Dental Care

1

2

3

4

5

6

DENTAL CARE

1.

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

1. 1.1

Examination during the first visit

examination

6,33

0

6,33

1. 1.2

Follow-up during treatment

examination

3,17

0

3,17

1. 1.4

Evaluation of dental X-rays

examination

1,58

0

1,58

1. 1.5

Evaluation of visiograms, panoramic radiographs, orthopantomograms and teleroentgenograms

examination

4,75

0

4,75

1.2

Oral hygiene

1. 2.1

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

consultation

3,17

0

3,17

1. 2.2

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

manipulation

1,27

0,22

1,49

1. 2.2.1

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

manipulation

1,27

0,09

1,36

1. 2.2.2

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

manipulation

1,27

0,58

1,85

1. 2.2.3

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

manipulation

1,27

0,05

1,32

1. 2.3.

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

manipulation

0,95

0,22

1,17

1. 2.3.1

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

manipulation

0,95

0,09

1,04

1. 2.3.2

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

manipulation

0,95

0,58

1,53

1. 2.3.3

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

manipulation

0,95

0,05

1

1.2.13.

Polishing of one tooth after removal of calculus (Polident)

manipulation

1,27

0,20

1,47

1.2.4

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

manipulation

2,53

0

2,53

1.2.6

Removal of plaque from one tooth + cleaning of one tooth (Polident)

manipulation

0,95

0,18

1,13

1.2.6.1

Removal of plaque from one tooth + cleaning of one tooth (Detatrine)

manipulation

0,95

0,23

1,18

1.2.7

Removal of calculus from one tooth with the help of dental instruments (hooks)

manipulation

1,90

0,02

1,92

1.2.8

Removal of calculus from one tooth with the help of dental instruments and chemical agents

manipulation

2,53

0,03

2,56

1.2.9

Ultrasonic scaling of one tooth

manipulation

1,27

0,07

1,34

1.3

Anesthesia

1.3.2

Infiltration anesthesia

manipulation

3,17

0,20

3,37

1.3.3

Regional nerve block

manipulation

4,75

0,20

4,95

1.4

Other general dental services

1.4. 10

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

manipulation

3,17

0

3,17

1.4. 11

Provisional splinting using fiberglass tape, per tooth

manipulation

7,91

6,30

14,21

1.4. 12

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

manipulation

3,17

0

3,17

1.4. 13

Coagulation of hypertrophied interdental gingival

manipulation

1,27

0,01

1,28

1.4. 14

Local management of oral lesions using medications

manipulation

4,75

0,01

4,76

1.4.1

Temporary dental filling (oil Dentin)

manipulation

1,58

0,01

1,59

1.4.1.1

Temporary dental filling (water Dentin)

manipulation

1,58

0,01

1,59

1.4.1.2

Temporary dental filling (Septo-pack)

manipulation

1,58

0,09

1,67

1.4.2

Removal of one hard dental filling

manipulation

3,80

3,03

6,83

1.4.3

Removal of one defective filling

manipulation

1,90

2,28

4,18

1.4.7

Oral instillation (irrigation) with Mucosanin antiseptic

manipulation

0,95

0,34

1,29

1.4.8

Gingival retraction of one tooth (DentaCord)

manipulation

0,95

0,34

1,29

1.4.9

Hemostatic agent (Capramin)

manipulation

0,95

0,01

0,96

1.4.9.1

Hemostatic agent (DentaCord floss)

manipulation

0,95

0,25

1,20

1.4.9.2

Hemostatic agent (Hemostab)

manipulation

0,95

0,05

1,00

1.5

Medical instruments, products and supplies used to provide dental care

1.5. 11

Cotton rolls

manipulation

0

0,06

0,06

1.5. 12.

Gauze sponges

pcs

0

0,01

0,01

1.5. 13

Cotton wool

manipulation

0

0,01

0,01

1.5. 14

Microtips

manipulation

0

0,07

0,07

1.5. 15.

