Fees

Consultation and diagnostics

Code	Treatment	Fee
C001	Consultation for an intake	€ 57,01
C002	Consultation for a periodic check-up	€ 28,51
C003	Consultation, other than a periodic check-up	€ 28,51
C010	Additional medical history after (written) routine questions	€ 28,51
C011	Extensive examination for a second opinion	€ 135,03
C012	Extensive examination for the integrated treatment plan	€ 135,03
C013*	Study models	€ 37,51
C014	Pocket charting	€ 45,01
C015	Periodontal charting	€ 90,02
C016*	Making and discussing a restorative mock-up	€ 225,05
C020	Home oral care	€ 22,51
C021	Surcharge for evening, night and weekend hours	€ 31,51
C022	Isolating teeth with a rubber dam	€ 15,00

Taking and/or assessing X-rays

Code	Treatment	Fee
X10	Taking and assessing a small X-ray	€ 21,00
X11	Assessing a small X-ray	€ 15,75
X21	Taking and assessing a panoramic X-ray	€ 90,02
X22	Taking and assessing a panoramic X-ray for implantology in the toothless jaw	€ 90,02
X23	Assessing a panoramic X-ray	€ 33,01
X24	Taking and assessing a skull X-ray	€ 40,51
X34	Assessing a skull X-ray	€ 30,01
X25	Taking and assessing a multidimensional jaw scan (CBCT)	€ 255,06
X26	Assessing a multidimensional jaw scan (CBCT)	€ 75,02

Preventive oral care

Code	Treatment	Fee
M01	Preventive information and/or instruction, per five minutes	€ 16,82
M02	Consultation to evaluate prevention, per five minutes	€ 16,82
M03	Dental cleaning, per five minutes	€ 16,82
M05	Non-restorative treatment of caries in baby teeth	€ 33,76
M32/*	Simple bacteriological or enzymatic test	€ 22,51
M30	Treatment of sensitive tooth necks and (preventive) application of medication	€ 7,50
M40	Fluoride treatment	€ 18,75
M61*	Mouthguard or fluoride tray	€ 33,76
M80*	Treatment of white spots, first tooth	€ 65,26
M81*	Treatment of white spots, each following tooth	€ 36,01

Anaesthesia

Code	Treatment	Fee
A10	Conduction, infiltration and/or intraligamentary anaesthesia	€ 18,75
A15	Surface anaesthesia	€ 9,75
A20	Treatment under general anaesthesia or sedation	cost price
A30	Preparation for treatment under general anaesthesia	€ 60,01

Anaesthesia by means of light sedation

Code	Treatment	Fee
B10	Introduction of sedation (nitrous oxide)	€ 37,51
B11	Administration of sedation (nitrous oxide)	€ 37,51
B12	Overhead costs of sedation (nitrous oxide)	€ 45,34

Fillings

Code	Treatment	Fee
V71	One-surface amalgam filling	€ 31,51
V72	Two-surface amalgam filling	€ 50,26
V73	Three-surface amalgam filling	€ 65,26
V74	Multi-surface amalgam filling	€ 95,27
V81	One-surface glass ionomer/glass carbomer/compomer filling	€ 46,51
V82	Two-surface glass ionomer/glass carbomer/compomer filling	€ 65,26
V83	Three-surface glass ionomer/glass carbomer/compomer filling	€ 80,27
V84	Multi-surface glass ionomer/glass carbomer/compomer filling	€ 106,52
V91	One-surface composite filling	€ 60,01
V92	Two-surface composite filling	€ 78,77
V93	Three-surface composite filling	€ 93,77
V94	Multi-surface composite filling	€ 120,03
V95	Full reconstruction of a tooth or molar with composite (restoring the anatomical crown)	€ 187,54
V80	Placing the first root canal post	€ 43,51
V85	Placing each following root canal post in the same tooth	€ 28,51
V15	Placing a veneer of tooth-coloured plastic material (facing)	€ 90,02
V30	Applying fissure sealant, first tooth (sealing)	€ 33,76
V35	Applying fissure sealant (sealing), each following tooth in the same session	€ 18,75
V40	Polishing, grinding and finishing old fillings	€ 7,50

