each soldering joint 54 General Dental Practice R 328.43
9511 Inlay in porcelain veneer crown 94 Prosthodontic R 529.66
9511 Inlay in porcelain veneer crown 93 Dental Technician R 523.48
9511 Inlay in porcelain veneer crown 92 Periodontics R 529.66
9511 Inlay in porcelain veneer crown 64 Orthodontics R 529.66
9511 Inlay in porcelain veneer crown 62 Maxillo-facial and Oral Surgery R 529.66
9511 Inlay in porcelain veneer crown 54 General Dental Practice R 529.66
9512 Ceramic Veneer/Bridge retainer 94 Prosthodontic R 1 245.96
Page 78 of 109
9512 Ceramic Veneer/Bridge retainer 93 Dental Technician R 1 230.90
9512 Ceramic Veneer/Bridge retainer 92 Periodontics R 1 245.96
9512 Ceramic Veneer/Bridge retainer 64 Orthodontics R 1 245.96
9512 Ceramic Veneer/Bridge retainer 62 Maxillo-facial and Oral Surgery R 1 245.96
9512 Ceramic Veneer/Bridge retainer 54 General Dental Practice R 1 245.96
9515 Porcelain shoulder per unit (not applicable to pontics)
94 Prosthodontic R 107.42
9515 Porcelain shoulder per unit (not applicable to pontics)
93 Dental Technician R 106.18
9515 Porcelain shoulder per unit (not applicable to pontics)
92 Periodontics R 107.42
9515 Porcelain shoulder per unit (not applicable to pontics)
64 Orthodontics R 107.42
9515 Porcelain shoulder per unit (not applicable to pontics)
62 Maxillo-facial and Oral Surgery R 107.42
9515 Porcelain shoulder per unit (not applicable to pontics)
54 General Dental Practice R 107.42
9520 Additional fee for crown & bridge work performed
94 Prosthodontic R 51.91
9520 Additional fee for crown & bridge work performed
93 Dental Technician R 51.24
9520 Additional fee for crown & bridge work performed
92 Periodontics R 51.91
9520 Additional fee for crown & bridge work performed
64 Orthodontics R 51.91
9520 Additional fee for crown & bridge work performed
62 Maxillo-facial and Oral Surgery R 51.91
9520 Additional fee for crown & bridge work performed
54 General Dental Practice R 51.91
9521 Full metal crown 94 Prosthodontic R 992.70
9521 Full metal crown 93 Dental Technician R 980.68
9521 Full metal crown 92 Periodontics R 992.70
9521 Full metal crown 64 Orthodontics R 992.70
9521 Full metal crown 62 Maxillo-facial and Oral Surgery R 992.70
9521 Full metal crown 54 General Dental Practice R 992.70
9524 Indirect composite resin inlay 94 Prosthodontic R 268.66
Page 79 of 109
9524 Indirect composite resin inlay 93 Dental Technician R 265.61
9524 Indirect composite resin inlay 92 Periodontics R 268.66
9524 Indirect composite resin inlay 64 Orthodontics R 268.66
9524 Indirect composite resin inlay 62 Maxillo-facial and Oral Surgery R 268.66
9524 Indirect composite resin inlay 54 General Dental Practice R 268.66
9525 Class IV MO or DO cast indirect 94 Prosthodontic R 817.76
9525 Class IV MO or DO cast indirect 93 Dental Technician R 807.99
9525 Class IV MO or DO cast indirect 92 Periodontics R 817.76
9525 Class IV MO or DO cast indirect 64 Orthodontics R 817.76
9525 Class IV MO or DO cast indirect 62 Maxillo-facial and Oral Surgery R 817.76
9525 Class IV MO or DO cast indirect 54 General Dental Practice R 817.76
9526 Additional fee for one piece casting of crown or inlay
94 Prosthodontic R 249.66
9526 Additional fee for one piece casting of crown or inlay
93 Dental Technician R 246.63
9526 Additional fee for one piece casting of crown or inlay
92 Periodontics R 249.66
9526 Additional fee for one piece casting of crown or inlay
64 Orthodontics R 249.66
9526 Additional fee for one piece casting of crown or inlay
62 Maxillo-facial and Oral Surgery R 249.66
9526 Additional fee for one piece casting of crown or inlay
54 General Dental Practice R 249.66
9531 Pin-edge inlay 94 Prosthodontic R 927.19
9531 Pin-edge inlay 93 Dental Technician R 916.07
9531 Pin-edge inlay 92 Periodontics R 927.19
9531 Pin-edge inlay 64 Orthodontics R 927.19
9531 Pin-edge inlay 62 Maxillo-facial and Oral Surgery R 927.19
9531 Pin-edge inlay 54 General Dental Practice R 927.19
9533 Occlusal surface pontic 94 Prosthodontic R 733.37
9533 Occlusal surface pontic 93 Dental Technician R 724.38
9533 Occlusal surface pontic 92 Periodontics R 733.37
9533 Occlusal surface pontic 64 Orthodontics R 733.37
9533 Occlusal surface pontic 62 Maxillo-facial and Oral Surgery R 733.37
Page 80 of 109
9533 Occlusal surface pontic 54 General Dental Practice R 733.37
9535 Copint cast 94 Prosthodontic R 687.20
9535 Copint cast 93 Dental Technician R 678.99
9535 Copint cast 92 Periodontics R 687.20
9535 Copint cast 64 Orthodontics R 687.20
9535 Copint cast 62 Maxillo-facial and Oral Surgery R 687.20
9535 Copint cast 54 General Dental Practice R 687.20
9537 Precision lock and rest cast incorp. pre-formed part
94 Prosthodontic R 975.28
9537 Precision lock and rest cast incorp. pre-formed part
93 Dental Technician R 963.49
9537 Precision lock and rest cast incorp. pre-formed part
92 Periodontics R 975.28
9537 Precision lock and rest cast incorp. pre-formed part
64 Orthodontics R 975.28
9537 Precision lock and rest cast incorp. pre-formed part
62 Maxillo-facial and Oral Surgery R 975.28
9537 Precision lock and rest cast incorp. pre-formed part
54 General Dental Practice R 975.28
9538 Lock and rest cast 94 Prosthodontic R 466.41
9538 Lock and rest cast 93 Dental Technician R 460.90
9538 Lock and rest cast 92 Periodontics R 466.41
9538 Lock and rest cast 64 Orthodontics R 466.41
9538 Lock and rest cast 62 Maxillo-facial and Oral Surgery R 466.41
9538 Lock and rest cast 54 General Dental Practice R 466.41
9539 Casting of rest only 94 Prosthodontic R 278.43
9539 Casting of rest only 93 Dental Technician R 274.94
9539 Casting of rest only 92 Periodontics R 278.43
9539 Casting of rest only 64 Orthodontics R 278.43
9539 Casting of rest only 62 Maxillo-facial and Oral Surgery R 278.43
9539 Casting of rest only 54 General Dental Practice R 278.43
9541 Gold inlay or post cast direct 94 Prosthodontic R 295.85
9541 Gold inlay or post cast direct 93 Dental Technician R 292.02
9541 Gold inlay or post cast direct 92 Periodontics R 295.85
Page 81 of 109
9541 Gold inlay or post cast direct 64 Orthodontics R 295.85
9541 Gold inlay or post cast direct 62 Maxillo-facial and Oral Surgery R 295.85
9541 Gold inlay or post cast direct 54 General Dental Practice R 295.85
9543 Gold soldering joint where investing is required
94 Prosthodontic R 293.82
9543 Gold soldering joint where investing is required
93 Dental Technician R 290.11
9543 Gold soldering joint where investing is required
92 Periodontics R 293.82
9543 Gold soldering joint where investing is required
64 Orthodontics R 293.82
9543 Gold soldering joint where investing is required
62 Maxillo-facial and Oral Surgery R 293.82
9543 Gold soldering joint where investing is required
54 General Dental Practice R 293.82
9545 Cast post with thimble indirect 94 Prosthodontic R 489.44
9545 Cast post with thimble indirect 93 Dental Technician R 483.71
9545 Cast post with thimble indirect 92 Periodontics R 489.44
9545 Cast post with thimble indirect 64 Orthodontics R 489.44
9545 Cast post with thimble indirect 62 Maxillo-facial and Oral Surgery R 489.44
9545 Cast post with thimble indirect 54 General Dental Practice R 489.44
9546 Dental Technicians Fees 94 Prosthodontic R 810.23
9546 Dental Technicians Fees 93 Dental Technician R 800.34
9546 Dental Technicians Fees 92 Periodontics R 810.23
9546 Dental Technicians Fees 64 Orthodontics R 810.23
9546 Dental Technicians Fees 62 Maxillo-facial and Oral Surgery R 810.23
9546 Dental Technicians Fees 54 General Dental Practice R 810.23