Syringe for the irrigation of root canals

manipulation

0

0,05

0,05

1.5. 15.1

Syringe

manipulation

0

0,09

0,09

1.5. 18.

Paper point

manipulation

0

0,01

0,01

1.5. 29.

Articulation paper, occlusion plate, occlusion plate

manipulation

0

0,05

0,05

1.5. 30.

Bonding agent (single bond)

manipulation

0

1,55

1,55

1.5. 31.

Etch (one tooth)

manipulation

0

0,04

0,04

1.5. 32.

Stripper

manipulation

0

0,05

0,05

1.5. 33.

Polishing disc

manipulation

0

0,55

0,55

1.5. 38.

Articaine borimed (if applicable)

manipulation

0

0,20

0,20

1.5.1

Kit of instruments used during each visit of a patient for therapeutic manipulations

manipulation

0

0,07

0,07

1.5.1.1.*

Instruments and medical products used during each visit (clause1.5.1+1.5.5+1.5.6+1.5.8.+1.5.9+1.5.11+1.5.13+1.5.14+1.5.29+1.5.32+shoe guards)

manipulation

0

0,70

0,70

1.5.5.

Disposable drape

manipulation

0

0,08

0,08

1.5.6.

Saliva ejector nozzle (disposable)

manipulation

0

0,03

0,03

1.5.7.

Vacuum cleaner nozzle (disposable)

manipulation

0

0,01

0,01

1.5.8

Disposable mask

manipulation

0

0,04

0,04

1.5.9.

Medical gloves

manipulation

0

0,08

0,08

2

Dental therapy

2. 1.1

Non-invasive sealing of fissures of one tooth (Ionoseal)

manipulation

3,15

0,92

4,07

2. 1.1.1

Non-invasive sealing of fissures of one tooth (Fissurit)

manipulation

3,15

1,79

4,94

2. 1.2.

Invasive sealing of fissures of one tooth (Ionoseal)

manipulation

4,73

1,95

6,68

2. 1.2.1

Invasive sealing of fissures of one tooth (Fissurit)

manipulation

4,73

3,69

8,42

2.2.

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

2. 2.1.

Minimal invasive cavity preparation

manipulation

2,53

1,85

4,38

2. 2.2.

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

manipulation

3,80

2,32

6,12

2. 2.3.

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

manipulation

5,70

3,05

8,75

2. 2.4.

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

manipulation

7,28

4,58

11,86

2.3.

Separating bases

2. 3.1.

Separating cement base (Unifac)

manipulation

2,53

0

2,53

2. 3.1.1

Separating cement base (Aquadent)

manipulation

2,53

0,03

2,56

2. 3.2.

Separating glass-ionomer cement base (Iono Gem)

manipulation

2,53

0,06

2,59

2. 3.2.1

Separating glass-ionomer cement base (Ketac Molar)

manipulation

2,53

0,68

3,21

2. 3.2.2

Separating glass-ionomer cement base (Aquadent)

manipulation

2,53

0,08

2,61

2. 3.2.3

Separating glass-ionomer cement base ( Ketac No.100)

manipulation

2,53

1,17

3,70

2. 3.2.4

Separating glass-ionomer cement base (Cemion)

manipulation

2,53

0,04

2,57

2. 3.3.

Separating photocurable base (composite, compomer, flow) (Ionoseal)

manipulation

2,53

0,15

2,68

2. 3.3.1

Separating photocurable base (composite, compomer, flow) (Vitremer)

manipulation

2,53

0,55

3,08

2. 3.3.2

Separating photocurable base (composite, compomer, flow) (Filtek flow)

manipulation

2,53

1,27

3,80

2. 3.4

Separating base made with the help of Single Bond adhesive system

manipulation

2,53

1,55

4,08

2. 3.5

Calcemon calcium-containing pupl cap

manipulation

2,53

0,10

2,63

2. 3.5.1

Life calcium-containing pupl cap

manipulation

2,53

0,03

2,56

2. 3.5.2

ApexCal Refill calcium-containing pupl cap

manipulation

2,53

0,40

2,93

2.4.

