Denis Tariff Structure 2016 Tariff Structure 2016.pdf · Trf Code TariffDescription 54 62 64 92 93 94 95 96 113 8179 POLISHING - COMPLETE DENTITION (PERIODONTALLY COMPROMISED PATIENT)

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Code TariffDescription 54 62 64 92 93 94 95 96 113

8025

HANDLING FEE - DIRECT MATERIALS (26% OF MATERIAL

COST TO A MAXIMUM OF R26.00) R 33.80 R 33.80 R 33.80 R 33.80 - R 33.80 - R 33.80 -

8101 ORAL EXAMINATION R 188.30 R 188.30 R 188.30 R 188.30 - R 188.30 R 98.00 R 188.30 R 188.30

8102 COMPREHENSIVE ORAL EXAMINATION R 304.20 R 304.20 R 304.20 R 304.20 - R 304.20 R 158.20 R 304.20 -

8104 LIMITED ORAL EXAMINATION R 91.30 R 91.30 R 91.30 R 91.30 - R 91.30 R 76.30 R 91.30 R 91.30

8106 SPECIAL REPORT R 193.30 R 193.30 R 193.30 R 193.30 - R 193.30 - - -

8107 INTRAORAL RADIOGRAPH - PERIAPICAL R 76.30 R 76.30 R 76.30 R 76.30 - R 76.30 R 73.50 R 76.30 R 76.30

8108 INTRAORAL RADIOGRAPHS - COMPLETE SERIES R 590.10 R 590.10 R 590.10 R 590.10 - R 590.10 R 589.70 R 590.10 R 590.10

8109 INFECTION CONTROL/BARRIER TECHNIQUES R 16.90 R 16.90 R 16.90 R 16.90 - R 16.90 R 17.00 R 16.90 R 16.90

8110 STERILIZED INSTRUMENTATION R 43.80 R 43.80 R 43.80 R 43.80 - R 43.80 R 43.70 R 43.80 R 43.80

8112 INTRAORAL RADIOGRAPH - BITEWING R 76.30 R 76.30 R 76.30 R 76.30 - R 76.30 R 73.50 R 76.30 R 76.30

8113 INTRAORAL RADIOGRAPH - OCCLUSAL R 131.30 R 131.30 R 131.30 R 131.30 - R 131.30 R 126.30 R 131.30 R 131.30

8114 EXTRAORAL RADIOGRAPH - HAND-WRIST R 304.80 R 304.80 R 304.80 R 304.80 - R 304.80 - R 304.80 R 304.80

8115 EXTRAORAL RADIOGRAPH - PANORAMIC R 304.80 R 304.80 R 304.80 R 304.80 - R 304.80 R 293.90 R 304.80 R 304.80

8116 EXTRAORAL RADIOGRAPH - CEPHALOMETRIC R 304.80 R 304.80 R 304.80 R 304.80 - R 304.80 R 293.90 R 304.80 R 304.80

8117 DIAGNOSTIC MODELS R 81.90 R 81.90 R 81.90 R 81.90 - R 81.90 - R 81.90 R 81.90

8118 EXTRAORAL RADIOGRAPH - SKULL/FACIAL BONE R 304.80 R 304.80 R 304.80 R 304.80 - R 304.80 - R 304.80 -

8119 DIAGNOSTIC MODELS MOUNTED R 206.00 R 206.00 R 206.00 R 206.00 - R 206.00 - R 206.00 -

8121 (DIGITAL/CONVENTIONAL) R 81.90 R 81.90 R 81.90 R 81.90 - R 81.90 R 78.80 R 81.90 R 81.90

8123 CARIES SUSCEPTIBILITY TESTS (BY ARRANGEMENT) R 85.10 - - - - - - - -

8124 PULP TESTS R 22.50 - - - - - - - -

8129 SCHEDULED HOURS R 283.70 R 283.70 - R 283.70 - R 283.70 R 235.20 R 283.70 -

8131 EMERGENCY DENTAL TREATMENT R 115.60 R 115.60 R 115.60 R 115.60 - R 235.70 R 98.00 R 115.60 R 115.60

8132 PULP REMOVAL (PULPECTOMY) R 189.10 R 189.10 - - - - - R 189.10 -

8133 RECEMENT INLAY, ONLAY, CROWN OR VENEER R 115.60 R 115.60 - - - R 146.80 - R 115.60 -

8135 REMOVE INLAY, ONLAY OR CROWN R 230.10 R 230.10 - - - R 230.10 - R 230.10 -

8136

ACCESS THROUGH A PROSTHETIC CROWN OR INLAY TO

FACILITATE ROOT CANAL TREATMENT R 103.00 R 103.00 - R 103.00 - R 103.00 - R 103.00 -

Denis shall be entitled to update the tariff schedule from time to time.

The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

If the clinical code requires managed care intervention, all associated lab codes should will be included in the authorisation process.

Denis Rates

Pre-authorisation is required for the dental code to attract benefit

No tariff amount is available

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8137 EMERGENCY CROWN (CHAIR-SIDE) R 396.50 R 396.50 - - - R 396.50 - R 396.50 -

8138 REMOVE RETENTION POST (PREFABRICATED OR CAST) R 151.00 R 151.00 - - - R 151.00 - R 151.00 -

8140 HOUSE/EXTENDED CARE FACILITY/HOSPITAL CALL * R 187.70 * R 187.70 - * R 187.70 - * R 187.70 - * R 187.70 -

8141 THEREOF R 84.70 R 84.70 - R 84.70 - R 84.70 - R 84.70 -

8143 INHALATION SEDATION - EACH ADDNL 15 MINUTES R 43.80 R 43.80 - R 43.80 - R 43.80 - R 43.80 -

8144 INTRAVENOUS SEDATION * R 50.80 * R 50.80 - * R 50.80 - * R 50.80 - * R 50.80 -

8145 LOCAL ANAESTHETIC - PER VISIT R 73.50 R 73.50 R 73.50 R 73.50 - R 73.50 R 16.70 R 73.50 R 73.50

8146 RESIN BONDING FOR RESTORATIONS - - - - - - - - -

8147

MONITORING EQUIPMENT FOR INTRAVENOUS

SEDATION R 180.70 R 180.70 - R 180.70 - R 180.70 - R 180.70 -

8151 ORAL HYGIENE INSTRUCTION R 115.60 - - R 231.50 - R 231.50 R 76.90 - R 115.60

8153 ORAL HYGIENE INSTRUCTION - EACH ADDITIONAL VISIT R 84.70 - - R 111.40 - R 111.40 R 56.30 - -

8155 POLISHING - COMPLETE DENTITION R 115.60 R 115.60 - R 159.40 - R 115.60 R 94.10 R 115.60 R 115.60

8157

RE-BURNISHING AND POLISHING OF RESTORATIONS -

COMPLETE DENTITION R 115.60 - - - - - - - -

8158 ENAMEL MICROABRASION R 105.80 - - - - - - - -

8159 PROPHYLAXIS - COMPLETE DENTITION R 227.30 R 227.30 - R 320.40 - R 227.30 R 171.40 R 227.30 R 227.30

8160 REMOVAL OF GROSS CALCULUS - - - - - - - - -

8161 TOPICAL APPLICATION OF FLUORIDE - CHILD R 115.60 R 115.60 - R 115.60 - R 115.60 R 94.10 R 115.60 R 115.60

8162 TOPICAL APPLICATION OF FLUORIDE - ADULT R 115.60 - - R 115.60 - R 115.60 R 94.10 - R 115.60

8163 DENTAL SEALANT R 76.30 R 76.30 - R 76.30 - R 76.30 R 69.70 R 76.30 R 76.30

8165 SEDATIVE FILLING R 115.60 R 115.60 - R 115.60 - R 115.60 R 98.00 R 115.60 R 115.60

8166 APPLICATION OF DESENSITISING RESIN, PER TOOTH R 76.30 R 76.30 - R 76.30 - R 76.30 R 64.70 R 76.30 R 76.30

8167

APPLICATION OF DESENSITISING MEDICAMENT, PER

VISIT R 88.90 R 88.90 - R 88.90 - R 88.90 R 75.40 R 88.90 R 88.90

8169 OCCLUSAL GUARD R 444.50 R 444.50 R 444.50 R 444.50 - R 444.50 - R 444.50 -

8171 MOUTH PROTECTOR R 134.50 R 134.50 R 134.50 R 134.50 - R 134.50 - R 134.50 R 134.50

8172 COST OF ORTHOTIC APPLIANCE * * * * - * - -

8173 SPACE MAINTAINER - FIXED, PER ABUTMENT R 214.60 R 214.60 R 214.60 R 214.60 - R 214.60 - R 214.60 -

8175 SPACE MAINTAINER - REMOVABLE R 276.70 R 276.70 R 276.70 R 276.70 - R 276.70 - R 276.70 -

8176 PERIODONTAL SCREENING R 158.60 R 149.60 - R 158.60 - R 158.60 - R 158.60 R 118.90

8177

ORAL HYGIENE INSTRUCTION (PERIODONTALLY

COMPROMISED PATIENT) R 175.10 - - - - - - - -

8178

ORAL HYGIENE INSTRUCTION - EACH ADDITIONAL VISIT

(PERIODONTALLY COMPROMISED PATIENT) R 94.60 - - - - - - - -

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8179

POLISHING - COMPLETE DENTITION (PERIODONTALLY

COMPROMISED PATIENT) R 132.70 R 132.70 - R 132.70 - R 132.70 - R 132.70 R 132.70

8180

PROPHYLAXIS - COMPLETE DENTITION

(PERIODONTALLY COMPROMISED PATIENT) * R 246.90 * R 246.90 - * R 246.90 - - - - * R 246.90

8183 THERAPEUTIC DRUG INJECTION R 50.80 - - - - - - - -

8189 RE-EXAMINATION - EXISTING CONDITION R 91.30 - - - - - R 76.30 - -

8190 CONSULTATION - SECOND OPINION OR ADVICE R 188.30 R 188.30 R 188.30 R 188.30 - R 188.30 - R 188.30 -

8192 SUTURE - MINOR R 570.20 R 570.20 - R 570.20 - R 570.20 - R 570.20 -

8201

EXTRACTION - TOOTH OR EXPOSED TOOTH ROOTS

(FIRST PER QUADRANT) R 115.60 R 173.50 R 115.60 R 115.60 - R 115.60 R 109.70 R 115.60 -

8202

EXTRACTION - EACH ADDITIONAL TOOTH OR EXPOSED

TOOTH ROOTS R 46.60 R 69.90 R 46.60 R 46.60 - R 46.60 R 42.40 R 46.60 -

8213

SURGICAL REMOVAL OF RESIDUAL ROOTS, FIRST TOOTH

PER QUADRANT R 499.70 R 499.70 - R 499.70 - R 499.70 - R 499.70 -

8214

SURGICAL REMOVAL OF RESIDUAL ROOTS, SECOND

AND SUBSEQUENT TEETH''S ROOTS R 385.30 R 385.30 - R 385.30 - R 385.30 - R 385.30 -

8220 COST OF SUTURE MATERIAL R 181.30 R 181.30 - R 181.30 - R 181.30 R 181.30 R 181.30 -

8231 COMPLETE DENTURES - MAXILLARY AND MANDIBULAR R 1 865.90 - - R 1 865.90 - R 3 895.50 - R 1 865.90 -

8232 COMPLETE DENTURE - MAXILLARY OR MANDIBULAR R 1 150.30 - - R 1 150.30 - R 2 725.40 - R 1 150.30 -

8233 PARTIAL DENTURE - RESIN BASE - ONE TOOTH R 534.90 - - R 534.90 - R 534.90 - R 534.90 -

8234 PARTIAL DENTURE - RESIN BASE - TWO TEETH R 534.90 - - R 534.90 - R 534.90 - R 534.90 -

8235 PARTIAL DENTURE - RESIN BASE - THREE TEETH R 800.30 - - R 800.30 - R 800.30 - R 800.30 -

8236 PARTIAL DENTURE - RESIN BASE - FOUR TEETH R 800.30 - - R 800.30 - R 800.30 - R 800.30 -

8237 PARTIAL DENTURE - RESIN BASE - FIVE TEETH R 800.30 - - R 800.30 - R 800.30 - R 800.30 -

8238 PARTIAL DENTURE - RESIN BASE - SIX TEETH R 1 061.50 - - R 1 061.50 - R 1 061.50 - R 1 061.50 -

8239 PARTIAL DENTURE - RESIN BASE - SEVEN TEETH R 1 061.50 - - R 1 061.50 - R 1 061.50 - R 1 061.50 -

8240 PARTIAL DENTURE - RESIN BASE - EIGHT TEETH R 1 061.50 - - R 1 061.50 - R 1 061.50 - R 1 061.50 -

8241 PARTIAL DENTURE - RESIN BASE - NINE OR MORE TEETH R 1 061.50 - - R 1 061.50 - R 1 061.50 - R 1 061.50 -

8244 IMMEDIATE DENTURE - MAXILLARY R 1 150.30 - - R 1 150.30 - R 1 725.40 - R 1 150.30 -

8245 IMMEDIATE DENTURE - MANDIBULAR R 1 150.30 - - R 1 150.30 - R 1 725.40 - R 1 150.30 -

8251 CLASP OR REST - CAST GOLD R 105.80 - - - - - - - -

8253 CLASP OR REST - WROUGHT GOLD R 105.80 - - - - - - - -

8255 CLASP OR REST - STAINLESS STEEL R 111.40 - - - - - - - -

8257 BAR - LINGUAL OR PALATAL R 131.30 - - - - - - - -

8259

REBASE COMPLETE OR PARTIAL DENTURE

(LABORATORY) R 436.10 - - R 436.10 - R 629.40 - R 436.10 -

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8261 REMODEL COMPLETE OR PARTIAL DENTURE R 700.10 - - R 700.10 - R 700.10 - R 700.10 -