9547 Pontic or abutment thimble/Manufacture cast post and
core to existing crown 94 Prosthodontic R 639.11
9547 Pontic or abutment thimble/Manufacture cast post and
core to existing crown 93 Dental Technician R 631.58
9547 Pontic or abutment thimble/Manufacture cast post and
core to existing crown 92 Periodontics R 639.11
9547 Pontic or abutment thimble/Manufacture cast post and
core to existing crown 64 Orthodontics R 639.11
Page 82 of 109
9547 Pontic or abutment thimble/Manufacture cast post and
core to existing crown 62 Maxillo-facial and Oral Surgery R 639.11
9547 Pontic or abutment thimble/Manufacture cast post and
core to existing crown 54 General Dental Practice R 639.11
9549 CSP attachment (Steiger) 94 Prosthodontic R 2 157.87
9549 CSP attachment (Steiger) 93 Dental Technician R 2 131.69
9549 CSP attachment (Steiger) 92 Periodontics R 2 157.87
9549 CSP attachment (Steiger) 64 Orthodontics R 2 157.87
9549 CSP attachment (Steiger) 62 Maxillo-facial and Oral Surgery R 2 157.87
9549 CSP attachment (Steiger) 54 General Dental Practice R 2 157.87
9550 Milling milled edge per unit 94 Prosthodontic R 687.20
9550 Milling milled edge per unit 93 Dental Technician R 678.99
9550 Milling milled edge per unit 92 Periodontics R 687.20
9550 Milling milled edge per unit 64 Orthodontics R 687.20
9550 Milling milled edge per unit 62 Maxillo-facial and Oral Surgery R 687.20
9550 Milling milled edge per unit 54 General Dental Practice R 687.20
9551 Telescope crown 94 Prosthodontic R 1 693.27
9551 Telescope crown 93 Dental Technician R 1 672.70
9551 Telescope crown 92 Periodontics R 1 693.27
9551 Telescope crown 64 Orthodontics R 1 693.27
9551 Telescope crown 62 Maxillo-facial and Oral Surgery R 1 693.27
9551 Telescope crown 54 General Dental Practice R 1 693.27
9553 Acrylic veneer crown - indirect 94 Prosthodontic R 1 353.38
9553 Acrylic veneer crown - indirect 93 Dental Technician R 1 337.20
9553 Acrylic veneer crown - indirect 92 Periodontics R 1 353.38
9553 Acrylic veneer crown - indirect 64 Orthodontics R 1 353.38
9553 Acrylic veneer crown - indirect 62 Maxillo-facial and Oral Surgery R 1 353.38
9553 Acrylic veneer crown - indirect 54 General Dental Practice R 1 353.38
9557 Acrylic jacket crown - indirect 94 Prosthodontic R 955.96
9557 Acrylic jacket crown - indirect 93 Dental Technician R 944.61
9557 Acrylic jacket crown - indirect 92 Periodontics R 955.96
9557 Acrylic jacket crown - indirect 64 Orthodontics R 955.96
9557 Acrylic jacket crown - indirect 62 Maxillo-facial and Oral Surgery R 955.96
Page 83 of 109
9557 Acrylic jacket crown - indirect 54 General Dental Practice R 955.96
9559 Acrylic veneer post crown 94 Prosthodontic R 1 337.99
9559 Acrylic veneer post crown 93 Dental Technician R 1 321.92
9559 Acrylic veneer post crown 92 Periodontics R 1 337.99
9559 Acrylic veneer post crown 64 Orthodontics R 1 337.99
9559 Acrylic veneer post crown 62 Maxillo-facial and Oral Surgery R 1 337.99
9559 Acrylic veneer post crown 54 General Dental Practice R 1 337.99
9560 Indirect composite resin veneer 94 Prosthodontic R 566.41
9560 Indirect composite resin veneer 93 Dental Technician R 559.55
9560 Indirect composite resin veneer 92 Periodontics R 566.41
9560 Indirect composite resin veneer 64 Orthodontics R 566.41
9560 Indirect composite resin veneer 62 Maxillo-facial and Oral Surgery R 566.41
9560 Indirect composite resin veneer 54 General Dental Practice R 566.41
9561 Acrylic jacket crown - direct 94 Prosthodontic R 652.70
9561 Acrylic jacket crown - direct 93 Dental Technician R 644.83
9561 Acrylic jacket crown - direct 92 Periodontics R 652.70
9561 Acrylic jacket crown - direct 64 Orthodontics R 652.70
9561 Acrylic jacket crown - direct 62 Maxillo-facial and Oral Surgery R 652.70
9561 Acrylic jacket crown - direct 54 General Dental Practice R 652.70
9562 Silicoating (per unit) 94 Prosthodontic R 0.00
9562 Silicoating (per unit) 93 Dental Technician R 0.00
9562 Silicoating (per unit) 62 Maxillo-facial and Oral Surgery R 0.00
9562 Silicoating (per unit) 54 General Dental Practice R 0.00
9563 Temporary acrylic crown cold cured per tooth/pontic
94 Prosthodontic R 466.41
9563 Temporary acrylic crown cold cured per tooth/pontic
93 Dental Technician R 460.90
9563 Temporary acrylic crown cold cured per tooth/pontic
92 Periodontics R 466.41
9563 Temporary acrylic crown cold cured per tooth/pontic
64 Orthodontics R 466.41
9563 Temporary acrylic crown cold cured per tooth/pontic
62 Maxillo-facial and Oral Surgery R 466.41
9563 Temporary acrylic crown cold cured per 54 General Dental Practice R 466.41
Page 84 of 109
tooth/pontic
9564 Heat formed template supplied to dentist for the manufacture of temp restorations (incl. material)
94 Prosthodontic R 234.05
9564 Heat formed template supplied to dentist for the manufacture of temp restorations (incl. material)
93 Dental Technician R 231.35
9564 Heat formed template supplied to dentist for the manufacture of temp restorations (incl. material)
62 Maxillo-facial and Oral Surgery R 234.05
9564 Heat formed template supplied to dentist for the manufacture of temp restorations (incl. material)
54 General Dental Practice R 234.05
9565 Acrylic-facing replaced 94 Prosthodontic R 543.26
9565 Acrylic-facing replaced 93 Dental Technician R 536.74
9565 Acrylic-facing replaced 92 Periodontics R 543.26
9565 Acrylic-facing replaced 64 Orthodontics R 543.26
9565 Acrylic-facing replaced 62 Maxillo-facial and Oral Surgery R 543.26
9565 Acrylic-facing replaced 54 General Dental Practice R 543.26
9566 Porcelian facing replaced 94 Prosthodontic R 984.95
9566 Porcelian facing replaced 93 Dental Technician R 972.92
9566 Porcelian facing replaced 92 Periodontics R 984.95
9566 Porcelian facing replaced 64 Orthodontics R 984.95
9566 Porcelian facing replaced 62 Maxillo-facial and Oral Surgery R 984.95
9566 Porcelian facing replaced 54 General Dental Practice R 984.95
9569 Waxing of crown to existing denture 94 Prosthodontic R 383.83
9569 Waxing of crown to existing denture 93 Dental Technician R 379.22
9569 Waxing of crown to existing denture 92 Periodontics R 383.83
9569 Waxing of crown to existing denture 64 Orthodontics R 383.83
9569 Waxing of crown to existing denture 62 Maxillo-facial and Oral Surgery R 383.83
9569 Waxing of crown to existing denture 54 General Dental Practice R 383.83
9570 Add. fee for each remake at an agreed quantum of time to be calculated at an hourly rate
94 Prosthodontic R 395.62
Page 85 of 109
9570 Add. fee for each remake at an agreed quantum of time to be calculated at an hourly rate
93 Dental Technician R 390.67
9570 Add. fee for each remake at an agreed quantum of time to be calculated at an hourly rate
92 Periodontics R 395.62
9570 Add. fee for each remake at an agreed quantum of time to be calculated at an hourly rate
64 Orthodontics R 395.62
9570 Add. fee for each remake at an agreed quantum of time to be calculated at an hourly rate
62 Maxillo-facial and Oral Surgery R 395.62
9570 Add. fee for each remake at an agreed quantum of time to be calculated at an hourly rate
54 General Dental Practice R 395.62
9571 Basic charge which incl. acrylic base & excl. models
94 Prosthodontic R 485.73
9571 Basic charge which incl. acrylic base & excl. models
93 Dental Technician R 479.89
9571 Basic charge which incl. acrylic base & excl. models
92 Periodontics R 485.73
9571 Basic charge which incl. acrylic base & excl. models
64 Orthodontics R 485.73
9571 Basic charge which incl. acrylic base & excl. models
62 Maxillo-facial and Oral Surgery R 485.73
9571 Basic charge which incl. acrylic base & excl. models