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

2. 4. 10

Extraction of the pulp from one tooth

manipulation

1,58

0,06

1,64

2. 4. 11

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

manipulation

6,33

2,65

8,98

2. 4. 12

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

manipulation

9,50

3,39

12,89

2. 4. 13

Removal of filling paste and preparation of one root canal using an endodontic handpiece

manipulation

7,91

1,70

9,61

2. 4. 14

Removal of cement or resorcin-formalin and preparation of one root canal using an endodontic handpiece

manipulation

11,08

2,27

13,35

2. 4. 15

Antiseptic treatment of one root canal

manipulation

1,58

0,02

1,60

2. 4. 16

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

manipulation

2,53

0,05

2,58

2. 4. 16.1

with Canal Plus

manipulation

0

1,89

1,89

2. 4. 16.2

with Cheicream

manipulation

0

0,65

0,65

2. 4. 16.3

with Glude

manipulation

0

1,65

1,65

2. 4. 16.4

with Belodez

manipulation

0

0,02

0,02

2. 4. 16.5

with Dilaton

manipulation

0

0,23

0,23

2. 4. 16.6

with Endogel

manipulation

0

0,05

0,05

2. 4. 17

Therapeutic packing of one root canal (Iodent)

manipulation

2,53

0,19

2,72

2. 4. 17.1

Therapeutic packing of one root canal (Metapex)

manipulation

2,53

2,53

5,06

2. 4. 17.2

Therapeutic packing of one root canal (ApexCal Refill)

manipulation

2,53

1,36

3,89

2. 4. 17.3

Therapeutic packing of one root canal (Apexdent)

manipulation

2,53

0,72

3,25

2. 4. 18

Removal of a foreign body from one root canal

manipulation

7,91

4,54

12,45

2. 4. 19

Removal of a post or core from one root canal

manipulation

9,50

7,51

17,01

2. 4. 20

Canal filling with Evident paste (canal sealer)

manipulation

4,75

0,23

4,98

2. 4. 20.1

Canal filling with Cresodent paste (canal sealer)

manipulation

4,75

0,38

5,13

2. 4. 20.2

Canal filling with Endovit paste (canal sealer)

manipulation

4,75

0,26

5,01

2. 4. 21

Canal filling with gutta-percha points and canal sealer using a condensation method (Canason) (without points)

manipulation

5,70

1,04

6,74

2. 4. 21.0.*

Canal filling with gutta-percha points and canal sealer using a condensation method (Canason) (with points) 2.4.21.*2+2.4.24

manipulation

11,39

0,66

12,05

2. 4. 21.1

Canal filling with gutta-percha points and canal sealer using a condensation method (Endomethasone) (without points)

manipulation

5,70

1,02

6,72

2. 4. 21.1.1*

Canal filling with gutta-percha points and canal sealer using a condensation method (Endomethasone) (with points) 2.4.21.1*2+2.4.24

manipulation

11,39

0,80

12,19

2. 4. 21.2

Canal filling with gutta-percha points and canal sealer using a condensation method (Apexit Plus Refill) (without points)

manipulation

5,70

1,09

6,79

2. 4. 21.2.1*

Canal filling with gutta-percha points and canal sealer using a condensation method (Apexit Plus Refill) (with points) 2.4.21.2*2+2.4.24

manipulation

11,39

0,85

12,24

2. 4. 21.3

Canal filling with gutta-percha points and canal sealer using a condensation method (resorcinol formaldehyde paste) (without points)

manipulation

5,70

0,76

6,46

2. 4. 21.3.1.*

Canal filling with gutta-percha points and canal sealer using a condensation method (resorcinol formaldehyde paste) (with points) 2.4.21.3*2+2.4.24

manipulation

11,39

0,52

11,91

2. 4. 21.4

Canal filling with gutta-percha points and canal sealer using a condensation method (Trioxident) (without points)

manipulation

5,70

1,39

7,09

2. 4. 21.4.1*

Canal filling with gutta-percha points and canal sealer using a condensation method (Trioxident) (with points) 2.4.21.4*2+2.4.24