8263 RELINE COMPLETE OR PARTIAL DENTURE (CHAIR-SIDE) R 276.70 - - R 276.70 - R 345.70 - R 276.70 -

8265

TISSUES CONDITIONING PER ARCH (INCLUDING SOFT

SELF-CURE RELINE) R 180.70 R 180.70 - R 180.70 - R 231.50 - R 180.70 R 180.70

8267

RELINE COMPLETE OR PARTIAL DENTURE

(LABORATORY) R 636.60 - - R 636.60 - R 636.60 - R 636.60 -

8269 REPAIR DENTURE OR OTHER INTRA-ORAL APPLIANCE R 146.80 - - - - R 158.00 - - -

8270 ADD CLASP TO EXISTING PARTIAL DENTURE R 105.80 - - - - - - - -

8271 ADD TOOTH TO EXISTING PARTIAL DENTURE R 105.80 - - - - - - - -

8273

IMPRESSION TO REPAIR OR MODIFY A DENTURE OR

OTHER INTRA-ORAL APPLIANCE R 84.70 - - R 84.70 - R 84.70 - R 84.70 -

8275 ADJUST COMPLETE OR PARTIAL DENTURE R 84.70 - - R 84.70 - R 84.70 - R 84.70 -

8277 INLAY IN DENTURE R 351.40 - - - - R 693.00 - - -

8281 PARTIAL DENTURE - CAST METAL FRAMEWORK ONLY R 1 247.80 - - R 1 247.80 - R 1 247.80 - R 1 247.80 -

8301 PULP CAP - DIRECT R 153.80 - - - - - - - -

8303 PULP CAP - INDIRECT R 153.80 - - - - - R 139.10 - -

8304 RUBBER DAM PER ARCH R 90.30 R 90.30 - R 90.30 - R 90.30 - R 90.30 -

8306 COST OF MTA - - - - - - - - -

8307 PULP AMPUTATION (PULPOTOMY) R 151.00 R 151.00 - R 151.00 - R 151.00 - R 151.00 -

8310 SUPPLY OF BLEACHING MATERIALS - - - - - - - - -

8325 INTERNAL BLEACHING - PER TOOTH R 273.90 - - - - R 410.80 - - -

8327 INTERNAL BLEACHING - EACH ADDITIONAL VISIT R 131.30 - - - - R 197.00 - - -

8328

ROOT CANAL OBTURATION - ANTERIORS AND

PREMOLARS - EACH ADDITIONAL CANAL R 214.60 R 214.60 - - - - - R 214.60 -

8329

ROOT CANAL THERAPY - ANTERIORS AND PREMOLARS -

EACH ADDITIONAL CANAL R 268.20 R 268.20 - - - - - R 268.20 -

8330 REMOVAL OF ROOT CANAL OBSTRUCTION R 151.00 R 151.00 - R 151.00 - R 151.00 - R 151.00 -

8332

ROOT CANAL PREPARATORY VISIT - SINGLE CANAL

TOOTH R 115.60 R 115.60 - - - - - R 115.60 -

8333

ROOT CANAL PREPARATORY VISIT - MULTI CANAL

TOOTH R 162.20 R 162.20 - - - R 162.20 - R 162.20 -

8334

RE-TREATMENT OF PREVIOUSLY COMPLETED ROOT

CANAL THERAPY, PER CANAL R 170.80 R 170.80 - R 170.80 - R 206.00 - R 170.80 -

8335

ROOT CANAL OBTURATION - ANTERIORS AND

PREMOLARS - FIRST CANAL R 525.00 R 525.00 - - - - - R 525.00 -

8336 ROOT CANAL OBTURATION - POSTERIORS - FIRST CANAL R 722.60 R 722.60 - - - - - R 722.60 -

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8337

ROOT CANAL OBTURATION - POSTERIORS - EACH

ADDITIONAL CANAL R 214.60 R 214.60 - - - - - R 214.60 -

8338

ROOT CANAL THERAPY - ANTERIORS AND PREMOLARS -

FIRST CANAL R 803.10 R 803.10 - - - - - R 803.10 -

8339 ROOT CANAL THERAPY - POSTERIORS - FIRST CANAL R 1 103.60 R 1 103.60 - - - - - R 1 103.60 -

8340

ROOT CANAL THERAPY - POSTERIORS - EACH

ADDITIONAL CANAL R 268.20 R 268.20 - - - - - R 268.20 -

8341 AMALGAM - ONE SURFACE R 230.10 R 230.10 - R 230.10 - R 230.10 R 200.80 R 230.10 -

8342 AMALGAM - TWO SURFACES R 283.70 R 283.70 - R 283.70 - R 283.70 R 247.50 R 283.70 -

8343 AMALGAM - THREE SURFACES R 345.70 R 345.70 - R 345.70 - R 345.70 R 301.70 R 345.70 -

8344 AMALGAM - FOUR OR MORE SURFACES R 385.30 R 385.30 - R 385.30 - R 385.30 R 336.10 R 385.30 -

8345

PREFABRICATED POST RETENTION, PER POST (IN

ADDITION TO RESTORATION) R 227.30 R 227.30 - R 227.30 - R 227.30 - R 227.30 -

8347

PIN RETENTION - FIRST PIN (IN ADDITION TO

RESTORATION) R 114.20 R 114.20 - R 114.20 - R 114.20 - R 114.20 -

8348

PIN RETENTION - EACH ADDITIONAL PIN (IN ADDITION

TO RESTORATION) R 105.80 R 105.80 - R 105.80 - R 105.80 - R 105.80 -

8349

CARVE RESTORATION TO ACCOMMODATE EXISTING

REMOVABLE PROSTHESIS R 46.60 - - - - - - - -

8350 RESIN CROWN - ANTERIOR PRIMARY TOOTH (DIRECT) R 501.90 R 501.90 - R 501.90 - R 501.90 R 437.80 R 501.90 -

8351 RESIN - ONE SURFACE, ANTERIOR R 252.60 R 252.60 - R 252.60 - R 252.60 R 242.90 R 252.60 R 252.60

8352 RESIN - TWO SURFACES, ANTERIOR R 317.60 R 317.60 - R 317.60 - R 317.60 R 305.40 R 317.60 -

8353 RESIN - THREE SURFACES, ANTERIOR R 379.70 R 379.70 - R 379.70 - R 379.70 R 364.90 R 379.70 -

8354 RESIN - FOUR OR MORE SURFACES, ANTERIOR R 423.40 R 423.40 - R 423.40 - R 423.40 R 407.30 R 423.40 -

8355 VENEER - RESIN (CHAIR-SIDE) R 400.90 R 400.90 - R 400.90 - R 400.90 - R 400.90 -

8357 PREFABRICATED METAL CROWN R 235.70 R 235.70 - R 235.70 - R 235.70 - R 235.70 -

8361 INLAY - METAL - ONE SURFACE R 351.30 - - - - R 693.10 - - -

8362 INLAY/ONLAY - METAL - TWO SURFACES R 513.80 - - - - R 1 004.80 - - -

8363 INLAY/ONLAY - METAL - THREE SURFACES R 856.70 - - - - R 1 558.20 - - -

8364 INLAY/ONLAY - METAL - FOUR OR MORE SURFACES R 1 036.00 - - - - R 1 558.20 - - -

8366

PIN RETENTION AS PART OF CAST RESTORATION (ANY

NUMBER OF PINS) R 170.80 - - - - R 231.50 - - -

8367 RESIN - ONE SURFACE, POSTERIOR R 273.90 R 273.90 - R 273.90 - R 273.90 R 263.40 R 273.90 R 273.90

8368 RESIN - TWO SURFACES, POSTERIOR R 338.70 R 338.70 - R 338.70 - R 338.70 R 325.80 R 338.70 -

8369 RESIN - THREE SURFACES, POSTERIOR R 409.40 R 409.40 - R 409.40 - R 409.40 R 393.50 R 409.40 -

8370 RESIN - FOUR OR MORE SURFACES, POSTERIOR R 440.30 R 440.30 - R 440.30 - R 440.30 R 423.30 R 440.30 -

8371 INLAY - PORCELAIN - ONE SURFACE R 423.40 - - - - R 837.00 - - -

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8372 INLAY/ONLAY - PORCELAIN - TWO SURFACES R 625.20 - - - - R 1 205.40 - - -