54 General Dental Practice R 485.73
9572 Basic charge for appliance which do not incl. acrylic
94 Prosthodontic R 234.05
9572 Basic charge for appliance which do not incl. acrylic
93 Dental Technician R 231.35
9572 Basic charge for appliance which do not incl. acrylic
92 Periodontics R 234.05
9572 Basic charge for appliance which do not incl. acrylic
64 Orthodontics R 234.05
9572 Basic charge for appliance which do not incl. acrylic
62 Maxillo-facial and Oral Surgery R 234.05
9572 Basic charge for appliance which do not incl. 54 General Dental Practice R 234.05
Page 86 of 109
acrylic
9573 Add. charge for fitting 1st expansion screw 94 Prosthodontic R 92.14
9573 Add. charge for fitting 1st expansion screw 93 Dental Technician R 91.13
9573 Add. charge for fitting 1st expansion screw 92 Periodontics R 92.14
9573 Add. charge for fitting 1st expansion screw 64 Orthodontics R 92.14
9573 Add. charge for fitting 1st expansion screw 62 Maxillo-facial and Oral Surgery R 92.14
9573 Add. charge for fitting 1st expansion screw 54 General Dental Practice R 92.14
9575 Add. fee for fitting subsequent expansion screws
94 Prosthodontic R 78.65
9575 Add. fee for fitting subsequent expansion screws
93 Dental Technician R 77.75
9575 Add. fee for fitting subsequent expansion screws
92 Periodontics R 78.65
9575 Add. fee for fitting subsequent expansion screws
64 Orthodontics R 78.65
9575 Add. fee for fitting subsequent expansion screws
62 Maxillo-facial and Oral Surgery R 78.65
9575 Add. fee for fitting subsequent expansion screws
54 General Dental Practice R 78.65
9576 Additional fee for full occlusal bite plate 94 Prosthodontic R 272.70
9576 Additional fee for full occlusal bite plate 93 Dental Technician R 269.32
9576 Additional fee for full occlusal bite plate 92 Periodontics R 272.70
9576 Additional fee for full occlusal bite plate 64 Orthodontics R 272.70
9576 Additional fee for full occlusal bite plate 62 Maxillo-facial and Oral Surgery R 272.70
9576 Additional fee for full occlusal bite plate 54 General Dental Practice R 272.70
9577 Additional fee for bite plate 94 Prosthodontic R 92.14
9577 Additional fee for bite plate 93 Dental Technician R 91.13
9577 Additional fee for bite plate 92 Periodontics R 92.14
9577 Additional fee for bite plate 64 Orthodontics R 92.14
9577 Additional fee for bite plate 62 Maxillo-facial and Oral Surgery R 92.14
9577 Additional fee for bite plate 54 General Dental Practice R 92.14
9578 Additional fee for bite plate posterior 94 Prosthodontic R 92.14
9578 Additional fee for bite plate posterior 93 Dental Technician R 91.13
9578 Additional fee for bite plate posterior 92 Periodontics R 92.14
Page 87 of 109
9578 Additional fee for bite plate posterior 64 Orthodontics R 92.14
9578 Additional fee for bite plate posterior 62 Maxillo-facial and Oral Surgery R 92.14
9578 Additional fee for bite plate posterior 54 General Dental Practice R 92.14
9579 Additional fee for fitting tongue guard 94 Prosthodontic R 115.05
9579 Additional fee for fitting tongue guard 93 Dental Technician R 113.82
9579 Additional fee for fitting tongue guard 92 Periodontics R 115.05
9579 Additional fee for fitting tongue guard 64 Orthodontics R 115.05
9579 Additional fee for fitting tongue guard 62 Maxillo-facial and Oral Surgery R 115.05
9579 Additional fee for fitting tongue guard 54 General Dental Practice R 115.05
9581 Additional fee for flat or inclined plane 94 Prosthodontic R 71.13
9581 Additional fee for flat or inclined plane 93 Dental Technician R 70.11
9581 Additional fee for flat or inclined plane 92 Periodontics R 71.13
9581 Additional fee for flat or inclined plane 64 Orthodontics R 71.13
9581 Additional fee for flat or inclined plane 62 Maxillo-facial and Oral Surgery R 71.13
9581 Additional fee for flat or inclined plane 54 General Dental Practice R 71.13
9583 Additional fee for Adams Crib 94 Prosthodontic R 84.61
9583 Additional fee for Adams Crib 93 Dental Technician R 83.49
9583 Additional fee for Adams Crib 92 Periodontics R 84.61
9583 Additional fee for Adams Crib 64 Orthodontics R 84.61
9583 Additional fee for Adams Crib 62 Maxillo-facial and Oral Surgery R 84.61
9583 Additional fee for Adams Crib 54 General Dental Practice R 84.61
9585 Additional fee for Jackson Crib 94 Prosthodontic R 88.32
9585 Additional fee for Jackson Crib 93 Dental Technician R 87.30
9585 Additional fee for Jackson Crib 92 Periodontics R 88.32
9585 Additional fee for Jackson Crib 64 Orthodontics R 88.32
9585 Additional fee for Jackson Crib 62 Maxillo-facial and Oral Surgery R 88.32
9585 Additional fee for Jackson Crib 54 General Dental Practice R 88.32
9587 Additional fee for ball clasp 94 Prosthodontic R 100.00
9587 Additional fee for ball clasp 93 Dental Technician R 98.65
9587 Additional fee for ball clasp 92 Periodontics R 100.00
9587 Additional fee for ball clasp 64 Orthodontics R 100.00
9587 Additional fee for ball clasp 62 Maxillo-facial and Oral Surgery R 100.00
Page 88 of 109
9587 Additional fee for ball clasp 54 General Dental Practice R 100.00
9589 Additional fee for single arm clasp 94 Prosthodontic R 76.74
9589 Additional fee for single arm clasp 93 Dental Technician R 75.84
9589 Additional fee for single arm clasp 92 Periodontics R 76.74
9589 Additional fee for single arm clasp 64 Orthodontics R 76.74
9589 Additional fee for single arm clasp 62 Maxillo-facial and Oral Surgery R 76.74
9589 Additional fee for single arm clasp 54 General Dental Practice R 76.74
9591 Additional fee for double arm clasp 94 Prosthodontic R 134.61
9591 Additional fee for double arm clasp 93 Dental Technician R 132.70
9591 Additional fee for double arm clasp 92 Periodontics R 134.61
9591 Additional fee for double arm clasp 64 Orthodontics R 134.61
9591 Additional fee for double arm clasp 62 Maxillo-facial and Oral Surgery R 134.61
9591 Additional fee for double arm clasp 54 General Dental Practice R 134.61
9593 Additional fee for fitting single loop finger spring
94 Prosthodontic R 63.26
9593 Additional fee for fitting single loop finger spring
93 Dental Technician R 62.58
9593 Additional fee for fitting single loop finger spring
92 Periodontics R 63.26
9593 Additional fee for fitting single loop finger spring
64 Orthodontics R 63.26
9593 Additional fee for fitting single loop finger spring
62 Maxillo-facial and Oral Surgery R 63.26
9593 Additional fee for fitting single loop finger spring
54 General Dental Practice R 63.26
9595 Additional fee for fitting double loop finger spring
94 Prosthodontic R 74.84
9595 Additional fee for fitting double loop finger spring
93 Dental Technician R 73.94
9595 Additional fee for fitting double loop finger spring
92 Periodontics R 74.84
9595 Additional fee for fitting double loop finger spring
64 Orthodontics R 74.84
9595 Additional fee for fitting double loop finger spring
62 Maxillo-facial and Oral Surgery R 74.84
Page 89 of 109
9595 Additional fee for fitting double loop finger spring
54 General Dental Practice R 74.84
9597 Additional fee for fitting buccal retraction spring
94 Prosthodontic R 55.73
9597 Additional fee for fitting buccal retraction spring
93 Dental Technician R 55.06
9597 Additional fee for fitting buccal retraction spring
92 Periodontics R 55.73
9597 Additional fee for fitting buccal retraction spring
64 Orthodontics R 55.73
9597 Additional fee for fitting buccal retraction spring
62 Maxillo-facial and Oral Surgery R 55.73
9597 Additional fee for fitting buccal retraction spring
54 General Dental Practice R 55.73
9599 Additional fee for fitting apron spring 94 Prosthodontic R 143.94