Root canal treatments

Code	Treatment	Fee
a	Examination, diagnostics and treatment planning
E02	Extensive root canal treatment consultation	€ 52,51
E03	Consultation after a dental accident	€ 41,26
b	Root canal treatment
E60*	Complete or partial removal of pulp tissue	€ 60,01
E04	Surcharge for the use of rotary nickel-titanium instruments	€ 59,25
E13	Root canal treatment per tooth with 1 canal	€ 135,03
E14	Root canal treatment per tooth with 2 canals	€ 195,04
E16	Root canal treatment per tooth with 3 canals	€ 255,06
E17	Root canal treatment per tooth with 4 or more canals	€ 315,07
E85	Electronic length measurement	€ 18,75
E19	Placing calcium hydroxide or a comparable disinfectant per tooth, per session	€ 22,51
E66	Root canal treatment of a baby tooth	€ 60,01
E51	Removing a crown or bridge	€ 42,24
E52	Difficult root canal access	€ 37,51
E53	Removing a root post	€ 52,51
E54	Removing root canal filling material	€ 37,51
E55	Treatment of a blocked or calcified root canal	€ 37,51
E56*	Continued treatment for tissue damage to the tooth root	€ 52,51
E57	Treatment of a tooth with exceptional anatomy	€ 37,51
E61	Treating an open root tip with calcium hydroxide, first session	€ 105,02
E62	Treating an open root tip with calcium hydroxide, each following session	€ 67,52
E63*	Surcharge for sealing with Mineral Trioxide Aggregate (MTA) or a comparable bioceramic material	€ 56,26
E64	Sealing an open root tip	€ 56,32
E77	Initial root canal treatment, first canal	€ 75,02
E78	Initial root canal treatment, each following canal	€ 37,51
E90	Internal bleaching, first session	€ 60,01
E95	Internal bleaching, each following session	€ 22,51
E97*	External bleaching per jaw	€ 93,77
E40	Direct pulp capping	€ 37,51
E42	Repositioning a displaced tooth after a dental accident	€ 15,00
E43*	Splinting a tooth after a dental accident	€ 30,01
E44	Removing a splint, per tooth	€ 7,50
E45	Placing a rubber dam	€ 13,30
E31	Incisor/canine	€ 150,03
E32	Premolar	€ 210,05
E33	Molar	€ 270,06
E34*	Placing a retrograde filling	€ 30,01
E36*	Extraction of a tooth with re-implantation	€ 105,02
E37	Endoscopic surgery	€ 90,02
E88	Filling the pulp chamber and sealing the canal entrances	€ 75,02
E86	Use of an operating microscope during root canal treatment	€ 101,27
E87	Preparing the treatment room for root canal treatment	€ 75,02

Crowns and bridges

Code	Treatment	Fee
a	Inlays and crowns
R08*	One-surface composite inlay	€ 90,02
R09*	Two-surface composite inlay	€ 172,54
R10*	Three-surface composite inlay	€ 225,05
R11*	One-surface inlay	€ 135,03
R12*	Two-surface inlay	€ 210,05
R13*	Three-surface inlay	€ 300,07
R14	Surcharge for extra retention when placing indirect restorations	€ 37,51
R24*	Crown on a natural tooth	€ 330,07
R34*	Crown on an implant	€ 300,07
R29*	Prefabricated crown	€ 67,52
R31	Core build-up in plastic material	€ 75,02
R32*	Cast post and core, indirect method	€ 75,02
R33*	Cast post and core, direct method	€ 150,03
b	Bridgework
R40*	First bridge pontic	€ 225,05
R45*	Surcharge for each following pontic in the same span of a conventional bridge	€ 112,53
R49	Surcharge for a bridge on five or more abutments	€ 187,54
R50*	Metal fixation cap with impression	€ 37,51
R55*	Plaster lock with extra impression	€ 37,51
R60*	Adhesive bridge without preparation	€ 150,03
R61*	Adhesive bridge with preparation	€ 225,05
R65	Surcharge for each following pontic in the same span of an adhesive bridge	€ 52,51
R66	Surcharge for each additional attachment beyond two for an adhesive bridge	€ 30,01
c	Miscellaneous restorations
R67*	Placing an abutment for an implant crown	€ 32,26
R70	Surcharge for a crown under an existing frame attachment	€ 82,52
R71*	Renewing a porcelain facing, repairing a metal/porcelain crown in the mouth	€ 82,52
R74*	Re-cementing non-plastic restorations	€ 30,01
R75*	Re-cementing an adhesive bridge	€ 75,02
R76	Surcharge for a cast post and core under an existing crown	€ 37,51
R77	Difficult removal of old crowns and bridges per (abutment) tooth	€ 37,51
R91*	Root cap with post	€ 187,54
R92	Trying in a restorative mock-up in the mouth	€ 101,27
d	Veneer of ceramic or composite
R78*	Veneer of ceramic or composite, without preparation	€ 84,48
R79*	Veneer of ceramic or composite, with preparation	€ 330,07
e	Temporary restorations
R80*	Temporary crowns and bridges, first tooth or molar	€ 37,51
R85*	Temporary crowns and bridges, following tooth or molar	€ 15,00
R90*	Partially completed work	Variable