8373 INLAY/ONLAY - PORCELAIN - THREE SURFACES R 1 030.30 - - - - R 1 873.00 - - -

8374 INLAY/ONLAY - PORCELAIN - FOUR OR MORE SURFACES R 1 247.80 - - - - R 1 873.00 - - -

8375 PREFABRICATED RESIN CROWN R 235.70 R 235.70 - R 235.70 - R 235.70 - R 235.70 -

8376 CORE BUILD-UP WITH PREFABRICATED POSTS R 629.40 - - - - R 629.40 - R 629.40 -

8379 COST OF PREFABRICATED POSTS R 87.70 - - - - R 87.70 - R 87.70 -

8381 INLAY - RESIN - ONE SURFACE R 423.40 - - - - R 837.00 - - -

8382 INLAY/ONLAY - RESIN - TWO SURFACES R 625.20 - - - - R 1 205.40 - - -

8383 INLAY/ONLAY - RESIN - THREE SURFACES R 1 030.30 - - - - R 1 873.00 - - -

8384 INLAY/ONLAY - RESIN - FOUR OR MORE SURFACES R 1 247.80 - - - - R 1 873.00 - - -

8391 CAST CORE WITH SINGLE POST * R 265.40 - - - - * R 265.40 - * R 265.40 -

8392 CAST POST (EACH ADDITIONAL) R 158.00 - - - - R 158.00 - R 158.00 -

8397 CAST CORE WITH PINS (ANY NUMBER OF PINS) * R 423.40 - - - - * R 550.50 - * R 423.40 -

8398 CORE BUILD-UP WITH PINS R 513.80 - - - - R 513.80 - R 513.80 -

8401 CROWN - FULL CAST METAL * R 1321.10 - - - - * R 1944.80 - * R 1321.10 -

8403 CROWN - 3/4 CAST METAL * R 1321.10 - - - - * R 1944.80 - * R 1321.10 -

8404 CROWN - 3/4 PORCELAIN/CERAMIC * R 1247.60 - - - - * R 1873.00 - * R 1321.10 -

8405 CROWN - RESIN LABORATORY * R 1247.60 - - - - * R 1873.00 - * R 1321.10 -

8407 CROWN - RESIN WITH METAL * R 1321.10 - - - - * R 1944.80 - * R 1321.10 -

8409 CROWN - PORCELAIN/CERAMIC * R 1321.10 - - - - * R 1944.80 - * R 1321.10 -

8410 PROVISIONAL CROWN R 256.80 - - R 256.80 - R 385.30 - - -

8411 CROWN - PORCELAIN VENEERED TO METAL * R 1321.10 - - - - * R 1944.80 - * R 1321.10 -

8413 REPAIR CROWN (PERMANENT OR PROVISIONAL) R 256.80 R 256.80 - - - R 256.80 - R 256.80 -

8414

ADDITIONAL FEE FOR PROVISION OF CROWN WITHIN

AN EXISTING CLASP OR REST R 76.30 - - - - R 76.30 - R 76.30 -

8415 PONTIC - CERAMIC * R 1078.30 - - - - * R 1078.20 - * R 1078.20 -

8416 PONTIC - CAST METAL * R 856.70 - - - - * R 856.70 - * R 856.70 -

8417 PONTIC - RESIN WITH METAL * R 1078.30 - - - - * R 1078.20 - * R 1078.30 -

8418 PONTIC - PORCELAIN VENEERED TO METAL * R 1078.30 - - - - * R 1078.20 - * R 1078.30 -

8419 PROVISIONAL PONTIC R 256.80 - - - - R 385.30 - - -

8432 INLAY/ONLAY RETAINER - METAL - TWO SURFACES * R 513.80 - - - - * R 1004.80 - * R 513.80 -

8433 INLAY/ONLAY RETAINER - METAL - THREE SURFACES * R 856.70 - - - - * R 1558.20 - * R 856.70 -

8434

INLAY/ONLAY RETAINER - METAL - FOUR OR MORE

SURFACES * R 1036.00 - - - - * R 1558.20 - * R 1036.00 -

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8436 INLAY/ONLAY RETAINER - PORCELAIN - TWO SURFACES * R 625.20 - - - - * R 1205.40 - * 625.20 -

8437

INLAY/ONLAY RETAINER - PORCELAIN - THREE

SURFACES * R 1030.30 - - - - * R 1873.00 - * R 1030.30 -

8438

INLAY/ONLAY RETAINER - PORCELAIN - FOUR OR MORE

SURFACES * R 1247.80 - - - - * R 1873.00 - * R 1247.80 -

8441 CROWN RETAINER - FULL CAST METAL * R 1321.10 - - - - * R 1944.80 - * R 1321.10 -

8442 CROWN RETAINER - 3/4 CAST METAL * R 1321.10 - - - - * R 1944.80 - * R 1321.10 -

8443 CROWN RETAINER - CERAMIC * R 1321.10 - - - - * R 1944.80 - * R 1321.10 -

8444 CROWN RETAINER - 3/4 CERAMIC * R 1321.10 - - - - * R 1944.80 - * R 1321.10 -

8445 CROWN RETAINER - PORCELAIN VENEERED TO METAL * R 1321.10 - - - - * R 1944.80 - * R 1321.10 -

8446 CROWN RETAINER - RESIN WITH METAL * R 1321.10 - - - - * R 1944.80 - * R 1321.10 -

8447 PROVISIONAL CROWN RETAINER R 256.80 - - - - R 385.30 - - -

8499 GENERAL ANAESTHETIC - - - - - - - R 12 994.00 -

8501 CONSULTATION - PROSTHODONTIS - - - - - R 240.00 - - -

8503 OCCLUSION ANALYSIS MOUNTED R 256.80 - - - - R 385.30 - - -

8505 PANTOGRAPHIC RECORDING R 372.60 - - - - R 558.90 - - -

8506 DETAILED CONSULTATION - PROSTHODONTIST - - - - - R 628.00 - - -

8507 COMPREHENSIVE CONSULTATION - PROSTHODONTIST - - - - - R 385.30 - - -

8508 ELECTROGNATHOGRAPHIC RECORDING R 398.90 - - - - R 598.50 - - -

8509

ELECTROGNATHOGRAPHIC RECORDING WITH

COMPUTER ANALYSIS R 662.30 - - - - R 993.60 - - -

8514 RECEMENT BRIDGE R 115.60 R 115.60 - - - R 146.80 - R 115.60 -

8516 REMOVE BRIDGE R 230.10 R 230.10 - - - R 230.10 - R 230.10 -

8517

REIMPLANTATION OF AVULSED TOOTH (INCLUDE

STABILISATION) R 267.20 R 267.20 - R 267.20 - R 400.90 - R 267.20 -

8518 REPAIR BRIDGE R 256.80 R 256.80 - - - R 256.80 - R 256.80 -

8533

IMPLANT SUPPORTED REMOVABLE COMPLETE

OVERDENTURE R 2 073.70 - - - - R 3 110.70 - R 2 073.70 -

8534

IMPLANT SUPPORTED REMOVABLE PARTIAL

OVERDENTURE R 1 658.90 - - - - R 2 488.50 - R 1 658.90 -

8536

CROWN-IMPLANT/ABUTMENT SUPPORTED CROWN -

PORCELAIN/CERAMIC * R 1714.80 - - - - * R 2268.10 - * R 1714.80 -

8537


PORCELAIN WITH METAL * R 1714.80 - - - - * R 2268.10 - * R 1714.80 -

Trf


8538


CAST METAL * R 1714.80 - - - - * R 2268.10 - * R 1714.80 -

8546 IMPLANT SUPPORTED CROWN RETAINER - CERAMIC * R 1714.80 - - - - * R 2268.10 - * R 1714.80 -

8547

IMPLANT SUPPORTED CROWN RETAINER - PORCELAIN

VENEERED TO METAL * R 1714.80 - - - - * R 2268.10 - * R 1714.80 -

8548

CROWN RETAINER - IMPLANT/ABUTMENT SUPPORTED -

CAST METAL * R 1714.80 - - - - * R 2268.10 - * R 1714.80 -

8551 OCCLUSAL ADJUSTMENT - MAJOR R 732.00 - R 1 098.00 - - R 1 098.00 - - -

8552 VENEER - PORCELAIN (LABORATORY) R 887.20 - - - - R 1 330.90 - - -

8553 OCCLUSAL ADJUSTMENT - MINOR R 255.30 R 349.90 R 349.90 R 349.90 - R 349.90 - R 240.90 -

8554 VENEER - RESIN (LABORATORY) R 887.20 - - - - R 1 330.90 - - -

8560 COST OF CERAMIC BLOCK * R 518.90 - - - - * R 518.90 - - -

8561 GOLD FOIL CLASS I OR IV R 670.00 - - - - R 1 004.80 - - -

8563 GOLD FOIL CLASS V R 783.80 - - - - R 1 175.70 - - -

8565 GOLD FOIL CLASS III R 986.00 - - - - R 1 479.10 - - -

8570

FABRICATION OF COMPUTER GENERATED CERAMIC

RESTORATION * R 1258.90 - - - - * R 1258.90 - - -

8578 PREFABRICATED ABUTMENT R 214.60 - - - - R 321.80 - R 214.60 -

8579 CUSTOM ABUTMENT R 978.50 - - - - R 1 467.80 - R 978.50 -

8580 CUSTOMISED PREFABRICATED ABUTMENT - - - - - - - R 12 994.00 -

8581 CAST CORE WITH SINGLE POST - - - - - * - - -

8582 CAST CORE WITH DOUBLE POST - - - - - * - - -

8583 CAST CORE WITH TRIPLE POST - - - - - * - - -

8584 CONNECTOR BAR - IMPLANT SUPPORTED R 2 073.70 - - - - R 3 110.70 - - -

8585 CONNECTOR BAR R 2 073.70 - - - - R 3 110.70 - - -

8586 STRESS BREAKER R 773.60 - - - - R 1 160.20 - - -

8587 COPING METAL R 172.30 - - - - R 321.80 - R 172.30 -

8590 IMPLANT MAINTENANCE PROCEDURES - PER IMPLANT R 95.00 - - - - R 142.60 - - R 95.00

8592 CROWN - IMPLANT/ABUTMENT SUPPORTED * R 1714.60 - - - - * R 2268.10 - * -

8594 REPAIR OF IMPLANT SUPPORTED PROSTHESIS R 105.40 - - - - R 158.00 - R 105.40 -

8595 REPAIR OF IMPLANT ABUTMENT R 105.40 - - - - R 158.00 - R 105.40 -

8597 LOCKS AND MILLED RESTS R 105.40 - - - - R 158.00 - - -

8599 PRECISION ATTACHMENT (REMOVABLE DENTURE) R 256.80 - - - - R 385.30 - - -

8611 PONTIC - SANITARY - - - - - R 1 175.70 - - -

8613 PONTIC - POSTERIOR - - - - - * - - -

8615 PONTIC - ANTERIOR/PREMOLAR - - - - - * - - -

Trf


8617 RETAINER CAST METAL (MARYLAND TYPE RETAINER) * R 513.80 - - - - * R 1004.80 - * R 513.80 -

8631

ROOT CANAL THERAPY - FIRST CANAL SPECIALIST

PROSTHODONTIST - - - - - R 1 363.40 - - -

8633

ROOT CANAL THERAPY - EACH ADDITIONAL CANAL

SPECIALIST PROSTHODONTIST - - - - - R 342.90 - - -

8635

APEXIFICATION/APEXOGENESIS/RECALCIFICATION – PER

VISIT R 153.80 R 153.80 - R 153.80 - R 227.30 - R 153.80 -

8640 REMOVAL OF FRACTURED ROOT CANAL INSTRUMENT R 401.00 R 12 994.00 - R 12 994.00 - R 400.90 - R 12 994.00 -

8643

COMPLETE DENTURES - MAXILLARY AND MANDIBULAR.

ONLY FOR PROSTHODONTISTS - - - - - R 5 055.50 - - -

8645

COMPLETE DENTURES - MAXILLARY OR MANDIBULAR.