9599 Additional fee for fitting apron spring 93 Dental Technician R 142.25
9599 Additional fee for fitting apron spring 92 Periodontics R 143.94
9599 Additional fee for fitting apron spring 64 Orthodontics R 143.94
9599 Additional fee for fitting apron spring 62 Maxillo-facial and Oral Surgery R 143.94
9599 Additional fee for fitting apron spring 54 General Dental Practice R 143.94
9603 Additional fee for fitting coffin spring 94 Prosthodontic R 138.09
9603 Additional fee for fitting coffin spring 93 Dental Technician R 136.63
9603 Additional fee for fitting coffin spring 92 Periodontics R 138.09
9603 Additional fee for fitting coffin spring 64 Orthodontics R 138.09
9603 Additional fee for fitting coffin spring 62 Maxillo-facial and Oral Surgery R 138.09
9603 Additional fee for fitting coffin spring 54 General Dental Practice R 138.09
9605 Additional fee for fitting helicol or bakooka spring
94 Prosthodontic R 153.59
9605 Additional fee for fitting helicol or bakooka spring
93 Dental Technician R 151.69
9605 Additional fee for fitting helicol or bakooka spring
92 Periodontics R 153.59
9605 Additional fee for fitting helicol or bakooka spring
64 Orthodontics R 153.59
9605 Additional fee for fitting helicol or bakooka spring
62 Maxillo-facial and Oral Surgery R 153.59
Page 90 of 109
9605 Additional fee for fitting helicol or bakooka spring
54 General Dental Practice R 153.59
9607 Additional fee for fitting flapper or "T" spring 94 Prosthodontic R 115.05
9607 Additional fee for fitting flapper or "T" spring 93 Dental Technician R 113.82
9607 Additional fee for fitting flapper or "T" spring 92 Periodontics R 115.05
9607 Additional fee for fitting flapper or "T" spring 64 Orthodontics R 115.05
9607 Additional fee for fitting flapper or "T" spring 62 Maxillo-facial and Oral Surgery R 115.05
9607 Additional fee for fitting flapper or "T" spring 54 General Dental Practice R 115.05
9609 Add. fee for fitting all springs with tubing each 94 Prosthodontic R 128.65
9609 Add. fee for fitting all springs with tubing each 93 Dental Technician R 127.08
9609 Add. fee for fitting all springs with tubing each 92 Periodontics R 128.65
9609 Add. fee for fitting all springs with tubing each 64 Orthodontics R 128.65
9609 Add. fee for fitting all springs with tubing each 62 Maxillo-facial and Oral Surgery R 128.65
9609 Add. fee for fitting all springs with tubing each 54 General Dental Practice R 128.65
9611 Additional fee for fitting labial arch 94 Prosthodontic R 72.92
9611 Additional fee for fitting labial arch 93 Dental Technician R 72.03
9611 Additional fee for fitting labial arch 92 Periodontics R 72.92
9611 Additional fee for fitting labial arch 64 Orthodontics R 72.92
9611 Additional fee for fitting labial arch 62 Maxillo-facial and Oral Surgery R 72.92
9611 Additional fee for fitting labial arch 54 General Dental Practice R 72.92
9613 Additional fee for fitting buccal arch 94 Prosthodontic R 86.52
9613 Additional fee for fitting buccal arch 93 Dental Technician R 85.39
9613 Additional fee for fitting buccal arch 92 Periodontics R 86.52
9613 Additional fee for fitting buccal arch 64 Orthodontics R 86.52
9613 Additional fee for fitting buccal arch 62 Maxillo-facial and Oral Surgery R 86.52
9613 Additional fee for fitting buccal arch 54 General Dental Practice R 86.52
9615 Additional fee for fitting Roberts retractor 94 Prosthodontic R 161.24
9615 Additional fee for fitting Roberts retractor 93 Dental Technician R 159.33
9615 Additional fee for fitting Roberts retractor 92 Periodontics R 161.24
9615 Additional fee for fitting Roberts retractor 64 Orthodontics R 161.24
9615 Additional fee for fitting Roberts retractor 62 Maxillo-facial and Oral Surgery R 161.24
9615 Additional fee for fitting Roberts retractor 54 General Dental Practice R 161.24
Page 91 of 109
9617 Invisible Retainer 94 Prosthodontic R 213.14
9617 Invisible Retainer 93 Dental Technician R 210.56
9617 Invisible Retainer 92 Periodontics R 213.14
9617 Invisible Retainer 64 Orthodontics R 213.14
9617 Invisible Retainer 62 Maxillo-facial and Oral Surgery R 213.14
9617 Invisible Retainer 54 General Dental Practice R 213.14
9619 Additional fee for fitting twin wire arch 94 Prosthodontic R 201.69
9619 Additional fee for fitting twin wire arch 93 Dental Technician R 199.10
9619 Additional fee for fitting twin wire arch 92 Periodontics R 201.69
9619 Additional fee for fitting twin wire arch 64 Orthodontics R 201.69
9619 Additional fee for fitting twin wire arch 62 Maxillo-facial and Oral Surgery R 201.69
9619 Additional fee for fitting twin wire arch 54 General Dental Practice R 201.69
9620 Additional fee Lip bumper 94 Prosthodontic R 84.61
9620 Additional fee Lip bumper 93 Dental Technician R 83.49
9620 Additional fee Lip bumper 92 Periodontics R 84.61
9620 Additional fee Lip bumper 64 Orthodontics R 84.61
9620 Additional fee Lip bumper 62 Maxillo-facial and Oral Surgery R 84.61
9620 Additional fee Lip bumper 54 General Dental Practice R 84.61
9621 Additional fee for fitting extra-oral arch 94 Prosthodontic R 192.02
9621 Additional fee for fitting extra-oral arch 93 Dental Technician R 189.77
9621 Additional fee for fitting extra-oral arch 92 Periodontics R 192.02
9621 Additional fee for fitting extra-oral arch 64 Orthodontics R 192.02
9621 Additional fee for fitting extra-oral arch 62 Maxillo-facial and Oral Surgery R 192.02
9621 Additional fee for fitting extra-oral arch 54 General Dental Practice R 192.02
9622 Additional fee for fitting space maintainer arch
93 Dental Technician R 83.49
9622 Additional fee for fitting space maintainer arch
64 Orthodontics R 84.61
9622 Additional fee for fitting space maintainer arch
62 Maxillo-facial and Oral Surgery R 84.61
9622 Additional fee for fitting space maintainer arch
54 General Dental Practice R 84.61
9623 Additional fee for each spot-welded joint. 94 Prosthodontic R 38.32
Page 92 of 109
9623 Additional fee for each spot-welded joint. 93 Dental Technician R 37.86
9623 Additional fee for each spot-welded joint. 92 Periodontics R 38.32
9623 Additional fee for each spot-welded joint. 64 Orthodontics R 38.32
9623 Additional fee for each spot-welded joint. 62 Maxillo-facial and Oral Surgery R 38.32
9623 Additional fee for each spot-welded joint. 54 General Dental Practice R 38.32
9625 Additional fee for each soldering joint. 94 Prosthodontic R 61.35
9625 Additional fee for each soldering joint. 93 Dental Technician R 60.67
9625 Additional fee for each soldering joint. 92 Periodontics R 61.35
9625 Additional fee for each soldering joint. 64 Orthodontics R 61.35
9625 Additional fee for each soldering joint. 62 Maxillo-facial and Oral Surgery R 61.35
9625 Additional fee for each soldering joint. 54 General Dental Practice R 61.35
9627 Additional fee for each invested soldering joint
94 Prosthodontic R 170.79
9627 Additional fee for each invested soldering joint
93 Dental Technician R 168.66
9627 Additional fee for each invested soldering joint
92 Periodontics R 170.79
9627 Additional fee for each invested soldering joint
64 Orthodontics R 170.79
9627 Additional fee for each invested soldering joint
62 Maxillo-facial and Oral Surgery R 170.79
9627 Additional fee for each invested soldering joint
54 General Dental Practice R 170.79
9629 Additional fee for each hook for elastic traction
94 Prosthodontic R 55.73
9629 Additional fee for each hook for elastic traction
93 Dental Technician R 55.06
9629 Additional fee for each hook for elastic traction
92 Periodontics R 55.73