Treatments of the masticatory system

Code	Treatment	Fee
a	Pain and movement disorders (Orofacial Pain and Dysfunction, OPD)
G21	Functional examination of the masticatory system	€ 135,03
G22	Extended OPD examination	€ 270,06
G23	Muscle activity measurement and recording	€ 120,03
G41	OPD therapy consultation A (not complex)	€ 78,77
G62*	Stabilisation splint	€ 202,55
G47	Evaluation/reassessment after OPD therapy A	€ 90,02
G43	OPD therapy consultation B (complex)	€ 151,53
G44*	Therapeutic injection	€ 82,52
G46*	Consultation for instruction on appliances (one-off)	€ 60,01
G48	Evaluation/reassessment after OPD therapy B	€ 150,03
b	Bite registrations
G10	Non-standard bite registration	€ 112,53
G11	Hinge axis determination	€ 112,53
G12	Centric relation determination	€ 105,02
G13	Protrusive/lateral determinations	€ 75,02
G14	Setting up a fully adjustable articulator, pantograph and registration	€ 675,15
G16	Therapeutic position determination	€ 37,51
G20	Intraoral bite registration	€ 75,02
G09	Occlusion analysis after measurement using digital equipment	€ 40,51
G15	Surcharge for maintaining bite height	€ 37,51
G65*	Indirect planned occlusal adjustment	€ 412,59
G75	Planned reshaping of all front teeth, per upper or lower jaw	€ 75,02
G68*	Repair of a stabilisation splint or bite guard	€ 60,01
G69*	Bite guard	€ 82,52
G33*	Applying anterior/canine guidance	€ 75,02
c	Snoring and sleep disorder appliance
G71*	Appliance for snoring and sleep disorders (MRA)	€ 375,09
G72	MRA check-up visit	€ 37,51
G73*	MRA repair with impression	€ 60,01
d	Myofunctional appliances
G74*	Fitting myofunctional appliances	€ 101,27
G76*	Myofunctional therapy consultation	€ 28,51

Surgical procedures (including anaesthesia)

Code	Treatment	Fee
H11	Extraction of a tooth or molar	€ 56,26
H16	Extraction of a following tooth or molar, in the same session and the same quadrant	€ 42,01
H21	Suture material costs	€ 7,50
H26	Suturing soft tissue	€ 82,52
H50	Repositioning a tooth or molar, first tooth	€ 75,02
H55	Repositioning a tooth or molar, following tooth in the same session	€ 22,51
H90	Preparation of the treatment room for surgical procedures under part B	€ 75,02
H33	Hemisection of a molar	€ 90,02
H34	Exposing an impacted tooth or molar to promote eruption	€ 90,02
H35	Difficult surgical extraction of a tooth or molar	€ 90,02
H36	Examination for the indication of autotransplantation	€ 97,52
H37*	Examination for carrying out autotransplantation	€ 150,03
H38	Performing the first autotransplantation	€ 343,58
H39	Performing a following autotransplantation, in the same session	€ 141,78
H40	Correcting the shape of the jaw, per jaw	€ 67,52
H41	Removing the lip or tongue frenulum	€ 45,01
H42	Apicoectomy, per root, without sealing	€ 90,02
H43	Apicoectomy, per root, with orthograde or retrograde sealing	€ 120,03
H44	Primary closure of the maxillary sinus	€ 82,52
H59	Treatment of a jaw fracture, per jaw	€ 105,02
H60	Marsupialisation	€ 105,02
H65	Primary closure	€ 202,55
H70	Flabby ridges, Schlotterkamm, tuberosity correction etc., unilateral per jaw	€ 105,02
H75	Flabby ridges, Schlotterkamm, tuberosity correction etc., bilateral per jaw	€ 202,55
H80	Alveolotomy torus, comparable pre-prosthetic bone corrections, unilateral per jaw	€ 142,53
H85	Alveolotomy torus, comparable pre-prosthetic bone corrections, bilateral per jaw	€ 240,05