manipulation

11,39

2,35

13,74

2. 4. 21.5

Canal filling with gutta-percha points and canal sealer using a condensation method (Adseal) (without points)

manipulation

5,70

0,97

6,67

2. 4. 21.5.1*

Canal filling with gutta-percha points and canal sealer using a condensation method (Adseal) (with points) 2.4.21.5*2+2.4.24

manipulation

11,39

0,56

11,95

2. 4. 23

Measurement of root canal length with Apexlocator

manipulation

2,53

0,01

2,54

2. 4. 24.

Use of a gutta-percha point

manipulation

0

0,04

0,04

2. 4.1

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

manipulation

3,80

2,29

6,09

2. 4.2

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

manipulation

5,7

4,58

10,28

2. 4.3

Application of a devitalizing paste (Depulpin)

manipulation

1,27

2,25

3,52

2. 4.3.1

Application of a devitalizing paste (Caustinerf)

manipulation

1,27

0,77

2,04

2. 4.4

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

manipulation

3,17

1,89

5,06

2. 4.5

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

manipulation

6,96

2,47

9,43

2. 4.6

Preparation of one root canal with a good patency using an endodontic handpiece

manipulation

3,80

1,22

5,02

2. 4.7

Preparation of one root canal with a bad patency using an endodontic handpiece

manipulation

5,70

1,45

7,15

2. 4.8

Pulp amputation

manipulation

0,95

0,01

0,96

2. 4.9

Application of filling paste over root canal orifice

manipulation

1,58

0,01

1,59

2.5

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

2. 5.1.

Minimally invasive preparation of cavity and restoration of one dental crown with ALPHADENT chemical cure composite

manipulation

4,75

0,05

4,80

2. 5.1.2

Minimally invasive preparation of cavity and restoration of one dental crown with CARISMA chemical cure composite

manipulation

4,75

0,29

5,04

2. 5.1.3

Minimally invasive preparation of cavity and restoration of one dental crown with COMPOLUX chemical cure composite

manipulation

4,75

0,08

4,83

2. 5.1.4

Minimally invasive preparation of cavity and restoration of one dental crown with DIAMONDBRITE chemical cure composite

manipulation

4,75

0,04

4,79

2. 5.1.5

Minimally invasive preparation of cavity and restoration of one dental crown with VITREMER chemical cure composite

manipulation

4,75

1,10

5,85

2. 5.10

Restoration of one dental crown with BRILLIANT NEW LINE compomer (less than 1/3 of crown is damaged)

manipulation

7,91

0,62

8,53

2. 5.10.1

Restoration of one dental crown with VITREMER compomer (less than 1/3 of crown is damaged)

manipulation

7,91

1,42

9,33

2. 5.10.2

Restoration of one dental crown with KETAC MOLAR compomer (less than 1/3 of crown is damaged)

manipulation

7,91

0,57

8,48

2. 5.10.3

Restoration of one dental crown with AQUADENT compomer (less than 1/3 of crown is damaged)

manipulation

7,91

0,08

7,99

2. 5.10.4

Restoration of one dental crown with KETAC No.100 compomer (less than1/3 of crown is damaged)

manipulation

7,91

1,17

9,08

2. 5.10.5

Restoration of one dental crown with CEMION compomer (less than 1/3 of crown is damaged)

manipulation

7,91

0,04

7,95

2. 5.11

Restoration of one dental crown with VITREMER compomer (less than 1/2 of crown is damaged)

manipulation

9,50

1,89

11,39

2. 5.11.1

Restoration of one dental crown with KETAC No.100 compomer (less than 1/2 of crown is damaged)

manipulation

9,50

1,56

11,06

2. 5.11.2

Restoration of one dental crown with CEMION compomer (less than 1/2 of crown is damaged)

manipulation

9,50

0,05

9,55

2. 5.12

Restoration of one dental crown with VITREMER compomer (more than 1/2 of crown is damaged)