9629 Additional fee for each hook for elastic traction
64 Orthodontics R 55.73
9629 Additional fee for each hook for elastic traction
62 Maxillo-facial and Oral Surgery R 55.73
9629 Additional fee for each hook for elastic traction
54 General Dental Practice R 55.73
9631 Mouth protector 94 Prosthodontic R 360.90
Page 93 of 109
9631 Mouth protector 93 Dental Technician R 356.52
9631 Mouth protector 92 Periodontics R 360.90
9631 Mouth protector 64 Orthodontics R 360.90
9631 Mouth protector 62 Maxillo-facial and Oral Surgery R 360.90
9631 Mouth protector 54 General Dental Practice R 360.90
9633 Oral screen 94 Prosthodontic R 443.60
9633 Oral screen 93 Dental Technician R 437.98
9633 Oral screen 92 Periodontics R 443.60
9633 Oral screen 64 Orthodontics R 443.60
9633 Oral screen 62 Maxillo-facial and Oral Surgery R 443.60
9633 Oral screen 54 General Dental Practice R 443.60
9635 Andersen of Norwegian appliance 94 Prosthodontic R 793.04
9635 Andersen of Norwegian appliance 93 Dental Technician R 783.37
9635 Andersen of Norwegian appliance 92 Periodontics R 793.04
9635 Andersen of Norwegian appliance 64 Orthodontics R 793.04
9635 Andersen of Norwegian appliance 62 Maxillo-facial and Oral Surgery R 793.04
9635 Andersen of Norwegian appliance 54 General Dental Practice R 793.04
9637 Tooth positioner 94 Prosthodontic R 914.05
9637 Tooth positioner 93 Dental Technician R 902.70
9637 Tooth positioner 92 Periodontics R 914.05
9637 Tooth positioner 64 Orthodontics R 914.05
9637 Tooth positioner 62 Maxillo-facial and Oral Surgery R 914.05
9637 Tooth positioner 54 General Dental Practice R 914.05
9639 Gunning splint (excluding cost of material) 93 Dental Technician R 1 202.47
9639 Gunning splint (excluding cost of material) 62 Maxillo-facial and Oral Surgery R 1 217.08
9639 Gunning splint (excluding cost of material) 54 General Dental Practice R 1 217.08
9641 Frankel appliance 94 Prosthodontic R 1 174.84
9641 Frankel appliance 93 Dental Technician R 1 160.80
9641 Frankel appliance 92 Periodontics R 1 174.84
9641 Frankel appliance 64 Orthodontics R 1 174.84
9641 Frankel appliance 62 Maxillo-facial and Oral Surgery R 1 174.84
9641 Frankel appliance 54 General Dental Practice R 1 174.84
Page 94 of 109
9643 Chin cap 94 Prosthodontic R 389.67
9643 Chin cap 93 Dental Technician R 384.95
9643 Chin cap 92 Periodontics R 389.67
9643 Chin cap 64 Orthodontics R 389.67
9643 Chin cap 62 Maxillo-facial and Oral Surgery R 389.67
9643 Chin cap 54 General Dental Practice R 389.67
9645 Bionator 94 Prosthodontic R 794.95
9645 Bionator 93 Dental Technician R 785.17
9645 Bionator 92 Periodontics R 794.95
9645 Bionator 64 Orthodontics R 794.95
9645 Bionator 62 Maxillo-facial and Oral Surgery R 794.95
9645 Bionator 54 General Dental Practice R 794.95
9646 Diagnostic set-up 94 Prosthodontic R 764.27
9646 Diagnostic set-up 93 Dental Technician R 754.84
9646 Diagnostic set-up 92 Periodontics R 764.27
9646 Diagnostic set-up 64 Orthodontics R 764.27
9646 Diagnostic set-up 62 Maxillo-facial and Oral Surgery R 764.27
9646 Diagnostic set-up 54 General Dental Practice R 764.27
9647 Snoring Appliance 94 Prosthodontic R 721.91
9647 Snoring Appliance 93 Dental Technician R 713.15
9647 Snoring Appliance 62 Maxillo-facial and Oral Surgery R 721.91
9647 Snoring Appliance 54 General Dental Practice R 721.91
9651 Pinched or swaged bank with welded attachment
94 Prosthodontic R 234.05
9651 Pinched or swaged bank with welded attachment
93 Dental Technician R 231.35
9651 Pinched or swaged bank with welded attachment
92 Periodontics R 234.05
9651 Pinched or swaged bank with welded attachment
64 Orthodontics R 234.05
9651 Pinched or swaged bank with welded attachment
62 Maxillo-facial and Oral Surgery R 234.05
9651 Pinched or swaged bank with welded attachment
54 General Dental Practice R 234.05
Page 95 of 109
9653 Pinched or swaged band with soldered attachment
94 Prosthodontic R 307.19
9653 Pinched or swaged band with soldered attachment
93 Dental Technician R 303.37
9653 Pinched or swaged band with soldered attachment
92 Periodontics R 307.19
9653 Pinched or swaged band with soldered attachment
64 Orthodontics R 307.19
9653 Pinched or swaged band with soldered attachment
62 Maxillo-facial and Oral Surgery R 307.19
9653 Pinched or swaged band with soldered attachment
54 General Dental Practice R 307.19
9662 Additional fee for each remake at an agreed quantum of time to be calculated at the hourly rate
94 Prosthodontic R 395.62
9662 Additional fee for each remake at an agreed quantum of time to be calculated at the hourly rate
93 Dental Technician R 390.67
9662 Additional fee for each remake at an agreed quantum of time to be calculated at the hourly rate
92 Periodontics R 395.62
9662 Additional fee for each remake at an agreed quantum of time to be calculated at the hourly rate
64 Orthodontics R 395.62
9662 Additional fee for each remake at an agreed quantum of time to be calculated at the hourly rate
62 Maxillo-facial and Oral Surgery R 395.62
9662 Additional fee for each remake at an agreed quantum of time to be calculated at the hourly rate
54 General Dental Practice R 395.62
9700 Diatorics 1 x 6/8 1998 94 Prosthodontic R 0.00
9700 Diatorics 1 x 6/8 1998 93 Dental Technician R 189.77
9700 Diatorics 1 x 6/8 1998 92 Periodontics R 0.00
9700 Diatorics 1 x 6/8 1998 64 Orthodontics R 0.00
9700 Diatorics 1 x 6/8 1998 62 Maxillo-facial and Oral Surgery R 0.00
9700 Diatorics 1 x 6/8 1998 54 General Dental Practice R 0.00
9702 Diatorics - odds- anterior 1998 94 Prosthodontic R 0.00
Page 96 of 109
9702 Diatorics - odds- anterior 1998 93 Dental Technician R 64.61
9702 Diatorics - odds- anterior 1998 92 Periodontics R 0.00
9702 Diatorics - odds- anterior 1998 64 Orthodontics R 0.00
9702 Diatorics - odds- anterior 1998 62 Maxillo-facial and Oral Surgery R 0.00
9702 Diatorics - odds- anterior 1998 54 General Dental Practice R 0.00
9704 Diatorics- odds- posterior 1998 94 Prosthodontic R 0.00
9704 Diatorics- odds- posterior 1998 93 Dental Technician R 64.61
9704 Diatorics- odds- posterior 1998 92 Periodontics R 0.00
9704 Diatorics- odds- posterior 1998 64 Orthodontics R 0.00
9704 Diatorics- odds- posterior 1998 62 Maxillo-facial and Oral Surgery R 0.00
9704 Diatorics- odds- posterior 1998 54 General Dental Practice R 0.00
9706 Cost of Bleaching Tray material 94 Prosthodontic R 0.00
9706 Cost of Bleaching Tray material 93 Dental Technician R 0.00
9706 Cost of Bleaching Tray material 92 Periodontics R 0.00
9706 Cost of Bleaching Tray material 62 Maxillo-facial and Oral Surgery R 0.00
9706 Cost of Bleaching Tray material 54 General Dental Practice R 0.00
9720 Soft base material per denture 94 Prosthodontic R 0.00
9720 Soft base material per denture 93 Dental Technician R 686.40
9720 Soft base material per denture 92 Periodontics R 0.00
9720 Soft base material per denture 64 Orthodontics R 0.00
9720 Soft base material per denture 62 Maxillo-facial and Oral Surgery R 0.00
9720 Soft base material per denture 54 General Dental Practice R 0.00
9722 High impact acrylic per denture 1998 94 Prosthodontic R 0.00
9722 High impact acrylic per denture 1998 93 Dental Technician R 77.65
9722 High impact acrylic per denture 1998 92 Periodontics R 0.00
9722 High impact acrylic per denture 1998 64 Orthodontics R 0.00
9722 High impact acrylic per denture 1998 62 Maxillo-facial and Oral Surgery R 0.00
9722 High impact acrylic per denture 1998 54 General Dental Practice R 0.00
9724 Cost of Precision attachment. Per attachment. 1998 94 Prosthodontic R 0.00
9724 Cost of Precision attachment. Per attachment. 1998 93 Dental Technician R 0.00