Dentures

Code	Treatment	Fee
a	Partial denture
P001*	Partial acrylic denture, 1–4 teeth, per jaw	€ 113,80
P002*	Partial acrylic denture, 5–13 teeth, per jaw	€ 227,59
P003*	Frame denture, 1–4 teeth, per jaw	€ 311,04
P004*	Frame denture, 5–13 teeth, per jaw	€ 424,84
b	Full denture
P020*	Full denture, upper jaw	€ 227,59
P021*	Full denture, lower jaw	€ 303,46
P022*	Full denture, upper and lower jaw	€ 493,12
P023*	Temporary full denture, per jaw	€ 151,73
c	Surcharges
P040	Surcharge for an individual impression for a full denture	€ 81,93
P041	Surcharge for an individual impression for a partial acrylic denture	€ 37,93
P042	Surcharge for bite registration with specific equipment	€ 75,86
P043	Surcharge for front tooth set-up and/or bite registration in a separate session	€ 45,52
P044	Surcharge for a very severely shrunken jaw, per jaw	€ 102,42
P045	Surcharge for an immediate denture	€ 18,97
P046	Surcharge for each tooth in an overdenture	€ 60,69
P047	Surcharge for a cast clasp on a partial acrylic denture	€ 22,76
P048	Surcharge for making a precision attachment, per attachment or bar sleeve	€ 113,80
P049	Surcharge for placing a telescopic crown with precision attachment	€ 75,86
d	Adjustments to an existing denture
P060	Tissue conditioning of a full denture, per jaw	€ 53,11
P061	Tissue conditioning of a partial acrylic or frame denture, per jaw	€ 53,11
P062*	Relining a full denture, indirect, per jaw	€ 106,97
P063*	Relining a full denture, direct, per jaw	€ 107,73
P064*	Relining a partial acrylic or frame denture, indirect, per jaw	€ 93,31
P065*	Relining a partial acrylic or frame denture, direct, per jaw	€ 97,11
P066*	Relining an overdenture on natural abutments without bar removal, per jaw	€ 212,42
P067	Planned occlusal adjustment of an existing denture	€ 37,93
P068*	Repair of a full denture, without impression, per jaw	€ 22,76
P069*	Repair of a full denture, with impression, per jaw	€ 60,69
P070*	Repair of a partial acrylic or frame denture, without impression, per jaw	€ 22,76
P071*	Repair and/or extension of a partial acrylic or frame denture, with impression, per jaw	€ 60,69
P072*	Extension of a partial acrylic or frame denture with tooth/teeth to a full denture, with impression, per jaw	€ 60,69

Gum treatments

Code	Treatment	Fee
a	Procedures for patients with gum conditions
T012	Examination of the gums with periodontal charting	€ 220,01
T021	Thorough root cleaning, complex	€ 40,97
T022	Thorough root cleaning, standard	€ 30,35
T032	Evaluation of initial treatment/surgery or reassessment with periodontal charting	€ 136,56
T033	Discussing the follow-up after evaluation or reassessment	€ 83,45
T042	Periodontal aftercare consultation	€ 115,31
T043	Extensive periodontal aftercare consultation	€ 153,25
T044	Complex periodontal aftercare consultation	€ 204,08
T070	Flap surgery between two teeth	€ 246,56
T071	Flap surgery per sextant (one sixth)	€ 379,32
T072	Extensive flap surgery per sextant (one sixth)	€ 455,19
T073	Direct post-operative care, first session	€ 75,86
T074	Direct post-operative care, following session	€ 204,08
T076	Tuberosity or retromolar plasty	€ 94,83
b	Periodontology in other situations (not falling under part a)
T101	Tuberosity or retromolar plasty	€ 132,76
T102	Gum correction, one tooth	€ 72,07
T103	Gum correction, for two to six teeth	€ 189,66
T111*	Applying periodontal regenerative material for bone repair as a stand-alone procedure, per sextant (one sixth)	€ 455,19
T112*	Applying periodontal regenerative material for bone repair as a non-stand-alone procedure, together with flap surgery in the same sextant (one sixth), per tooth	€ 151,73
T113	Surgical removal of regenerative material	€ 246,56
T121	Crown lengthening, one tooth	€ 246,56
T122	Crown lengthening, for two to six teeth	€ 455,19
T141	Gum graft	€ 144,14
T142*	Recession coverage with a displaced flap	€ 455,19
T151	Direct post-operative care, first session	€ 75,86
T152	Direct post-operative care, following session	€ 204,08
T161**	Bacteriological test for gum treatment	€ 53,11
T162	Treatment of a gum abscess	€ 102,42
T163*	Application of local medication	€ 81,93
T164*	(Wire) splint	€ 30,35
T165	Extensive dietary analysis	€ 75,86