ONLY FOR PROSTHODONTISTS - - - - - R 6 218.60 - - -

8649

IMMEDIATE DENTURE - MAXILLARY. ONLY FOR


8651

IMMEDIATE DENTURE - MANDIBULAR. ONLY FOR


8652 OVERDENTURE - COMPLETE R 2 073.70 - - - - R 3 110.70 - R 2 073.70 -

8653 OVERDENTURE - PARTIAL R 1 658.90 - - - - R 2 488.50 - R 1 658.90 -

8654

IMPLANT SUPPORTED FIXED-DETACHABLE COMPLETE

OVERDENTURE R 2 332.50 - - - - R 3 498.80 - R 2 332.50 -

8655

IMPLANT SUPPORTED FIXED-DETACHABLE PARTIAL

OVERDENTURE R 1 865.90 - - - - R 2 397.60 - R 1 865.90 -

8657 REPLACEMENT OF PRECISION ATTACHMENT R 146.80 - - - - R 158.00 - - -

8658 INTERIM COMPLETE DENTURE R 1 150.20 - - - - R 1 725.40 - R 1 150.20 -

8659 INTERIM PARTIAL DENTURE R 920.10 - - - - R 1 380.30 - R 920.10 -

8660

ADDITIONAL FEE TO IMPLANT SUPPORTED FIXED-

DETACHABLE DENTURE - PER IMPLANT R 321.80 - - - - R 321.80 - R 321.80 -

8661

DIAGNOSTIC DENTURES (INCLUDING TISSUE

CONDITIONING) - - - - - R 3 110.70 - - -

8662

ADJUST COMPLETE OR PARTIAL DENTURES

(REMOUNTING) R 299.30 - - - - R 448.90 - - -

8663 METAL BASE TO COMPLETE DENTURE R 624.80 - - - - R 937.20 - - -

8664 REMOUNT CROWN OR BRIDGE FOR ADJUSTMENT R 299.30 - - - - R 469.00 - - -

8667 SOFT BASE TO DENTURE (HEAT CURED) R 624.80 - - - - R 937.20 - - -

8671

PARTIAL DENTURE - CAST METAL FRAMEWORK WITH

RESIN DENTURE BASE - - - - - R 3 110.70 - - -

8672

ALTERED CAST TECHNIQUE (IN ADDITION TO PARTIAL

DENTURE) R 80.10 - - R 80.10 - R 120.10 - R 80.10 -

Trf


8674 ADDITIVE PARTIAL DENTURE R 941.00 - - - - R 1 411.40 - - -

8701 CONSULTATION - PERIODONTIST - - - R 240.00 - - - - -

8703 CONSULTATION - PERIODONTIST (DETAILED) - - - R 628.00 - - - - -

8705 RE-EXAMINATION - PERIODONTIST - - - R 187.70 - - - - -

8707 PERIODONTAL SCREENING - PERIODONTIST - - - R 187.70 - - - - -

8723

PROVISIONAL SPLINTING - EXTRACORONAL (WIRE) - PER

SEXTANT R 214.60 R 214.60 - R 321.80 - R 321.80 - R 214.60 R 214.60

8725

PROVISIONAL SPLINTING - EXTRACORONAL (WIRE PLUS

RESIN) - PER SEXTANT R 311.40 R 311.40 - R 467.20 - R 467.20 - R 311.40 R 311.40

8727 PROVISIONAL SPLINTING - INTRACORONAL - PER TOOTH R 97.80 R 97.80 - R 146.80 - R 146.80 - R 97.80 -

8731 INCISION & DRAINAGE OF ABSCESS - INTRA-ORAL R 184.50 R 184.50 - R 276.70 - * - R 184.50 -

8737

ROOT PLANING - FOUR OR MORE TEETH PER

QUADRANT * R 463.00 - - * R 628.00 - * R 463.00 - * R 463.00 * R 463.00

8739 ROOT PLANING - ONE TO THREE TEETH PER QUADRANT * R 368.40 - - * R 501.10 - * R 368.30 - * R 368.40 * R 368.40

8741

GINGIVECTOMY/GINGIVOPLASTY - FOUR OR MORE

TEETH PER QUADRANT R 604.10 - - R 828.60 - - - - -

8743

GINGIVECTOMY OR GINGIVOPLASTY - ONE TO THREE

TEETH PER QUADRANT R 482.60 - - R 657.70 - - - - -

8749

FLAP PROCEDURE, ROOT PLANING AND ONE TO THREE

SURGICAL SERVICES - PER QUADRANT R 1 254.20 - - R 1 881.40 - - - - -

8751

FLAP PROCEDURE, ROOT PLANING AND ONE TO THREE

SURGICAL SERVICES - PER SEXTANT R 1 038.80 - - R 1 558.20 - - - - -

8753

FLAP PROCEDURE, ROOT PLANING AND FOUR OR MORE

SURGICAL SERVICES - PER QUADRANT R 1 554.50 - - R 2 331.70 - - - - -

8755

FLAP PROCEDURE, ROOT PLANING AND FOUR OR MORE

SURGICAL SERVICES - PER SEXTANT R 1 259.80 - - R 1 889.80 - - - - -

8756

CLINICAL CROWN LENGTHENING (ISOLATED

PROCEDURE) R 763.90 - - R 1 146.00 - * - R 763.90 -

8759 PEDICLE FLAPPED GRAFT (ISOLATED PROCEDURE) R 574.00 - - R 860.90 - - - - -

8761

MASTICATORY MUCOSAL AUTOGRAFT - ONE TO FOUR

TEETH (ISOLATED PROCEDURE) R 623.80 R 935.80 - R 935.80 - - - - -

8762

MASTICATORY MUCOSAL AUTOGRAFT - FOUR OR MORE

TEETH (ISOLATED PROCEDURE) R 937.20 R 1 405.80 - R 1 405.80 - - - - -

8763 WEDGE RESECTION (ISOLATED PROCEDURE) R 367.00 R 367.00 - R 550.50 - * - R 367.00 -

8765

HEMISECTION OF A TOOTH, RESECTION OF A ROOT OR

TUNNEL PREPARATION (ISOLATED PROCEDURE) R 504.30 - - R 756.50 - R 756.50 - - -

Trf


8766

BONE REGENERATION/REPAIR PROCEDURE - AS PART

OF A FLAP OPERATION R 300.10 - - R 450.30 - - - - -

8767

BONE REGENERATION/REPAIR PROCEDURE - AT A

SINGLE SITE R 778.20 R 1 167.30 - R 1 167.30 - - - - -

8768 UNLISTED PERIODONTAL PROCEDURE R 367.00 - - R 550.50 - - - - -

8769

MEMBRANE REMOVAL (USED FOR GUIDED TISSUE

REGENERATION) R 367.00 R 550.50 - R 550.50 - - - - -

8770 COST OF BONE REGENERATIVE/REPAIR MATERIAL - - - - - - - - -

8772

SUBMUCOSAL CONNECTIVE TISSUE AUTOGRAFT

(ISOLATED PROCEDURE) R 630.40 R 945.60 - R 945.60 - - - - -

8773 COST OF INTRAPOCKET CHEMOTHERAPEUTIC AGENT - - - - - - - - -

8781 CONSULTATION - ORAL MEDICINE (SIMPLE) - - - R 187.70 - - - - -

8782 CONSULTATION - ORAL MEDICINE (COMPLEX) - - - R 330.30 - - - - -

8783 CONSULTATION - ORAL MEDICINE (SUBSEQUENT) - - - R 139.70 - - - - -

8787 UNLISTED ORAL MEDICINE PROCEDURE R 131.70 - - R 197.60 - - - - -

8801 CONSULTATION - ORTHODONTIST - - R 240.00 - - - - - -

8803

CONSULTATION - ORTHODONTIS (SUBSEQUENT,

RETENTION AND POST TREATMENT) - - R 139.70 - - - - - -

8811 TRACING AND ANALYSIS OF EXTRA-ORAL FILM R 35.30 R 35.30 R 35.30 R 35.30 - R 35.30 - R 35.30 R 35.30

8837

DIAGNOSIS AND TREATMENT PLANNING -

ORTHODONTIST - - R 111.40 - - - - - -

8839 DIAGNOSTIC SETUP R 157.20 R 157.20 R 235.70 - - - - R 157.20 -

8840

TREATMENT PLANNING FOR ORTHOGNATHIC SURGERY -

ALL R 541.90 R 812.90 R 812.90 - - - - - -

8841 ORTHO TX - FIXED LINGUAL APPLIANCE - ONE ARCH * - * - - - - * -

8842

ORTHO TX - FIXED LINGUAL APPLIANCE - ONE ARCH,

MODEATE * - * - - - - * -

8843

ORTHO TX - FIXED LINGUAL APPLIANCE - ONE ARCH,

SEVERE * - * - - - - * -

8846 REPAIR ORTHODONTIC APPLIANCE - REMOVABLE R 106.20 - R 159.40 - - - - R 106.20 -

8847 REPLACE ORTHODONTIC APPLIANCE - REMOVABLE R 367.00 - R 550.50 - - - - R 367.00 -

8848 REPAIR ORTHODONTIC APPLIANCE - FIXED R 157.20 - R 235.70 - - - - R 157.20 -

8849 RETAINER (ORTHODONTIC) R 367.00 - R 550.50 - - - - R 367.00 -

8850 TREATMENT OF MPDS - FIRST VISIT R 176.90 R 176.90 R 265.40 R 176.90 - R 265.40 - R 176.90 -

8851 TREATMENT OF MPDS - SUBSEQUENT VISIT R 93.20 R 93.20 R 139.70 R 93.20 - R 139.70 - R 93.20 -

8852 OCCLUSAL ORTHOTIC APPLIANCE R 444.50 R 585.60 R 585.60 R 585.60 - R 585.60 - R 444.50 -

8855

CONSULTATION - CLEFT PALATE THERAPY (HOUSE OR

HOSPITAL) R 214.60 - R 321.80 - - R 321.80 - - -

Trf


8856 CONSULTATION - CLEFT PALATE (SUBSEQUENT) R 105.40 - R 158.00 - - R 158.00 - - -

8857 CONSULTATION - CLEFT PALATE (MAXIMUM) R 733.00 - R 1 099.40 - - R 1 099.40 - - -

8858 ORTHO TX - FUNCTIONAL APPLIANCE * - * - - - - * -

8861 ORTHO TX - PARTIAL FIXED APPLIANCE - MINOR * - * - - - - * -

8862 ORTHO TX - REMOVABLE APPLIANCE * - * - - - - * -

8863 ORTHO TX - EACH ADDITIONAL REMOVABLE APPLIANCE * - * - - - - * -

8865 ORTHO TX - PARTIAL FIXED APPLIANCE - ONE ARCH * - * - - - - * -

8866 ORTHO TX - PARTIAL FIXED APPLIANCE - BOTH ARCHES * - * - - - - * -

8867 ORTHO TX - FIXED APPLIANCE - ONE ARCH * - * - - - - * -

8868 ORTHO TX - FIXED APPLIANCE - ONE ARCH, MODEATE * - * - - - - * -

8869 ORTHO TX - FIXED APPLIANCE - ONE ARCH, SEVERE * - * - - - - * -

8873

ORTHO TX - FIXED APPLIANCE - BOTH ARCHES, CLASS 1

MILD * - * - - - - * -

8874

ORTHO TX - FIXED LINGUAL APPLIANCE - BOTH ARCHES,

CLASS 1 MILD * - * - - - - * -

8875


MODERATE * - * - - - - * -

8876


CLASS 1 MODERATE * - * - - - - * -

8877


SEVERE * - * - - - - * -

8878


CLASS 1 SEVERE * - * - - - - * -

8879


SEVERE W/ COMPLICATIONS * - * - - - - * -

8880


CLASS 1 SEVERE W/ COMPLICATIONS * - * - - - - * -

8881

ORTHO TX - FIXED APPLIANCE - BOTH ARCHES, CLASS

2/3 MILD * - * - - - - * -

8882


CLASS 2/3 MILD * - * - - - - * -

8883


2/3 MODERATE * - * - - - - * -

8884


CLASS 2/3 MODERATE * - * - - - - * -

Trf


8885


2/3 SEVERE * - * - - - - * -

8886


CLASS 2/3 SEVERE * - * - - - - * -

8887


2/3 SEVERE W/ COMPLICATIONS * - * - - - - * -

8888


CLASS 2/3 SEVERE W/ COMPLICATIONS * - * - - - - * -

8890 MONTHLY INSTALMENT ORTHO TX * - * - - - - * -