manipulation

11,08

2,36

13,44

2. 5.12.1

Restoration of one dental crown with KETAC MOLAR compomer (more than 1/2 of crown is damaged)

manipulation

11,08

0,95

12,03

2. 5.12.2

Restoration of one dental crown with AQUADENT compomer (more than 1/2 of crown is damaged)

manipulation

11,08

0,14

11,22

2. 5.12.3

Restoration of one dental crown with KETAC No.100 compomer (more than 1/2 of crown is damaged)

manipulation

11,08

1,94

13,02

2. 5.12.4

Restoration of one dental crown with CEMION compomer (more than 1/2 of crown is damaged)

manipulation

11,08

0,07

11,15

2. 5.2.

Restoration of one dental crown with ALPHADENT chemical cure composite (less than 1/3 of crown is damaged)

manipulation

6,33

0,07

6,40

2. 5.2.1

Restoration of one dental crown with CARISMA chemical cure composite (less than 1/3 of crown is damaged)

manipulation

6,33

0,43

6,76

2. 5.2.2

Restoration of one dental crown with COMPOLUX chemical cure composite (less than 1/3 of crown is damaged)

manipulation

6,33

0,12

6,45

2. 5.2.3

Restoration of one dental crown with DIAMONDBRITE chemical cure composite (less than 1/3 of crown is damaged)

manipulation

6,33

0,07

6,40

2. 5.20

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

manipulation

6,33

0,38

6,71

2. 5.21

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

manipulation

7,91

2,42

10,33

2. 5.22

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

manipulation

7,91

0,73

8,64

2. 5.23

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

manipulation

6,33

1,76

8,09

2. 5.24

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

manipulation

3,17

1,76

4,93

2. 5.25

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

manipulation

4,75

1,76

6,51

2. 5.26

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

manipulation

7,91

1,76

9,67

2. 5.27

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

manipulation

9,49

1,76

11,25

2. 5.28

Application of a metal matrix

manipulation

1,27

0,04

1,31

2. 5.28.1

Application of a circuit matrix

manipulation

1,27

0,29

1,56

2. 5.28.2

Application of a mylar separating matrix

manipulation

1,27

0,01

1,28

2. 5.29

Placement of a matrix retainer

manipulation

1,27

0,24

1,51

2. 5.3

Restoration of one dental crown with ALPHADENT chemical cure composite (less than 1/2 of crown is damaged)

manipulation

6,96

0,10

7,06

2. 5.3.1

Restoration of one dental crown with CARISMA chemical cure composite (less than 1/2 of crown is damaged)

manipulation

6,96

0,57

7,53

2. 5.3.2

Restoration of one dental crown with COMPOLUX chemical cure composite (less than 1/2 of crown is damaged)

manipulation

6,96

0,16

7,12

2. 5.3.3

Restoration of one dental crown with DIAMONDBRITE chemical cure composite (less than 1/2 of crown is damaged)

manipulation

6,96

0,09

7,05

2. 5.30

Placement of interdental wedges

manipulation

0,64

0

0,64

2. 5.31

Application of Cofferdam system

manipulation

7,91

0

7,91

2. 5.32

Finishing and polishing of a chemical cure composite filling

manipulation

2,53

1,99

4,52

2. 5.33

Finishing and polishing of a light-cured composite filling

manipulation

4,75

1,95

6,7

2. 5.34

Finishing and polishing of a glass-ionomer cement filling

manipulation

3,17

1,88

5,05

2. 5.4

Restoration of one dental crown with ALPHADENT chemical cure composite (more than 1/2 of crown is damaged)

manipulation

9,50

0,12

9,62

2. 5.4. 1

Restoration of one dental crown with CARISMA chemical cure composite (more than 1/2 of crown is damaged)

manipulation

9,50

0,72

10,22

2. 5.4. 2

Restoration of one dental crown with COMPOLUX chemical cure composite (more than 1/2 of crown is damaged)

manipulation

9,50

0,20

9,70

2. 5.5

Minimally invasive preparation of cavity and restoration of one dental crown with KETAC light-cured composite