9724 Cost of Precision attachment. Per attachment. 1998 92 Periodontics R 0.00
9724 Cost of Precision attachment. Per attachment. 1998 64 Orthodontics R 0.00
Page 97 of 109
9724 Cost of Precision attachment. Per attachment. 1998 62 Maxillo-facial and Oral Surgery R 0.00
9724 Cost of Precision attachment. Per attachment. 1998 54 General Dental Practice R 0.00
9726 Preformed Ball or roach clasp 1998 94 Prosthodontic R 0.00
9726 Preformed Ball or roach clasp 1998 93 Dental Technician R 13.37
9726 Preformed Ball or roach clasp 1998 92 Periodontics R 0.00
9726 Preformed Ball or roach clasp 1998 64 Orthodontics R 0.00
9726 Preformed Ball or roach clasp 1998 62 Maxillo-facial and Oral Surgery R 0.00
9726 Preformed Ball or roach clasp 1998 54 General Dental Practice R 0.00
9728 Cost of lingual I palatal bar 1998 94 Prosthodontic R 0.00
9728 Cost of lingual I palatal bar 1998 93 Dental Technician R 155.40
9728 Cost of lingual I palatal bar 1998 92 Periodontics R 0.00
9728 Cost of lingual I palatal bar 1998 64 Orthodontics R 0.00
9728 Cost of lingual I palatal bar 1998 62 Maxillo-facial and Oral Surgery R 0.00
9728 Cost of lingual I palatal bar 1998 54 General Dental Practice R 0.00
9729 Cost of mesh strengthener 1998 94 Prosthodontic R 0.00
9729 Cost of mesh strengthener 1998 93 Dental Technician R 81.46
9729 Cost of mesh strengthener 1998 92 Periodontics R 0.00
9729 Cost of mesh strengthener 1998 64 Orthodontics R 0.00
9729 Cost of mesh strengthener 1998 62 Maxillo-facial and Oral Surgery R 0.00
9729 Cost of mesh strengthener 1998 54 General Dental Practice R 0.00
9730 Cost of pre-fabricated burn-out component- per compo
1998 94 Prosthodontic R 0.00
9730 Cost of pre-fabricated burn-out component- per compo
1998 93 Dental Technician R 0.00
9730 Cost of pre-fabricated burn-out component- per compo
1998 92 Periodontics R 0.00
9730 Cost of pre-fabricated burn-out component- per compo
1998 64 Orthodontics R 0.00
9730 Cost of pre-fabricated burn-out component- per compo
1998 62 Maxillo-facial and Oral Surgery R 0.00
9730 Cost of pre-fabricated burn-out component- per compo
1998 54 General Dental Practice R 0.00
9732 Cost of other attachment components e.g. nylon caps-
1998 93 Dental Technician R 0.00
Page 98 of 109
9732 Cost of other attachment components e.g. nylon caps-
1998 92 Periodontics R 0.00
9732 Cost of other attachment components e.g. nylon caps-
1998 62 Maxillo-facial and Oral Surgery R 0.00
9732 Cost of other attachment components e.g. nylon caps-
1998 54 General Dental Practice R 0.00
9734 Cost of dolder bar and clips- per gram or per clip -
1998 93 Dental Technician R 0.00
9734 Cost of dolder bar and clips- per gram or per clip -
1998 92 Periodontics R 0.00
9734 Cost of dolder bar and clips- per gram or per clip -
1998 62 Maxillo-facial and Oral Surgery R 0.00
9734 Cost of dolder bar and clips- per gram or per clip -
1998 54 General Dental Practice R 0.00
9736 Cost of implant components s- per gram or per clip -
1998 93 Dental Technician R 0.00
9736 Cost of implant components s- per gram or per clip -
1998 92 Periodontics R 0.00
9736 Cost of implant components s- per gram or per clip -
1998 62 Maxillo-facial and Oral Surgery R 0.00
9736 Cost of implant components s- per gram or per clip -
1998 54 General Dental Practice R 0.00
9738 Cost of preformed strengthener per gram or per clip -
1998 94 Prosthodontic R 0.00
9738 Cost of preformed strengthener per gram or per clip -
1998 93 Dental Technician R 81.46
9738 Cost of preformed strengthener per gram or per clip -
1998 92 Periodontics R 0.00
9738 Cost of preformed strengthener per gram or per clip -
1998 64 Orthodontics R 0.00
9738 Cost of preformed strengthener per gram or per clip -
1998 62 Maxillo-facial and Oral Surgery R 0.00
9738 Cost of preformed strengthener per gram or per clip -
1998 54 General Dental Practice R 0.00
9739 Additional charge gold plating 94 Prosthodontic R 0.00
9739 Additional charge gold plating 93 Dental Technician R 0.00
9739 Additional charge gold plating 92 Periodontics R 0.00
Page 99 of 109
9739 Additional charge gold plating 64 Orthodontics R 0.00
9739 Additional charge gold plating 62 Maxillo-facial and Oral Surgery R 0.00
9739 Additional charge gold plating 54 General Dental Practice R 0.00
9740 Cost of gold wire- per gram per gram or per clip -
1998 94 Prosthodontic R 0.00
9740 Cost of gold wire- per gram per gram or per clip -
1998 93 Dental Technician R 0.00
9740 Cost of gold wire- per gram per gram or per clip -
1998 92 Periodontics R 0.00
9740 Cost of gold wire- per gram per gram or per clip -
1998 64 Orthodontics R 0.00
9740 Cost of gold wire- per gram per gram or per clip -
1998 62 Maxillo-facial and Oral Surgery R 0.00
9740 Cost of gold wire- per gram per gram or per clip -
1998 54 General Dental Practice R 0.00
9741 Cost of Cobalt Chrome casting alloy am or per clip -
1998 94 Prosthodontic R 0.00
9741 Cost of Cobalt Chrome casting alloy am or per clip -
1998 93 Dental Technician R 128.99
9741 Cost of Cobalt Chrome casting alloy am or per clip -
1998 92 Periodontics R 0.00
9741 Cost of Cobalt Chrome casting alloy am or per clip -
1998 64 Orthodontics R 0.00
9741 Cost of Cobalt Chrome casting alloy am or per clip -
1998 62 Maxillo-facial and Oral Surgery R 0.00
9741 Cost of Cobalt Chrome casting alloy am or per clip -
1998 54 General Dental Practice R 0.00
9742 Cost of specialised Cobalt Chrome casting metal- e.g.
1998 94 Prosthodontic R 0.00
9742 Cost of specialised Cobalt Chrome casting metal- e.g.
1998 93 Dental Technician R 0.00
9742 Cost of specialised Cobalt Chrome casting metal- e.g.
1998 92 Periodontics R 0.00
9742 Cost of specialised Cobalt Chrome casting metal- e.g.
1998 64 Orthodontics R 0.00
9742 Cost of specialised Cobalt Chrome casting metal- e.g.
1998 62 Maxillo-facial and Oral Surgery R 0.00
Page 100 of 109
9742 Cost of specialised Cobalt Chrome casting metal- e.g.
1998 54 General Dental Practice R 0.00
9744 Cost of precious casting alloy me casting metal- e.g.
1998 94 Prosthodontic R 0.00
9744 Cost of precious casting alloy me casting metal- e.g.
1998 93 Dental Technician R 0.00
9744 Cost of precious casting alloy me casting metal- e.g.
1998 92 Periodontics R 0.00
9744 Cost of precious casting alloy me casting metal- e.g.
1998 64 Orthodontics R 0.00
9744 Cost of precious casting alloy me casting metal- e.g.
1998 62 Maxillo-facial and Oral Surgery R 0.00
9744 Cost of precious casting alloy me casting metal- e.g.
1998 54 General Dental Practice R 0.00
9746 Cost of semi-precious casting alloy sting metal- e.g.
1998 94 Prosthodontic R 0.00
9746 Cost of semi-precious casting alloy sting metal- e.g.
1998 93 Dental Technician R 0.00
9746 Cost of semi-precious casting alloy sting metal- e.g.
1998 92 Periodontics R 0.00
9746 Cost of semi-precious casting alloy sting metal- e.g.
1998 64 Orthodontics R 0.00
9746 Cost of semi-precious casting alloy sting metal- e.g.
1998 62 Maxillo-facial and Oral Surgery R 0.00
9746 Cost of semi-precious casting alloy sting metal- e.g.
1998 54 General Dental Practice R 0.00
9748 Cost of non-precious casting alloy sting metal- e.g.
1998 94 Prosthodontic R 0.00
9748 Cost of non-precious casting alloy sting metal- e.g.
1998 93 Dental Technician R 145.95
9748 Cost of non-precious casting alloy sting metal- e.g.
1998 92 Periodontics R 0.00
9748 Cost of non-precious casting alloy sting metal- e.g.
1998 64 Orthodontics R 0.00
9748 Cost of non-precious casting alloy sting metal- e.g.
1998 62 Maxillo-facial and Oral Surgery R 0.00