8891 ORTHODONTIC TRANSFER * - * - - - - * -

8892 ORTHODONTIC RE-TREATMENT * - * - - - - * -

8901 CONSULTATION - MFOS - R 240.00 - - - - - - -

8902 CONSULTATION - MFOS (DETAILED) - R 628.00 - - - - - - -

8903 HOUSE/HOSP/NURSING HOME CONSULTATION - MFOS - R 210.20 - - - - - - -

8904

HOUSE/HOSP/NURSING HOME CONSULTATION

(SUBSEQUENT) - MFOS - R 139.70 - - - - - - -

8905 AFTER REGULARLY HOURS CONSULTATION - MFOS - R 307.80 - - - - - - -

8907

HOUSE/HOSP/NURSING HOME CONSULTATION

(MAXIMUM PER WEEK) - MFOS - R 349.90 - - - - - - -

8908

SURGICAL REMOVAL OF ROOTS FROM MAXILLARY

ANTRUM R 1 528.10 R 2 292.20 - - - - - R 1 528.10 -

8909 ORAL ANTRAL FISTULA CLOSURE R 1 171.50 R 1 757.10 - - - - - R 1 171.50 -

8911 CALDWELL-LUC PROCEDURE R 458.40 R 687.40 - - - - - R 458.40 -

8917 BIOPSY OF ORAL TISSUE - SOFT R 292.10 R 389.50 - R 389.50 - - - R 292.10 -

8919 BIOPSY OF BONE - NEEDLE R 449.70 R 674.60 - R 12 994.00 - - - R 449.70 -

8921 BIOPSY – EXTRA-ORAL BONE/SOFT TISSUE R 735.80 R 1 103.60 - R 12 994.00 - - - R 735.80 -

8931 TREATMENT OF POST-EXTRACTION HAEMORRHAGE R 84.70 R 508.10 - R 84.70 - R 84.70 R 71.60 R 84.70 -

8933 TREATMENT OF HAEMORRHAGE (BLOOD DYSCRACIAS) R 1 171.50 R 1 757.10 - R 1 171.50 - R 1 171.50 - R 1 171.50 -

8935 TREATMENT OF SEPTIC SOCKET R 84.70 R 132.70 - R 84.70 - R 84.70 R 71.60 R 84.70 -

8937 SURGICAL REMOVAL OF TOOTH R 499.70 R 674.60 - R 499.70 - - - R 499.70 -

8941

SURGICAL REMOVAL OF IMPACTED TOOTH - FIRST

TOOTH R 828.60 R 1 089.60 - R 828.60 - - - R 828.60 -

8943

SURGICAL REMOVAL OF IMPACTED TOOTH - SECOND

TOOTH R 444.50 R 587.00 - R 444.50 - - - R 444.50 -

8945

SURGICAL REMOVAL OF IMPACTED TOOTH - THIRD AND

SUBSEQUENT TEETH R 252.60 R 333.10 - R 252.60 - - - R 252.60 -

Trf


8953

SURGICAL REMOVAL OF RESIDUAL ROOTS, FIRST TOOTH

- PER TOOTH R 499.80 R 674.60 - R 674.60 - - - R 12 994.00 -

8957

ALVEOLOTOMY OR ALVEOLECTOMY (INCLUDING

EXTRACTIONS) R 613.50 R 920.30 - R 613.50 - - - R 613.50 -

8958 EMERGENCY TRACHEOTOMY * * - - - - - - -

8959 PHARYNGOSTOMY * * - - - - - - -

8961 TOOTH TRANSPLANTATION R 1 005.80 R 1 508.80 - - - - - - -

8962 HARVEST ILIAC CREST GRAFT R 370.80 R 455.70 - - - - - - -

8963 HARVEST RIB GRAFT R 425.40 R 638.00 - - - - - - -

8964 HARVEST CRANIUM GRAFT R 333.10 R 499.70 - - - - - - -

8965 PERIPHERAL NEURECTOMY R 1 005.80 R 1 508.80 - - - - - - -

8966 REPAIR OF ORONASAL FISTULA (LOCAL FLAPS) * * - - - - - - -

8967

SURGICAL REMOVAL OF JAW CYST - INTRA-ORAL

APPROACH R 1 397.30 R 2 096.00 - - - - - R 1 397.30 -

8969

SURGICAL REMOVAL OF JAW CYST - EXTRA-ORAL

APPROACH R 2 238.40 R 3 357.70 - - - - - - -

8971 EXCISION OF TUMOUR OF THE SOFT TISSUE R 449.70 R 674.60 - R 674.60 - - - - -

8973 SURGICAL EXCISION OF TUMOURS OF THE JAW R 2 238.40 R 3 357.70 - - - - - - -

8975 HEMIRESECTION OF JAW EXCLUDING CONDYL * * - - - - - - -

8977 SURGICAL REPAIR OF MAXILLA OR MANDIBLE - MAJOR R 2 349.60 R 3 524.30 - - - - - - -

8979 HARVESTING OF AUTOGENOUS GRAFTS (INTRA-ORAL) R 193.70 R 290.70 - R 290.70 - - - - -

8981

SURGICAL EXPOSURE OF IMPACTED OR UNERUPTED

TEETH TO AID ERUPTION R 923.10 R 1 257.60 - R 1 257.60 - - - - -

8983 CORTICOTOMY - FIRST TOOTH R 668.00 R 1 002.00 - - - - - - -

8984 CORTICOTOMY - EACH ADDITIONAL TOOTH R 338.70 R 508.10 - - - - - - -

8985 FRENULECTOMY/FRENULOTOMY R 613.50 R 920.30 - R 920.30 - - - R 613.50 -

8987 REDUCTION OF MYLOHYOID RIDGES - PER SIDE R 1 005.80 R 1 508.80 - - - - - - -

8989 REMOVAL TORUS MANDIBULARIS R 1 005.80 R 1 508.80 - - - - - - -

8991 REMOVAL OF TORUS PALATINUS R 1 005.80 R 1 508.80 - - - - - - -

8993

SURGICAL REDUCTION OF OSSEOUS TUBEROSITY - PER

SIDE R 449.70 R 674.60 - - - - - - -

8995 GINGIVECTOMY - PER JAW R 894.80 R 1 342.30 - - - - - - -

8997 SULCOPLASTY / VESTIBULOPLASTY R 2 306.20 R 3 459.40 - R 3 459.40 - - - - -

9003 REPOSITION MENTAL FORAMEN AND NERVE - PER SIDE R 1 397.30 R 2 096.00 - - - - - - -

9004 LATERALIZATION OF INFERIOR DENTAL NERVE R 2 251.60 R 3 377.50 - - - - - - -

Trf


9005

ALVEOLAR RIDGE AUGMENTATION - TOTAL (BY BONE

GRAFT) R 2 351.40 R 3 527.10 - R 3 527.10 - - - - -

9007

ALVEOLAR RIDGE AUGMENTATION - TOTAL (BY

ALLOPLASTIC MATERIAL) R 1 480.10 R 2 220.10 - - - - - - -

9008

ALVEOLAR RIDGE AUGMENTATION - ONE TO TWO

TOOTH SITES R 457.50 R 837.00 - R 837.00 - - - - -

9009

ALVEOLAR RIDGE AUGMENTATION - THREE ACROSS 3

OR MORE TOOTH SITES R 1 017.10 R 1 525.60 - R 1 525.60 - - - - -

9010 SINUS LIFT PROCEDURE R 1 528.10 R 2 292.20 - R 2 292.20 - - - - -

9011

INCISION & DRAINAGE OF ABSCESS - INTRA-ORAL

(PYOGENIC) R 286.10 R 429.00 - - - - R 135.10 - -

9013

INCISION & DRAINAGE OF ABSCESS - EXTRA-ORAL

(PYOGENIC) * * - * - - - - -

9015

APICECTOMY/PERIRADICULAR SURGERY - ANTERIORS

(INCLUDING RETROGRADE FILLING) R 570.20 R 756.50 - R 756.50 - R 756.50 - R 570.20 -

9016

APICECTOMY/PERIRADICULAR SURGERY - MOLARS

(INCLUDING RETROGRADE FILLING) R 1 005.80 R 1 508.80 - R 1 508.80 - R 1 508.80 - R 1 005.80 -

9017

DECORTICATION, SAUCERISATION AND

SEQUESTRECTOMY * * - - - - - - -

9019

SEQUESTRECTOMY - INTRA ORAL PER SEXTANT AND OR

RAMUS R 449.70 R 674.60 - - - - - - -

9021

SUTURE - RECONSTRUCTION, MINOR (EXCLUDES

CLOSURE OF SURGICAL INCISIONS) R 570.20 R 756.50 - - - - - R 570.20 -

9023

SUTURE - RECONSTRUCTION, MAJOR (EXCLUDES

CLOSURE OF SURGICAL INCISIONS) R 1 061.50 R 1 592.10 - - - - - R 1 061.50 -

9024 DENTO-ALVEOLAR FRACTURE - PER SEXTANT R 504.30 R 756.50 - - - - - - -

9025 MANDIBLE FRACTURE - CLOSED REDUCTION * * - - - - - - -

9027

MANDIBLE FRACTURE - COMPOUND, WITH EYELET

WIRING * * - - - - - * -

9029 MANDIBLE FRACTURE - SPLINTS * * - - - - - * -

9031 MANDIBLE FRACTURE - OPEN REDUCTION * * - - - - - * -

9032

REDUCTION OF MASSETER MUSCLE AND BONE - EXTRA-

ORAL APPROACH - R 5 570.70 - - - - - - -

9035 MAXILLA FRACTURE - LE FORT I OR GUERIN * * - - - - - - -

9037 MAXILLA FRACTURE - LE FORT II OR MIDDLE THIRD FACE * * - - - - - - -

9039

MAXILLA FRACTURE - LE FORT III OR CRANIOFACIAL

DISJUNCTION * * - - - - - - -

9041 ZYGOMATIC ARCH FRACTURE - CLOSED REDUCTION * * - - - - - - -

Trf


9043 ZYGOMATIC ARCH FRACTURE - OPEN REDUCTION * * - - - - - - -

9045

ZYGOMATIC ARCH FRACTURE - OPEN REDUCTION

(REQUIRING OSTEOSYNTHESIS AND/OR GRAFTING) * * - - - - - - -

9046 PLACEMENT OF ZYGOMATICUS FIXTURE, PER FIXTURE * * - - - - - - -

9047 OSTEOTOMY - OPEN WITH STABILISATION * * * * - * - - -

9048

SURGICAL REMOVAL OF INTERNAL FIXATION DEVICES,

PER SITE * * - * - - - * -

9049

OSTEOTOMY - MANDIBLE BODY, ANTERIOR

SEGMENTAL * * * * - * - - -

9050 OSTEOTOMY - TOTAL SUBAPICAL * * * * - * - - -

9051 GENIOPLASTY * * * * - * - - -

9052 MIDFACIAL EXPOSURE * * * * - * - - -

9053 CORONOIDECTOMY (INTRA-ORAL APPROACH) * * * * - * - - -

9055 OSTEOTOMY - SEGMENTED, POSTERIOR * * * * - * - - -

9057 OSTEOTOMY - SEGMENTED, ANTERIOR * * * * - * - - -

9059

RECONSTRUCT MAXILLA - LE FORT I OSTEOTOMY, ONE

PIECE * * * * - * - - -

9060

RECONSTRUCT MAXILLA - LE FORT I OSTEOTOMY W/

REPOSITIONING AND GRAFT * * * * - * - - -

9061 PALATAL OSTEOTOMY * * * * - * - - -

9062

RECONSTRUCT MAXILLA - LE FORT I OSTEOTOMY,

MULTIPLE SEGMENTS * * * * - * - - -

9063

RECONSTRUCT MAXILLA - LE FORT 2 OSTEOTOMY

(FACIAL AND POST-TRAUMATIC DEFORMITIES) * * * * - * - - -

9065

RECONSTRUCT MAXILLA - LE FORT 3 OSTEOTOMY

(SEVERE CONGENITAL DEFORMITIES) * * * * - * - - -

9066 SURGICAL EXPANSION - MAXILLIARY OR MANDIBULAR * * * * - * - - -

9069 GLOSSECTOMY - PARTIAL * * * * - * - - -

9071 GENIOHYOIDOTOMY * * * * - * - - -

9072

CLOSE SECONDARY ORO-NASAL FISTULA W/ BONE

GRAFTING (COMPLETE PROCEDURE) * * * * - * - - -

9074 TMJ ARTHROSCOPY DIAGNOSTIC * * - - - - - * -

9075 CONDYLECTOMY, CORONOIDECTOMY OR BOTH * * * * - * - - -

9076 TMJ ARTROCENTESIS * * - - - - - * -

9077 TMJ INTRA-ARTICULAR INJECTION * * - - - - - - -

9079 TRIGGER POINT INJECTION * * - - - - - - -