manipulation

6,33

0,38

6,71

2. 5.5.1

Minimally invasive preparation of cavity and restoration of one dental crown with GRADIA DIRECT light-cured composite

manipulation

6,33

5,24

11,57

2. 5.5.2

Minimally invasive preparation of cavity and restoration of one dental crown with FILTEK BULK light-cured composite

manipulation

6,33

1,17

7,50

2. 5.5.3

Minimally invasive preparation of cavity and restoration of one dental crown with FILTEK FLOW light-cured composite

manipulation

6,33

2,54

8,87

2. 5.5.4

Minimally invasive preparation of cavity and restoration of one dental crown with MIRA light-cured composite

manipulation

6,33

0,27

6,60

2. 5.5.5

Minimally invasive preparation of cavity and restoration of one dental crown with SAPPHIRE CERAMIC light-cured composite

manipulation

6,33

0,27

6,60

2. 5.5.6

Minimally invasive preparation of cavity and restoration of one dental crown with SAPPHIRE FLOW light-cured composite

manipulation

6,33

0,33

6,66

2. 5.5.7

Minimally invasive preparation of cavity and restoration of one dental crown with BRILLIANT NEW LINE light-cured composite

manipulation

6,33

0,41

6,74

2. 5.5.8

Minimally invasive preparation of cavity and restoration of one dental crown with SYNERGY D6 INTRO KIT light-cured composite

manipulation

6,33

0,68

7,01

2. 5.5.9

Minimally invasive preparation of cavity and restoration of one dental crown with FILTEK 550 BULK light-cured composite

manipulation

6,33

1,17

7,50

2. 5.6

Restoration of one dental crown with CARISAM Photo light-cured composite (less than 1/3 of crown is damaged)

manipulation

7,91

0,51

8,42

2. 5.6. 10

Restoration of one dental crown with VITREMER Photo light-cured composite (less than 1/3 of crown is damaged)

manipulation

7,91

1,42

9,33

2. 5.6.1

Restoration of one dental crown with FILTEK 550 BULK light-cured composite (less than 1/3 of crown is damaged)

manipulation

7,91

1,75

9,66

2. 5.6.2

Restoration of one dental crown with GRADIA DIRECT light-cured composite (less than 1/3 of crown is damaged)

manipulation

7,91

7,87

15,78

2. 5.6.3

Restoration of one dental crown with FILTEK BULK light-cured composite (less than 1/3 of crown is damaged)

manipulation

7,91

1,75

9,66

2. 5.6.4

Restoration of one dental crown with FILTEK FLOW light-cured composite (less than 1/3 of crown is damaged)

manipulation

7,91

3,80

11,71

2. 5.6.5

Restoration of one dental crown with MIRA light-cured composite (less than 1/3 of crown is damaged)

manipulation

7,91

0,41

8,32

2. 5.6.6

Restoration of one dental crown with SAPPHIRE CERAMIC light-cured composite (less than 1/3 of crown is damaged)

manipulation

7,91

0,41

8,32

2. 5.6.7

Restoration of one dental crown with SAPPHIRE FLOW light-cured composite (less than 1/3 of crown is damaged)

manipulation

7,91

0,50

8,41

2. 5.6.8

Restoration of one dental crown with BRILLIANT NEW LINE light-cured composite (less than 1/3 of crown is damaged)

manipulation

7,91

0,62

8,53

2. 5.6.9

Restoration of one dental crown with SINERGY D6 INTRO KIT light-cured composite (less than 1/3 of crown is damaged)

manipulation

7,91

1,01

8,92

2. 5.7

Restoration of one dental crown with FILTEK 550 BULK light-cured composite (less than 1/2 of crown is damaged)

manipulation

9,50

2,33

11,83

2. 5.7.1

Restoration of one dental crown with CARISAM Photo light-cured composite (less than 1/2 of crown is damaged)