9748 Cost of non-precious casting alloy sting metal- e.g.
1998 54 General Dental Practice R 0.00
Page 101 of 109
9752 Cost of platinum foil asting alloy sting metal- e.g
1998 94 Prosthodontic R 0.00
9752 Cost of platinum foil asting alloy sting metal- e.g
1998 93 Dental Technician R 0.00
9752 Cost of platinum foil asting alloy sting metal- e.g
1998 92 Periodontics R 0.00
9752 Cost of platinum foil asting alloy sting metal- e.g
1998 64 Orthodontics R 0.00
9752 Cost of platinum foil asting alloy sting metal- e.g
1998 62 Maxillo-facial and Oral Surgery R 0.00
9752 Cost of platinum foil asting alloy sting metal- e.g
1998 54 General Dental Practice R 0.00
9754 Cost of gold solder- per gram lloy sting metal- e.g
1998 94 Prosthodontic R 0.00
9754 Cost of gold solder- per gram lloy sting metal- e.g
1998 93 Dental Technician R 0.00
9754 Cost of gold solder- per gram lloy sting metal- e.g
1998 92 Periodontics R 0.00
9754 Cost of gold solder- per gram lloy sting metal- e.g
1998 64 Orthodontics R 0.00
9754 Cost of gold solder- per gram lloy sting metal- e.g
1998 62 Maxillo-facial and Oral Surgery R 0.00
9754 Cost of gold solder- per gram lloy sting metal- e.g
1998 54 General Dental Practice R 0.00
9755 Etching for bonding (metal or ceramic) 94 Prosthodontic R 0.00
9755 Etching for bonding (metal or ceramic) 93 Dental Technician R 0.00
9755 Etching for bonding (metal or ceramic) 92 Periodontics R 0.00
9755 Etching for bonding (metal or ceramic) 64 Orthodontics R 0.00
9755 Etching for bonding (metal or ceramic) 62 Maxillo-facial and Oral Surgery R 0.00
9755 Etching for bonding (metal or ceramic) 54 General Dental Practice R 0.00
9756 Cost of silver solder- per gram oy sting metal- e.g
1998 94 Prosthodontic R 0.00
9756 Cost of silver solder- per gram oy sting metal- e.g
1998 93 Dental Technician R 47.41
9756 Cost of silver solder- per gram oy sting metal- e.g
1998 92 Periodontics R 0.00
9756 Cost of silver solder- per gram oy sting metal- 1998 64 Orthodontics R 0.00
Page 102 of 109
e.g
9756 Cost of silver solder- per gram oy sting metal- e.g
1998 62 Maxillo-facial and Oral Surgery R 0.00
9756 Cost of silver solder- per gram oy sting metal- e.g
1998 54 General Dental Practice R 0.00
9757 Ceromer material - per unit 94 Prosthodontic R 0.00
9757 Ceromer material - per unit 93 Dental Technician R 969.11
9757 Ceromer material - per unit 92 Periodontics R 0.00
9757 Ceromer material - per unit 64 Orthodontics R 0.00
9757 Ceromer material - per unit 62 Maxillo-facial and Oral Surgery R 0.00
9757 Ceromer material - per unit 54 General Dental Practice R 0.00
9758 Fiber re-enforced materual (per unit) 94 Prosthodontic R 0.00
9758 Fiber re-enforced materual (per unit) 93 Dental Technician R 0.00
9758 Fiber re-enforced materual (per unit) 64 Orthodontics R 0.00
9758 Fiber re-enforced materual (per unit) 62 Maxillo-facial and Oral Surgery R 0.00
9758 Fiber re-enforced materual (per unit) 54 General Dental Practice R 0.00
9759 Fiber re-enforced bridge material (per unit) 93 Dental Technician R 0.00
9759 Fiber re-enforced bridge material (per unit) 64 Orthodontics R 0.00
9759 Fiber re-enforced bridge material (per unit) 62 Maxillo-facial and Oral Surgery R 0.00
9759 Fiber re-enforced bridge material (per unit) 54 General Dental Practice R 0.00
9760 Composite restoration material oy sting metal- e.g
1998 94 Prosthodontic R 0.00
9760 Composite restoration material oy sting metal- e.g
1998 93 Dental Technician R 0.00
9760 Composite restoration material oy sting metal- e.g
1998 92 Periodontics R 0.00
9760 Composite restoration material oy sting metal- e.g
1998 64 Orthodontics R 0.00
9760 Composite restoration material oy sting metal- e.g
1998 62 Maxillo-facial and Oral Surgery R 0.00
9760 Composite restoration material oy sting metal- e.g
1998 54 General Dental Practice R 0.00
9761 Ceramic material 94 Prosthodontic R 0.00
9761 Ceramic material 93 Dental Technician R 0.00
Page 103 of 109
9761 Ceramic material 92 Periodontics R 0.00
9761 Ceramic material 64 Orthodontics R 0.00
9761 Ceramic material 62 Maxillo-facial and Oral Surgery R 0.00
9761 Ceramic material 54 General Dental Practice R 0.00
9762 Cost of anterior orthodontic attachment - per attach 1998
94 Prosthodontic R 0.00
9762 Cost of anterior orthodontic attachment - per attach 1998
93 Dental Technician R 28.43
9762 Cost of anterior orthodontic attachment - per attach 1998
92 Periodontics R 0.00
9762 Cost of anterior orthodontic attachment - per attach 1998
64 Orthodontics R 0.00
9762 Cost of anterior orthodontic attachment - per attach 1998
62 Maxillo-facial and Oral Surgery R 0.00
9762 Cost of anterior orthodontic attachment - per attach 1998
54 General Dental Practice R 0.00
9763 Orthodontic Material 94 Prosthodontic R 0.00
9763 Orthodontic Material 93 Dental Technician R 28.43
9763 Orthodontic Material 92 Periodontics R 0.00
9763 Orthodontic Material 64 Orthodontics R 0.00
9763 Orthodontic Material 62 Maxillo-facial and Oral Surgery R 0.00
9763 Orthodontic Material 54 General Dental Practice R 0.00
9764 Cost of posterior orthodontic attachment- per attach
1998 94 Prosthodontic R 0.00
9764 Cost of posterior orthodontic attachment- per attach
1998 93 Dental Technician R 28.43
9764 Cost of posterior orthodontic attachment- per attach
1998 92 Periodontics R 0.00
9764 Cost of posterior orthodontic attachment- per attach
1998 64 Orthodontics R 0.00
9764 Cost of posterior orthodontic attachment- per attach
1998 62 Maxillo-facial and Oral Surgery R 0.00
9764 Cost of posterior orthodontic attachment- per attach
1998 54 General Dental Practice R 0.00
9765 Preformed Components 94 Prosthodontic R 0.00
9765 Preformed Components 93 Dental Technician R 15.17
Page 104 of 109
9765 Preformed Components 92 Periodontics R 0.00
9765 Preformed Components 64 Orthodontics R 0.00
9765 Preformed Components 62 Maxillo-facial and Oral Surgery R 0.00
9765 Preformed Components 54 General Dental Practice R 0.00
9766 Cost of expansion screw- per screw hment- per attach
1998 94 Prosthodontic R 0.00
9766 Cost of expansion screw- per screw hment- per attach
1998 93 Dental Technician R 32.25
9766 Cost of expansion screw- per screw hment- per attach
1998 92 Periodontics R 0.00
9766 Cost of expansion screw- per screw hment- per attach
1998 64 Orthodontics R 0.00
9766 Cost of expansion screw- per screw hment- per attach
1998 62 Maxillo-facial and Oral Surgery R 0.00
9766 Cost of expansion screw- per screw hment- per attach
1998 54 General Dental Practice R 0.00
9767 Soldering Material 94 Prosthodontic R 0.00
9767 Soldering Material 93 Dental Technician R 7.64
9767 Soldering Material 92 Periodontics R 0.00
9767 Soldering Material 64 Orthodontics R 0.00
9767 Soldering Material 62 Maxillo-facial and Oral Surgery R 0.00
9767 Soldering Material 54 General Dental Practice R 0.00
9768 Cost of buccle tube- per tube crew hment- per attach
1998 94 Prosthodontic R 0.00
9768 Cost of buccle tube- per tube crew hment- per attach
1998 93 Dental Technician R 0.00
9768 Cost of buccle tube- per tube crew hment- per attach
1998 92 Periodontics R 0.00
9768 Cost of buccle tube- per tube crew hment- per attach
1998 64 Orthodontics R 0.00
9768 Cost of buccle tube- per tube crew hment- per attach
1998 62 Maxillo-facial and Oral Surgery R 0.00
9768 Cost of buccle tube- per tube crew hment- per attach
1998 54 General Dental Practice R 0.00
9770 Cost of J-hook- per hook tube crew hment- per attach
1998 94 Prosthodontic R 0.00
Page 105 of 109
9770 Cost of J-hook- per hook tube crew hment- per attach
1998 93 Dental Technician R 30.34