Trf


9081 CONDYLECTOMY (WARD/KOSTECKA) * * * * - * - - -

9083 TMJ SRTHROPLASTY * * - - - - - - -

9085 REDUCTION OF TMJ DISLOC W/O ANAESTHETIC * * - - - - - * -

9087 REDUCTION OF TMJ DISLOC W/ ANAESTHETIC * * - - - - - * -

9089

REDUCTION OF TMJ DISLOC W/ ANAESTHETIC AND

IMMOBOBILISATION * * - - - - - * -

9091 REDUCTION OF TMJ DISLOCATION - OPEN REDUCTION * * - - - - - - -

9092 JOINT RECONSTRUCTION * * - - - - - - -

9093 REMOVAL OF SALIVARY STONE (SIALOLITHOTOMY) R 504.30 R 756.50 - - - - - R 504.30 -

9095 EXCISION OF SUBLINGLUAL SALIVARY GLAND * * - - - - - * -

9096

EXCISION OF SALIVARY GLAND - EXTRA ORAL

APPROACH * * - - - - - - -

9099

UNLISTED DENTAL PROCEDURE OR SERVICE (BY

REPORT) * * * * - * * * -

9101

OBTURATOR PROSTHESIS, SURGICAL - MODIFIED

DENTURE * - - - - * - - -

9102

OBTURATOR PROSTHESIS, SURGICAL - CONTINUOUS

BASE * - - - - * - - -

9103 OBTURATOR PROSTHESIS, SURGICAL - SPLIT BASE * - - - - * - - -

9104

OBTURATOR PROSTHESIS, INTERIM - ON EXISTING

DENTURE * - - - - * - - -

9105 OBTURATOR PROSTHESIS, INTERIM - ON NEW DENTURE * - - - - * - - -

9106

OBTURATOR PROSTHESIS, DEFINITIVE - OPEN/HOLLOW

BOX * - - - - * - - -

9107 OBTURATOR PROSTHESIS, DEFINITIVE - SILICONE GLOVE * - - - - * - - -

9108

MANDIBULAR RESECTION PROSTHESIS W/ GUIDE

FLANGE * - - - - * - - -

9109

MANDIBULAR RESECTION PROSTHESIS W/O GUIDE

FLANGE * - - - - * - - -

9110

MANDIBULAR RESECTION PROSTHESIS, PALATAL

AUGMENTATION * - - - - * - - -

9111 GLOSSAL RESECTION PROSTHESIS - SIMPLE * - - - - * - - -

9112 GLOSSAL RESECTION PROSTHESIS - COMPLEX * - - - - * - - -

9113 RADIATION CARRIER - SIMPLE * - - - - * - - -

9114 RADIATION CARRIER - COMPLEX * - - - - * - - -

9115 RADIATION SHIELD - SIMPLE * - - - - * - - -

Trf


9116 RADIATION SHIELD - COMPLEX * - - - - * - - -

9117 RADIATION CONE LOCATOR * - - - - * - - -

9118 CHEMOTHERAPEUTIC AGENT CARRIER * - - - - * - - -

9119 FEEDING AID PROSTHESIS, NEONATAL * - * - - * - - -

9120

ORTHOPAEDIC APPLIANCE, ACTIVE PRESURGICAL -

MINOR * - * - - * - - -

9121


MODERATE * - * - - * - - -

9122


SEVERE * - * - - * - - -

9123


MODIFICATION * - * - - * - - -

9125

SPEECH AID/OBTURATOR PROSTHESIS - PALATAL

ALTERATION * - - - - * - - -

9126

SPEECH AID/OBTURATOR PROSTHESIS - VELAR

ALTERATION * - - - - * - - -

9127

SPEECH AID/OBTURATOR PROSTHESIS - PHARYNGEAL

ALTERATION * - - - - * - - -

9128 SPEECH AID/OBTURATOR PROSTHESIS - MODIFICATION * - - - - * - - -

9129 SPEECH AID/OBTURATOR PROSTHESIS - SURGICAL * - - - - * - - -

9130 SPEECH AID APPLIANCE - PALATAL LIFT * - - - - * - - -

9131 SPEECH AID APPLIANCE - PALATAL STIMULATING * - - - - * - - -

9132 SPEECH AID APPLIANCE - BULB * - - - - * - - -

9133 SPEECH AID APPLIANCE - MODIFICATION * - - - - * - - -

9134 UNSPECIFIED SPEECH AID APPLIANCE * - - - - * - - -

9135 AURICULAR PROSTHESIS - SIMPLE * - - - - * - - -

9136 AURICULAR PROSTHESIS - COMPLEX * - - - - * - - -

9137 NASAL PROSTHESIS - SIMPLE * - - - - * - - -

9138 NASAL PROSTHESIS - COMPLEX * - - - - * - - -

9139 OCULAR PROSTHESIS - INTERIM * - - - - * - - -

9140 OCULAR PROSTHESIS - MODIFIED STOCK APPLIANCE * - - - - * - - -

9141 OCULAR PROSTHESIS - CUSTOM APPLIANCE * - - - - * - - -

9142 ORBITAL PROSTHESIS - SIMPLE * - - - - * - - -

9143 ORBITAL PROSTHESIS - COMPLEX * - - - - * - - -

9148 UNSPECIFIED BODY PROSTHESIS - SIMPLE * - - - - * - - -

9149 UNSPECIFIED BODY PROSTHESIS - COMPLEX * - - - - * - - -

Trf


9150 FACIAL PROSTHESIS, SURGICAL - SIMPLE * - - - - * - - -

9151 FACIAL PROSTHESIS, SURGICAL - COMPLEX * - - - - * - - -

9155 CRANIAL PROSTHESIS * - - - - * - - -

9156 CRANIAL IMPLANT PROSTHESIS, CUSTOM MADE * - - - - * - - -

9157 FACIAL IMPLANT PROSTHESIS, CUSTOM MADE - SIMPLE * - - - - * - - -

9158

FACIAL IMPLANT PROSTHESIS, CUSTOM MADE -

COMPLEX * - - - - * - - -

9159 OCULAR IMPLANT PROSTHESIS, CUSTOM MADE * - - - - * - - -

9160 BODY IMPLANT PROSTHESIS - CUSTOM MADE * - - - - * - - -

9161 SURGICAL SPLINT - SIMPLE * - - - - * - - -

9162 SURGICAL SPLINT - COMPLEX * - - - - * - - -

9163 SURGICAL TEMPLATE - SIMPLE * - - - - * - - -

9164 SURGICAL TEMPLATE - COMPLEX * - - - - * - - -

9165 SURGICAL CONFORMER - SIMPLE * - - - - * - - -

9166 SURGICAL CONFORMER - COMPLEX * - - - - * - - -

9167 TRISMUS APPLIANCE (SIMPLE) * - - - - * - - -

9168 TRISMUS APPLIANCE (COMPLEX) * - - - - * - - -

9169 ORTHOSES APPLIANCE * - - - - * - - -

9170 FACIAL PALSY APPLIANCE * - - - - * - - -

9171 COMMISSURE SPLINT * - - - - * - - -

9172 ORAL RETRACTOR, DYNAMIC - PER ARM * - - - - * - - -

9174 UNSPECIFIED BURN APPLIANCE - - - - - - - - -

9175 THEATRE ATTENDANCE (MAXFAC PROSTHOD) /HOUR R 347.10 - - - - R 520.80 - - -

9180

SURGICAL PLACEMENT OF SUB-PERIOSTEAL IMPLANT -

PREPARATORY STAGE * R 1 522.40 - - - - - - -

9181

SURGICAL PLACEMENT OF SUB-PERIOSTEAL IMPLANT -

PLACEMENT STAGE * R 1 522.40 - - - - - - -

9182 SURGICAL PLACEMENT OF ENDOSTEAL IMPLANT PLATE R 762.10 R 1 143.20 - R 1 143.20 - - - - -

9183

SURGICAL PLACEMENT OF ENDOSSEUS IMPLANT - FIRST

PER QUADRANT * R 1 458.00 - R 1 458.00 - R 1 457.80 - - -

9184

SURGICAL PLACEMENT OF ENDOSSEUS IMPLANT -

SECOND PER QUADRANT * R 1 093.80 - R 1 093.80 - R 1 093.50 - - -

9185

SURGICAL PLACEMENT OF ENDOSSEUS IMPLANT -

THIRD AND SUBSEQUENT PER QUADRANT R 537.70 R 732.60 - R 732.60 - * - - -

9187 COST OF ENDOSTEAL IMPLANT BODY * - - * * * - - -

Trf


9188 COST OF PREFABRICATED ABUTMENT * R 12 994.00 - * * * - - -

9189 COST OF OTHER IMPLANT COMPNTS * R 12 994.00 - * * * - - -

9190

SURGICAL EXPOSURE OF ENDOSSEUS IMPLANT - FIRST

PER QUADRANT R 397.90 R 539.10 - R 539.10 - R 539.10 - - -

9191

SURGICAL EXPOSURE OF ENDOSSEUS IMPLANT -

SECOND PER QUADRANT R 299.10 R 405.20 - R 405.20 - R 405.20 - - -

9192

SURGICAL EXPOSURE OF ENDOSSEUS IMPLANT - THIRD

AND SUBSEQUENT PER QUADRANT R 200.40 R 272.40 - R 272.40 - R 272.40 - - -

9198 SURGICAL REMOVAL OF IMPLANT R 495.90 R 743.90 - R 743.90 - R 496.00 - R 495.90 -

9201 CONSULTATION - ORAL PATHOLOGIST - - - - - - - - -

9203

HOUSE/HOSP/NURSING HOME CONSULTATION - ORAL

PATHOLOGIST - - - - - - - - -

9205 CONSULTATION - ORAL PATHOLOGIST (SUBSEQUENT) - - - - - - - - -

9207 AFTER HOURS VISIT - ORAL PATHOLOGIST - - - - - - - - -

9220 REPAIR CLEFT HARD PALATE - UNILATERAL * * - - - - - - -

9222

REPAIR CLEFT HARD PALATE - BILATERAL (ONE

PROCEDURE) * * - - - - - - -

9224

REPAIR CLEFT HARD PALATE - BILATERAL (TWO

PROCEDURES) * * - - - - - - -

9226

REPAIR CLEFT SOFT PALATE - W/O MUSCLE

RECONSTRUCTION * * - - - - - - -

9228

REPAIR CLEFT SOFT PALATE - W/ MUSCLE


9230

REPAIR SUBMUCOSAL CLEFT AND/OR BIFID UVULA - W/

MUSCLE RECONSTRUCTION * * - - - - - - -

9232

VELOPHARYNGEAL RECONSTRUCTION -

UNCOMPLICATED * * - - - - - - -

9234 VELOPHARYNGEAL RECONSTRUCTION - COMPLICATED * * - - - - - - -

9238 REPAIR ORONASAL FISTULA (ONE PROCEDURE) * * - - - - - - -

9240 REPAIR ORONASAL FISTULA (TWO PROCEDURES) * * - - - - - - -

9246 SECONDARY PERIOSTEAL FLAPS * * - - - - - - -

9248 LIPADHESION * * - - - - - * -

9250

REPAIR CLEFT LIP - UNILATERAL W/O MUSCLE


9252

REPAIR CLEFT LIP - UNILATERAL W/ MUSCLE


Trf


9254

REPAIR CLEFT LIP - BILATERAL W/O MUSCLE


9256

REPAIR CLEFT LIP - BILATERAL W/ MUSCLE


9258 REPAIR ANTERIOR NASAL FLOOR * * - - - - - - -

9260

REVISION OF SECONDARY CLEFT LIP DEFORMITY -

PARTIAL * * - - - - - - -

9262

REVISION OF SECONDARY CLEFT LIP DEFORMITY -

TOTAL W/ MUSCLE RECONSTRUCTION * * - - - - - - -

9264 ABBE-FLAP - TWO STAGES * * - - - - - - -

9266 RECONSTRUCT COLUMELLA * * - - - - - - -

9268

RECONSTRUCT NOSE DUE TO CLEFT DEFORMITY -

PARTIAL * * - - - - - - -

9270

RECONSTRUCT NOSE DUE TO CLEFT DEFORMITY -

COMPLETE * * - - - - - - -

9272

PARANASAL AUGMENTATION FOR NASAL BASE

DEVIATION * * - - - - - - -

9274

REPAIR ANTERIOR TABLE, FRONTAL SINUS AND/OR

SUPRAORBITAL RIM - * - - - - - - -