manipulation

9,50

0,67

10,17

2. 5.7.2

Restoration of one dental crown with GRADIA DIRECT light-cured composite (less than 1/2 of crown is damaged)

manipulation

9,50

10,49

19,99

2. 5.7.3

Restoration of one dental crown with FILTEK BULK light-cured composite (less than 1/2 of crown is damaged)

manipulation

9,50

2,33

11,83

2. 5.7.4

Restoration of one dental crown with FILTEK FLOW light-cured composite (less than 1/2 of crown is damaged)

manipulation

9,50

5,07

14,57

2. 5.7.5

Restoration of one dental crown with MIRA light-cured composite (less than 1/2 of crown is damaged)

manipulation

9,50

0,55

10,05

2. 5.7.6

Restoration of one dental crown with SAPPHIRE CERAMIC light-cured composite (less than 1/2 of crown is damaged)

manipulation

9,50

0,54

10,04

2. 5.7.7

Restoration of one dental crown with SAPPHIRE FLOW light-cured composite (less than 1/2 of crown is damaged)

manipulation

9,50

0,67

10,17

2. 5.7.8

Restoration of one dental crown with BRILLIANT NEW LINE light-cured composite (less than 1/2 of crown is damaged)

manipulation

9,50

0,83

10,33

2. 5.7.9

Restoration of one dental crown with SINERGY D6 INTRO KIT light-cured composite (less than 1/2 of crown is damaged)

manipulation

9,50

1,35

10,85

2. 5.8

Restoration of one dental crown with FILTEK 550 BULK light-cured composite (less than 1/2 of crown is damaged)

manipulation

11,08

2,91

13,99

2. 5.8.1

Restoration of one dental crown with CARISAM Photo light-cured composite (more than 1/2 of crown is damaged)

manipulation

11,08

0,84

11,92

2. 5.8.2

Restoration of one dental crown with GRADIA DIRECT light-cured composite (more than 1/2 of crown is damaged)

manipulation

11,08

13,11

24,19

2. 5.8.3

Restoration of one dental crown with FILTEK BULK light-cured composite (more than 1/2 of crown is damaged)

manipulation

11,08

2,91

13,99

2. 5.8.4

Restoration of one dental crown with FILTEK FLOW light-cured composite (more than 1/2 of crown is damaged)

manipulation

11,08

6,34

17,42

2. 5.8.5

Restoration of one dental crown with MIRA light-cured composite (more than 1/2 of crown is damaged)

manipulation

11,08

0,69

11,77

2. 5.8.7

Restoration of one dental crown with SAPPHIRE FLOW light-cured composite (more than 1/2 of crown is damaged)

manipulation

11,08

0,83

11,91

2. 5.8.8

Restoration of one dental crown with BRILLIANT NEW LINE light-cured composite (more than 1/2 of crown is damaged)

manipulation

11,08

1,04

12,12

2. 5.8.9

Restoration of one dental crown with SINERGY D6 INTRO KIT light-cured composite (more than 1/2 of crown is damaged)

manipulation

11,08

1,69

12,77

2. 5.9

Minimally invasive preparation of cavity and restoration of one dental crown with KETAC MOLAR light-cured composite

manipulation

6,33

0,38

6,71

2. 5.9.1

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

manipulation

6,33

0,06

6,39

2. 5.9.2

Minimally invasive preparation of cavity and restoration of one dental crown with KETAC MOLAR light-cured composite

manipulation

6,33

0,78

7,11

2. 5.9.3

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

manipulation

6,33

1,10

7,43

2. 5.9.4

Minimally invasive preparation of cavity and restoration of one dental crown with CEMION light-cured composite

manipulation

6,33

0,03

6,36

2.7

Treatment of periodontal diseases

2. 7.2

Irrigation of one periodontal pocket (one tooth)

manipulation

0,95

0,02

0,97

2. 7.4

Application of a protective dressing on one sextant

manipulation

3,17

0,01

3,18

RADIOLOGY

8

X-ray examinations (dental X-ray)

8. 1

Spot X-ray

examination

4,15

0,32

4,47