Implants

Code	Treatment	Fee
J001	Overhead costs for implants and peri-implantitis surgery	€ 220,32
J002	Overhead costs for pre-implant surgery	€ 124,69
a	Examination, diagnostics and treatment planning
J010	Examination for the indication of implant treatment	€ 83,23
J011*	Examination for carrying out implant treatment	€ 128,04
J012*	Implant mock-up, 1–4 teeth	€ 96,03
J013*	Implant mock-up, 5 or more teeth	€ 192,07
J014	Implant positioning based on a CT scan	€ 57,62
b	Techniques to increase bone volume in a separate session prior to implantation
J020*	Sinus floor elevation in a separate session prior to implantation, first half of the jaw	€ 307,30
J021*	Sinus floor elevation in a separate session prior to implantation, second half of the jaw within three months	€ 192,07
J022*	Jaw widening and/or heightening in a separate session prior to implantation, per jaw	€ 185,66
c	Techniques to increase bone volume in the same session as implantation
J030*	Jaw widening and/or heightening, per sextant, during implantation	€ 108,84
J031*	Sinus floor elevation, during implantation	€ 166,46
J032*	Orthograde sinus floor elevation, during implantation	€ 76,83
d	Implant surgery
J040	Placing the first implant, per jaw	€ 293,22
J041	Placing a following implant, per jaw	€ 121,00
J042*	Placing the first healing abutment	€ 96,03
J043*	Placing a following healing abutment	€ 45,46
J044	Removing an implant	€ 42,25
J045	Difficult removal of an implant	€ 211,27
J046	Replacing the first implant	€ 292,58
J047	Replacing a following implant	€ 121,00
J048	Surgical treatment of peri-implantitis, per sextant	€ 223,44
J049	Placing two implants in the lower jaw for a click-on denture	€ 652,38
e	Miscellaneous
J050	Surcharge for the cost of single-use drills and/or inserts of a single-use Implant Removal Set	cost price
J051*	Placing bone substitutes in an extraction socket	€ 25,61
J052	Preparing the donor site	€ 172,86
J053	Surcharge for the aesthetic zone, per half of the jaw	€ 86,43
J054	Connective tissue graft per donor site	€ 134,45
J055	Obtaining and processing blood into a regenerative biomaterial via venepuncture	€ 144,05
J056*	Removing a fractured abutment/occlusal screw	€ 147,25
J057	Implant costs	€ 404,40
J058	Determining implant stability by ISQ measurement	€ 12,80
J059	Thorough submucosal cleaning of an implant	€ 30,09
J060*	Temporary crown in the same session on an immediately placed implant	€ 332,91
f	Mesostructure
J070*	Placing the first press stud	€ 153,65
J071*	Placing each following press stud	€ 44,82
J072*	Bar between two implants in the same jaw	€ 262,49
J073*	Each following bar between implants in the same jaw	€ 83,23
g	Prosthetic treatment after implants
J080*	Simultaneous placement of a full denture and a click-on denture	€ 659,42
J081*	Click-on denture in the lower jaw	€ 428,95
J082*	Click-on denture in the upper jaw	€ 428,95
J083*	Conversion to a click-on denture	€ 128,04
J084*	Conversion to a click-on denture with bars between two implants	€ 166,46
J085*	Conversion to a click-on denture with bars between three or four implants	€ 192,07
J086*	Conversion to a click-on denture with bars between more than four implants	€ 224,08
J087	Surcharge for a replacement click-on denture on existing bars between two implants	€ 108,84
J088	Surcharge for a replacement click-on denture on existing bars between three or four implants	€ 140,85
J089	Surcharge for a replacement click-on denture on existing bars between more than four implants	€ 172,86
J180*	Partial acrylic click-on denture	€ 227,59
J181*	Partial click-on denture with a metal base (frame)	€ 424,84
J183*	Conversion of a partial denture or frame into a partial click-on denture	€ 128,04
J184*	Extension of a partial click-on denture to a (full) click-on denture, with impression, per jaw	€ 60,69
h	Implant aftercare
J090	Specific implant aftercare consultation	€ 70,42
J091	Extensive implant aftercare consultation	€ 115,24
i	Prosthetic aftercare
J100*	Relining without bar removal	€ 179,26
J101*	Relining with bar removal on two implants	€ 224,08
J102*	Relining with bar removal on three or four implants	€ 256,09
J103*	Relining with bar removal on more than four implants	€ 288,10
J104*	Simple repair of a click-on denture without bar removal and without impression	€ 22,76
J105*	Repair without bar removal	€ 70,42
J106*	Repair with bar removal on two implants	€ 134,45
J107*	Repair with bar removal on three or four implants	€ 166,46
J108*	Repair with bar removal on more than four implants	€ 198,47
J109*	Removing and replacing a press stud	€ 32,01
J110*	Relining a partial click-on denture	€ 179,26
J111*	Simple repair of a partial click-on denture without impression	€ 22,76
J112*	Repair of a partial click-on denture	€ 70,42

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