9276

REPAIR ANTERIOR AND POSTERIOR WALL W/

OBTURATION AND/OR CRANIALISATION OF FRONTAL

SINUS - * - - - - - - -

9278

REPAIR MEDIAL CANTHAL LIGAMENT (CANTHOPEXY),

PER SIDE - * - - - - - - -

9280 OPEN REDUCTION AND FIXATION OF NASAL FRACTURES - * - - - - - - -

9282

MANIPULATION AND IMMOBILISATION OF NASAL

FRACTURE - * - - - - - - -

9284 MUSCULOFASCIAL FLAP - * - - - - - - -

9286 MUSCULOCRANIAL FLAP - * - - - - - - -

9288 BUCCAL FAT PAD (MAJOR REPAIR) - * - - - - - - -

9290 MAXILLECTOMY - ALVEOLUS ONLY, LEVEL I - * - - - - - - -

9292

MAXILLECTOMY - ALVEOLUS AND SINUS OR NASAL

FLOOR, LEVEL II - * - - - - - - -

9294

MAXILLECTOMY - ALVEOLUS, SINUS, NASAL FLOOR AND

ZYGOMA EXCLUDING ORBITAL RIM LEVEL III - * - - - - - - -

9296

MAXILLECTOMY - ALVEOLUS, SINUS, NASAL FLOOR AND

ZYGOMA INCLUDING ORBITAL RIM LEVEL IV - * - - - - - - -

Trf


9298

MAXILLECTOMY - ALVEOLUS, SINUS, NASAL FLOOR,

ZYGOMA, ORBITAL RIM AND PTERYGOID PLATES LEVEL

V - * - - - - - - -

9300

HEMIRESECTION OF JAW INCLUDING CONDYLE AND

CORONOID PROCESS - * - - - - - - -

9301

CASTING AND TRIMMING OF MODEL IN PLASTER

(YELLOW/WHITE), PER MODEL R 32.90 R 32.90 R 32.90 R 32.90 R 32.90 R 32.90 - R 32.90 -

9303

CASTING AND TRIMMING OF MODEL IN SUPER-HARD

STONE (DIE-STONE) PER MODEL R 46.80 R 46.80 R 46.80 R 46.80 R 46.80 R 46.80 - R 46.80 -

9305

CASTING AND TRIMMING OF STUDY MODEL, PER

MODEL R 86.70 R 86.70 R 86.70 R 86.70 R 86.70 R 86.70 - R 86.70 -

9307

CASTING AND TRIMMING OF GNATHOSTATIC MODEL,

PER MODEL. R 112.70 R 112.70 R 112.70 R 112.70 R 112.70 R 112.70 - R 112.70 -

9309 NEW TRIMMED BASE TO SUPPLIED MODEL, PER MODEL R 39.90 R 39.90 R 39.90 R 39.90 R 39.90 R 39.90 - R 39.90 -

9311 TRIMMING OF SUPPLIED MODEL, PER MODEL R 24.30 R 24.30 R 24.30 R 24.30 R 24.30 R 24.30 - R 24.30 -

9312 GINGIVAL TISSUE MASK PER IMPLANT R 187.30 R 187.30 R 187.30 R 187.30 R 187.30 R 187.30 - - -

9313 DUPLICATING MODEL, PER MODEL R 100.60 R 100.60 R 100.60 R 100.60 R 100.60 R 100.60 - - -

9314 REFRACTORY MODEL, PER UNIT R 98.80 R 98.80 R 98.80 R 98.80 R 98.80 R 98.80 - - -

9315

MODELS AND DUPLICATE MODELS (VIRGIN MODEL)

FOR CROWN AND BRIDGE, WORK INCLUSIVE OF ONE

REMOVABLE DIE R 137.00 - - R 137.00 R 137.00 R 137.00 - R 137.00 -

9317

SECTIONAL MODELS FOR CROWN AND BRIDGE, WORK

INCLUSIVE OF ONE REMOVABLE DIE R 121.40 - - - R 121.40 R 121.40 - - -

9319

EACH ADDITIONAL REMOVABLE DIE FOR ITEMS 9315

AND 9317 PER DIE R 31.20 - - R 31.20 R 31.20 R 31.20 - R 31.20 -

9320

INDEXED OR MODEL TRAY PER DIE (NOT MORE THAN

9319) R 31.20 - - - R 31.20 R 31.20 - - -

9321 OCCLUSION BLOCK, PER BLOCK R 119.70 R 119.70 - - R 119.70 R 119.70 - R 119.70 -

9323 OCCLUSION BLOCK ON BASEPLATE, PER BLOCK R 150.90 - - - R 150.90 R 150.90 - - -

9327

INFECTION CONTROL PER IMPRESSION, DENTURE (WAX

OR ACRYLIC) OR ANY ITEM IN CONTACT WITH BODY

FLUIDS R 22.50 R 22.50 R 22.50 R 22.50 R 22.50 R 22.50 - R 22.50 -

9329 FIT AND SUPPLY OF DISPOSABLE ARTICULATOR R 59.00 - - - R 59.00 R 59.00 - - -

9330

DELIVERY / COLLECTION FEE PER COMPLETED

PROCEDURE (MAXIMUM 4) - - - - R 62.40 - - - -

9331 FULL UPPER AND LOWER DENTURES R 1 609.30 R 1 609.30 - - R 1 609.30 R 1 609.30 - - -

9333 FULL UPPER OR LOWER DENTURE R 941.60 - - - R 941.60 R 941.60 - R 941.60 -

Trf


9335

SET-UP AND WAXING OF FULL UPPER AND LOWER

DENTURES R 554.90 - - - R 554.90 R 554.90 - - -

9337

SET-UP AND WAXING OF FULL UPPER OR LOWER

DENTURE R 371.10 - - - R 371.10 R 371.10 - - -

9339

WAXING AND FINISHING OF FULL UPPER AND LOWER

DENTURES R 986.70 - - - R 986.70 R 986.70 - - -

9341

WAXING AND FINISHING OF FULL UPPER OR LOWER

DENTURE R 551.50 - - - R 551.50 R 551.50 - - -

9343

ADDITIONAL FEE FOR DENTURES ON FULLY ADJUSTABLE

ARTICULATOR AT REQUEST OF DENTIST R 1 571.10 - - - R 1 571.10 R 1 571.10 - - -

9345

ADDITIONAL FEE FOR IMMEDIATE DENTURES, OR

TOOTH SOCKETED R 22.50 - - - R 22.50 R 22.50 - - -

9346

ADDITIONAL FEE FOR IMMEDIATE DENTURES, PER

TOOTH NOT SOCKETED. R 12.10 - - R 12.10 R 12.10 R 12.10 - - -

9347

ADDITIONAL FEE FOR EACH RETRY FROM THE THIRD

AND UPWARDS AT AN AGREED QUANTUM OF TIME TO

BE CALCULATED AT HOURLY RATE R 357.20 - - - R 357.20 R 357.20 - - -

9351 SET-UP AND FINISH OF ONE-TOOTH DENTURE R 431.80 - - R 431.80 R 431.80 R 431.80 - - -

9352 SET-UP AND FINISH OF TWO-TOOTH DENTURE R 459.50 - - R 459.50 R 459.50 R 459.50 - - -

9353 SET-UP AND FINISH OF THREE-TOOTH DENTURE R 492.50 - - R 492.50 R 492.50 R 492.50 - - -

9354 SET-UP AND FINISH OF FOUR-TOOTH DENTURE R 520.20 - - R 520.20 R 520.20 R 520.20 - - -

9355 SET-UP AND FINISH OF FIVE-TOOTH DENTURE R 561.90 - - R 561.90 R 561.90 R 561.90 - - -

9356 SET-UP AND FINISH OF SIX-TOOTH DENTURE R 671.10 - - R 671.10 R 671.10 R 671.10 - - -

9357 SET-UP AND FINISH OF SEVEN-TOOTH DENTURE R 797.70 - - R 797.70 R 797.70 R 797.70 - - -

9358 SET-UP AND FINISH OF EIGHT-TOOTH DENTURE R 846.30 - - R 846.30 R 846.30 R 846.30 - - -

9359 SET-UP AND FINISH NINE OR MORE TOOTH DENTURE R 867.10 - - R 867.10 R 867.10 R 867.10 - - -

9361 SET-UP AND WAXING OF ONE-TOOTH DENTURE R 123.10 - - R 123.10 R 123.10 R 123.10 - - -

9362 SET-UP AND WAXING OF TWO-TOOTH DENTURE R 149.10 - - R 149.10 R 149.10 R 149.10 - - -

9363 SET-UP AND WAXING OF THREE-TOOTH DENTURE R 169.90 - - R 169.90 R 169.90 R 169.90 - - -

9364 SET-UP AND WAXING OF FOUR-TOOTH DENTURE R 197.70 - - R 197.70 R 197.70 R 197.70 - - -

9365 SET-UP AND WAXING OF FIVE-TOOTH DENTURE R 218.50 - - R 218.50 R 218.50 R 218.50 - - -

9366 SET-UP AND WAXING OF SIX-TOOTH DENTURE R 258.40 - - R 258.40 R 258.40 R 258.40 - - -

9367 SET-UP AND WAXING OF SEVEN-TOOTH DENTURE R 284.40 - - R 284.40 R 284.40 R 284.40 - - -

9368 SET-UP AND WAXING OF EIGHT-TOOTH DENTURE R 305.20 - - R 305.20 R 305.20 R 305.20 - - -

9369

SET-UP AND WAXING OF NINE OR MORE TOOTH

DENTURE R 326.00 - - R 326.00 R 326.00 R 326.00 - - -

9371 WAXING AND FINISHING OF ONE-TOOTH DENTURE R 338.20 - - R 338.20 R 338.20 R 338.20 - - -

Trf


9372 WAXING AND FINISHING OF TWO-TOOTH DENTURE R 345.10 - - R 345.10 R 345.10 R 345.10 - - -

9373 WAXING AND FINISHING OF THREE-TOOTH DENTURE R 350.30 - - R 350.30 R 350.30 R 350.30 - - -

9374 WAXING AND FINISHING OF FOUR-TOOTH DENTURE R 357.20 - - R 357.20 R 357.20 R 357.20 - - -

9375 WAXING AND FINISHING OF FIVE-TOOTH DENTURE R 371.10 - - R 371.10 R 371.10 R 371.10 - - -

9376 WAXING AND FINISHING OF SIX-TOOTH DENTURE R 385.00 - - R 385.00 R 385.00 R 385.00 - - -

9377 WAXING AND FINISHING OF SEVEN-TOOTH DENTURE R 480.40 - - R 480.40 R 480.40 R 480.40 - - -

9378 WAXING AND FINISHING OF EIGHTH-TOOTH DENTURE R 499.40 - - R 499.40 R 499.40 R 499.40 - - -

9379

WAXING AND FINISHING OF NINE OR MORE TOOTH

DENTURE R 527.20 - - R 527.20 R 527.20 R 527.20 - - -

9383

ADDITIONAL FEE FOR FINISHING DENTURE IN TOOTH

COLOUR MATERIAL, PER TOOTH R 83.20 - - R 83.20 R 83.20 R 83.20 - - -

9385

ADDITIONAL FEE FOR SUPPLYING FINISHED DENTURE

ON DUPLICATE MODEL R 157.80 - - R 157.80 R 157.80 R 157.80 - - -

9391

BASIC CHARGE WHICH INCLUDES REPAIR OF ONE

FRACTURE, OR ADDITION OF ONE TOOTH, OR ADDITION

OF ONE CLASP R 274.00 - R 274.00 R 274.00 R 274.00 R 274.00 - R 274.00 -

9393

ADDITIONAL CHARGE FOR EACH ADDITIONAL

FRACTURE, OR TOOTH, OR CLASP R 85.00 - R 85.00 R 85.00 R 85.00 R 85.00 - - -

9395 ADDITIONAL FEE FOR USING WIRE STRENGTHENER R 97.10 - R 97.10 R 97.10 R 97.10 R 97.10 - - -

9397

ADDITIONAL FEE FOR USING PRE-FORMED

STRENGTHENER R 104.00 - R 104.00 R 104.00 R 104.00 R 104.00 - - -

9398

ADDITIONAL FEE FOR USING MESH STRENGTHENER IN

REPAIR PROCEDURE R 164.70 - - R 164.70 R 164.70 R 164.70 - - -

9401 CLEAR BASE - - - - R 121.40 - - - -

9403 DOX GRINDING OF UPPER AND LOWER DENTURES R 154.30 - - R 154.30 R 154.30 R 154.30 - - -

9405

INLAY TO ARTIFICIAL TOOTH, ONE SURFACE ONLY, PER

INLAY - - - - R 265.30 - - - -

9406

INLAY TO ARTIFICIAL TOOTH, MULTI-SURFACES E.G.