9770 Cost of J-hook- per hook tube crew hment- per attach
1998 92 Periodontics R 0.00
9770 Cost of J-hook- per hook tube crew hment- per attach
1998 64 Orthodontics R 0.00
9770 Cost of J-hook- per hook tube crew hment- per attach
1998 62 Maxillo-facial and Oral Surgery R 0.00
9770 Cost of J-hook- per hook tube crew hment- per attach
1998 54 General Dental Practice R 0.00
9772 Cost of lingual buttons- per button ment- per attach
1998 94 Prosthodontic R 0.00
9772 Cost of lingual buttons- per button ment- per attach
1998 93 Dental Technician R 30.34
9772 Cost of lingual buttons- per button ment- per attach
1998 92 Periodontics R 0.00
9772 Cost of lingual buttons- per button ment- per attach
1998 64 Orthodontics R 0.00
9772 Cost of lingual buttons- per button ment- per attach
1998 62 Maxillo-facial and Oral Surgery R 0.00
9772 Cost of lingual buttons- per button ment- per attach
1998 54 General Dental Practice R 0.00
9774 Cost of Invisible retainer material ment- per attach
1998 94 Prosthodontic R 0.00
9774 Cost of Invisible retainer material ment- per attach
1998 93 Dental Technician R 0.00
9774 Cost of Invisible retainer material ment- per attach
1998 92 Periodontics R 0.00
9774 Cost of Invisible retainer material ment- per attach
1998 64 Orthodontics R 0.00
9774 Cost of Invisible retainer material ment- per attach
1998 62 Maxillo-facial and Oral Surgery R 0.00
9774 Cost of Invisible retainer material ment- per attach
1998 54 General Dental Practice R 0.00
9775 R/A Case - Orthodontic Services 93 Dental Technician R 0.00
9775 R/A Case - Orthodontic Services 64 Orthodontics R 0.00
9775 R/A Case - Orthodontic Services 62 Maxillo-facial and Oral Surgery R 0.00
Page 106 of 109
9775 R/A Case - Orthodontic Services 54 General Dental Practice R 0.00
9776 Cost of mouth protector material al ment- per attach
1998 94 Prosthodontic R 0.00
9776 Cost of mouth protector material al ment- per attach
1998 93 Dental Technician R 0.00
9776 Cost of mouth protector material al ment- per attach
1998 92 Periodontics R 0.00
9776 Cost of mouth protector material al ment- per attach
1998 64 Orthodontics R 0.00
9776 Cost of mouth protector material al ment- per attach
1998 62 Maxillo-facial and Oral Surgery R 0.00
9776 Cost of mouth protector material al ment- per attach
1998 54 General Dental Practice R 0.00
9778 Cost of TMA arch wire r material al ment- per attach
1998 94 Prosthodontic R 0.00
9778 Cost of TMA arch wire r material al ment- per attach
1998 93 Dental Technician R 7.64
9778 Cost of TMA arch wire r material al ment- per attach
1998 92 Periodontics R 0.00
9778 Cost of TMA arch wire r material al ment- per attach
1998 64 Orthodontics R 0.00
9778 Cost of TMA arch wire r material al ment- per attach
1998 62 Maxillo-facial and Oral Surgery R 0.00
9778 Cost of TMA arch wire r material al ment- per attach
1998 54 General Dental Practice R 0.00
9779 Durasoft Material 93 Dental Technician R 0.00
9779 Durasoft Material 64 Orthodontics R 0.00
9779 Durasoft Material 62 Maxillo-facial and Oral Surgery R 0.00
9779 Durasoft Material 54 General Dental Practice R 0.00
9780 Positioning and finishing of complete (male and fema
1998 94 Prosthodontic R 604.84
9780 Positioning and finishing of complete (male and fema
1998 93 Dental Technician R 597.42
9780 Positioning and finishing of complete (male and fema
1998 92 Periodontics R 604.84
9780 Positioning and finishing of complete (male and fema
1998 64 Orthodontics R 604.84
Page 107 of 109
9780 Positioning and finishing of complete (male and fema
1998 62 Maxillo-facial and Oral Surgery R 604.84
9780 Positioning and finishing of complete (male and fema
1998 54 General Dental Practice R 604.84
9782 Positioning and soldering of complete ( male and fem
1998 94 Prosthodontic R 504.84
9782 Positioning and soldering of complete ( male and fem
1998 93 Dental Technician R 498.88
9782 Positioning and soldering of complete ( male and fem
1998 92 Periodontics R 504.84
9782 Positioning and soldering of complete ( male and fem
1998 64 Orthodontics R 504.84
9782 Positioning and soldering of complete ( male and fem
1998 62 Maxillo-facial and Oral Surgery R 504.84
9782 Positioning and soldering of complete ( male and fem
1998 54 General Dental Practice R 504.84
9783 Implant stent per unit 94 Prosthodontic R 466.41
9783 Implant stent per unit 93 Dental Technician R 460.90
9783 Implant stent per unit 92 Periodontics R 466.41
9783 Implant stent per unit 64 Orthodontics R 466.41
9783 Implant stent per unit 62 Maxillo-facial and Oral Surgery R 466.41
9783 Implant stent per unit 54 General Dental Practice R 466.41
9784 Allignment of dolder bar and clips te ( male and fem
1998 94 Prosthodontic R 637.42
9784 Allignment of dolder bar and clips te ( male and fem
1998 93 Dental Technician R 629.66
9784 Allignment of dolder bar and clips te ( male and fem
1998 92 Periodontics R 637.42
9784 Allignment of dolder bar and clips te ( male and fem
1998 64 Orthodontics R 637.42
9784 Allignment of dolder bar and clips te ( male and fem
1998 62 Maxillo-facial and Oral Surgery R 637.42
9784 Allignment of dolder bar and clips te ( male and fem
1998 54 General Dental Practice R 637.42
9786 Waxing and finishing of implant abutment - crown and
1998 94 Prosthodontic R 274.60
9786 Waxing and finishing of implant abutment - 1998 93 Dental Technician R 271.23
Page 108 of 109
crown and
9786 Waxing and finishing of implant abutment - crown and
1998 92 Periodontics R 274.60
9786 Waxing and finishing of implant abutment - crown and
1998 64 Orthodontics R 274.60
9786 Waxing and finishing of implant abutment - crown and
1998 62 Maxillo-facial and Oral Surgery R 274.60
9786 Waxing and finishing of implant abutment - crown and
1998 54 General Dental Practice R 274.60
9787 Waxing milling and finishing of custom abutment
94 Prosthodontic R 535.51
9787 Waxing milling and finishing of custom abutment
93 Dental Technician R 529.10
9787 Waxing milling and finishing of custom abutment
92 Periodontics R 535.51
9787 Waxing milling and finishing of custom abutment
64 Orthodontics R 535.51
9787 Waxing milling and finishing of custom abutment
62 Maxillo-facial and Oral Surgery R 535.51
9787 Waxing milling and finishing of custom abutment
54 General Dental Practice R 535.51
9788 Implant superstructure incl. Placing of preformed pa
1998 94 Prosthodontic R 2 927.76
9788 Implant superstructure incl. Placing of preformed pa
1998 93 Dental Technician R 2 892.26
9788 Implant superstructure incl. Placing of preformed pa
1998 92 Periodontics R 2 927.76
9788 Implant superstructure incl. Placing of preformed pa
1998 64 Orthodontics R 2 927.76
9788 Implant superstructure incl. Placing of preformed pa
1998 62 Maxillo-facial and Oral Surgery R 2 927.76
9788 Implant superstructure incl. Placing of preformed pa
1998 54 General Dental Practice R 2 927.76
9789 Finishing of prosthesis on implant structure 94 Prosthodontic R 1 069.33
9789 Finishing of prosthesis on implant structure 93 Dental Technician R 1 056.41
9789 Finishing of prosthesis on implant structure 92 Periodontics R 1 069.33
9789 Finishing of prosthesis on implant structure 64 Orthodontics R 1 069.33
Page 109 of 109
9789 Finishing of prosthesis on implant structure 62 Maxillo-facial and Oral Surgery R 1 069.33
9789 Finishing of prosthesis on implant structure 54 General Dental Practice R 1 069.33
99929 Ex-Gratia Specialised Dentistry 64 Orthodontics R 0.00
99929 Ex-Gratia Specialised Dentistry 62 Maxillo-facial and Oral Surgery R 0.00
99929 Ex-Gratia Specialised Dentistry 54 General Dental Practice R 0.00