HORSESHOE OR L-TYPE INLAY, PER INLAY - - - - R 339.90 - - - -

9407

HEKA BASE TECHNIQUE PER UPPER OR LOWER

DENTURE R 364.20 - - R 364.20 R 364.20 R 364.20 - - -

9409 FREGO FRAME R 157.80 - - R 157.80 R 157.80 R 157.80 - - -

9410 BLEACHING TRAY - - - - R 175.20 - - - -

9411 TEMPLATE PER UPPER OR LOWER DENTURE R 435.30 - - R 435.30 R 435.30 R 435.30 - - -

9413 RELINE/REBASE OF SINGLE DENTURE R 548.00 - - R 548.00 R 548.00 R 548.00 - - -

9415 REMODEL OF SINGLE DENTURE R 842.80 - - R 842.80 R 842.80 R 842.80 - - -

Trf


9417 SOFT BASE RELINE PER DENTURE R 1 383.80 - - R 1 383.80 R 1 383.80 R 1 383.80 - - -

9419 SOFT BASE TO NEW DENTURE, PER DENTURE R 1 383.80 - - R 1 383.80 R 1 383.80 R 1 383.80 - - -

9421 GUM TINTING PER DENTURE - - - - R 256.70 - - - -

9423 LINGUAL OR PALATAL BAR R 206.40 - R 206.40 R 206.40 R 206.40 R 206.40 - - -

9425

CLEANING AND POLISHING OF EXISTING DENTURE, PER

DENTURE R 168.20 - - R 168.20 R 168.20 R 168.20 - - -

9427 MESH STRENGTHENER R 143.90 - - R 143.90 R 143.90 R 143.90 - - -

9429

THEATRE/ CONSULTATION OUT OF LABORATORY PER

HOUR OR PART THEREOF R 357.20 R 357.20 - R 357.20 R 357.20 R 357.20 - - -

9431 SPECIAL TRAY, ACRYLIC, EACH R 135.30 - - R 135.30 R 135.30 R 135.30 - - -

9432 SPECIAL TRAY LIGHT CURE, EACH R 147.40 - - R 147.40 R 147.40 R 147.40 - - -

9433 SPECIAL TRAY IN BASE PLATE MATERIAL, EACH R 138.70 - - R 138.70 R 138.70 R 138.70 - - -

9435

PROVISION OF SINGLE ARM CLASP, TO PARTIAL

DENTURE R 71.10 - - R 71.10 R 71.10 R 71.10 - - -

9437

PROVISION OF DOUBLE ARM CLASP, TO PARTIAL

DENTURE R 123.10 - - R 123.10 R 123.10 R 123.10 - - -

9439

PROVISION OF SINGLE ARM CLASP WITH REST, TO

PARTIAL DENTURE R 159.50 - - R 159.50 R 159.50 R 159.50 - - -

9441

PROVISION OF DOUBLE ARM CLASP WITH REST, TO

PARTIAL DENTURE R 215.00 - - R 215.00 R 215.00 R 215.00 - - -

9443

PROVISION OF PREFORMED ROACH CLASP, TO PARTIAL

DENTURE R 91.90 - - R 91.90 R 91.90 R 91.90 - - -

9445 PROVISION OF REST ONLY TO PARTIAL DENTURE R 91.90 - - R 91.90 R 91.90 R 91.90 - - -

9447 CAST CLASP R 322.50 - - R 322.50 R 322.50 R 322.50 - - -

9448

CASTING AND TRIMMING OF MODEL FROM

IMPRESSION INSIDE OCCLUSION BLOCK OR WAX TRY IN R 59.00 - - R 59.00 R 59.00 R 59.00 - - -

9450

FINISHING OF ACRYLIC WORK ON ANY CHROME COBALT

OR GOLD PROSTHESIS R 123.10 R 123.10 R 123.10 R 123.10 R 123.10 R 123.10 - - -

9451

METAL BASE FOR FULL UPPER OR FULL LOWER

DENTURE EACH - - - - R 1 104.60 - - - -

9453

BASIC CHARGE - WHICH EXCLUDES MODELS AND ANY

SPECIAL TRAYS WHICH MAY BE REQUIRED BY THE

DENTIST, BUT INCLUDES REFRACTORY MODEL R 965.90 - - - R 965.90 R 965.90 - - -

9455 ADDITIONAL CHARGE FOR EACH ONE ARM CLASP R 39.90 - - - R 39.90 R 39.90 - - -

9457 ADDITIONAL CHARGE FOR EACH ROACH CLASP R 67.60 - - - R 67.60 R 67.60 - - -

9459 ADDITIONAL CHARGE FOR EACH REST R 36.40 - - - R 36.40 R 36.40 - - -

9461

ADDITIONAL CHARGE FOR CONTINUOUS CLASP, PER

TOOTH R 39.90 - - - R 39.90 R 39.90 - - -

Trf


9463

ADDITIONAL CHARGE FOR LINGUAL BAR, PER TOOTH

PASSED R 93.60 - - - R 93.60 R 93.60 - - -

9465 ADDITIONAL CHARGE FOR PALATAL BAR R 149.10 - - - R 149.10 R 149.10 - - -

9467 ADDITIONAL CHARGE FOR ONLAY - - - - R 397.10 - - - -

9469

ADDITIONAL CHARGE FOR SADDLE WITH FINISHING

LINE, PER TOOTH R 65.90 - - - R 65.90 R 65.90 - - -

9471

ADDITIONAL CHARGE FOR SADDLE WITHOUT FINISHING

LINE, PER TOOTH R 38.20 - - - R 38.20 R 38.20 - - -

9473

ADDITIONAL CHARGE FOR HORSESHOE SADDLE, PER

TOOTH R 65.90 - - - R 65.90 R 65.90 - - -

9475

ADDITIONAL CHARGE FOR FITTING OF TOOTH TO

METAL BACKING, PER TOOTH R 45.10 - - - R 45.10 R 45.10 - - -

9479

ADDITIONAL CHARGE FOR FITTING ONE DISTAL-

EXTENSION HINGE R 133.50 - - - R 133.50 R 133.50 - - -

9480 ADDITIONAL CHARGE PER MILLED EDGE PER TOOTH R 116.20 - - - R 116.20 R 116.20 - - -

9481 ADDITIONAL CHARGE FOR EACH SOLDERING JOINT R 163.00 - - - R 163.00 R 163.00 - - -

9483 ADDITIONAL CHARGE FOR SOLDERING RETENTION R 197.70 - - - R 197.70 R 197.70 - - -

9485

ADDITIONAL CHARGE FOR EACH ADDITIONAL

RETENTION SOLDERING JOINT R 60.70 - - - R 60.70 R 60.70 - - -

9487 ADDITIONAL CHARGE FOR EACH WELDING JOINT R 199.40 - - - R 199.40 R 199.40 - - -

9489 ADDITIONAL CHARGE FOR FITTING SWING LOCK R 163.00 - - - R 163.00 R 163.00 - - -

9491 ADDITIONAL CHARGE FOR EACH BACKING CAST R 159.50 - - - R 159.50 R 159.50 - - -

9493

ADDITIONAL CHARGE FOR EACH STEELS BACKING OR

PONTIC CAST (PLASTIC WORK TO BE CHARGED IN

ADDITION) R 173.40 - - - R 173.40 R 173.40 - - -

9495

BASIC FEE FOR THE REPAIRING OF OR ADDITION TO ANY

APPLIANCE NECESSITATING THE CASTING OF A MODEL

(9301) R 251.40 - - - R 251.40 R 251.40 - - -

9497

BASIC FEE IF A NEW SECTION IS TO BE FABRICATED AND

WHERE ITEM 9495 DOES NOT APPLY (9301) R 286.10 - - - R 286.10 R 286.10 - - -

9501

CERAMIC JACKET CROWN/CEROMER CROWN OR

PONTIC * - - - * * - - -

9502 CERAMIC METAL SUBSTITUTE COPING R 886.10 - - - R 886.10 R 886.10 - - -

9505 CERAMIC BONDED CROWN OR PONTIC R 1 449.70 - - R 1 367.80 R 1 449.70 R 1 449.70 - R 1 449.70 -

9507 POST-SOLDER INVESTED JOINT, PER JOINT R 296.50 - - - R 296.50 R 296.50 - - -

9511 INLAY IN PORCELAIN VENEER CROWN R 478.60 - - - R 478.60 R 478.60 - - -

9512 CERAMIC, INLAY/ONLAY, BRIDGE RETAINER * - - - * * - - -

9515

PORCELAIN SHOULDER PER UNIT (NOT APPLICABLE TO

PONTICS) R 97.10 - - R 97.10 R 97.10 R 97.10 - - -

Trf


9520

ADDITIONAL FEE FOR CROWN- & BRIDGE WORK

PERFORMED ON A MOVABLE CONDYLE ARTICULATOR

PER UNIT R 46.80 - - - R 46.80 R 46.80 - - -

9521 FULL METAL CROWN, MOD, THREE-QUARTER CROWN R 896.60 - - - R 896.60 * - - -

9524 INDIRECT COMPOSITE RESIN INLAY R 244.40 - - - R 242.80 R 244.40 - - -

9525 CLASS IV, MO, DO, CERVICAL/OCCLUSAL INLAY R 738.70 - - - * R 738.70 - - -

9526

ADDITIONAL FEE FOR ONE PIECE CASTING OF CROWN

OR INLAY ON POST R 225.40 - - - R 225.40 R 225.40 - - -

9531 PIN-LEDGE INLAY - - - - R 837.60 - - - -

9533 FULL METAL PONTIC R 662.40 - - - * R 662.40 - - -

9535 ABUTMENT THIMBLE CAST R 620.80 - - - R 620.80 R 620.80 - - -

9537 PRECISION LOCK AND REST CAST - - - - R 880.90 - - - -

9538 LOCK AND REST CAST - - - - R 421.40 - - - -

9539 CASTING OF REST ONLY R 251.40 - - - R 251.40 R 251.40 - - -

9541 METAL INLAY OR POST, CAST DIRECT - - - - R 267.10 - - - -

9543 GOLD/PRE-SOLDER INVESTED JOINT - - - - R 265.30 - - - -

9545 CAST POST WITH THIMBLE, INDIRECT R 442.20 - - - * R 442.20 - - -

9546 MULTIPLE POST R 731.80 - - - R 731.80 R 731.80 - - -

9547

MANUFACTURE CAST POST AND CORE TO EXISTING

CROWN R 577.50 - - - * R 577.50 - - -

9549 C.S.P. ATTACHMENT (STEIGER) R 1 949.20 - - - R 1 949.20 R 1 949.20 - - -

9550 MILLING MILLED EDGE PER UNIT R 620.80 - - - R 620.80 R 620.80 - - -

9551 TELESCOPE CROWN R 1 529.50 - - - R 1 529.50 R 1 529.50 - - -

9553

COMPOSITE/ACRYLIC VENEER CROWN/PONTIC,

INDIRECT R 1 222.60 - - - * R 1 222.60 - - -

9557 COMPOSITE/ACRYLIC JACKET CROWN, INDIRECT * R 863.60 - - - * R 863.60 * R 863.60 - - -

9559 COMPOSITE/ACRYLIC VENEER POST CROWN * R 1208.70 - - - * R 1208.70 * R 1208.70 - - -

9560 INDIRECT COMPOSITE RESIN VENEER R 511.60 - - - R 511.60 R 511.60 - - -

9561 COMPOSITE/ACRYLIC JACKET CROWN, DIRECT R 589.60 - - - * R 589.60 - - -

9563 TEMPORARY ACRYLIC/COMPOSITE CROWN PER UNIT R 421.40 - - - R 421.40 R 421.40 - - -

9564

HEAT FORMED TEMPLATE SUPPLIED TO DENTIST FOR

THE MANUFACTURE OF TEMPORARY RESTORATIONS - - - - R 211.60 - - - -

9565 COMPOSITE/ACRYLIC-FACING REPLACED R 490.80 - - - R 490.80 R 490.80 - - -

9566 PORCELAIN/ CEROMER FACING REPLACED R 889.60 - - - R 889.60 R 889.60 - - -

Trf


9569 WAXING OF CROWN TO EXISTING DENTURE R 346.80 - - - R 346.80 R 346.80 - - -

9570

ADDITIONAL FEE FOR EACH REMAKE AT AN AGREED

QUANTUM OF TIME TO BE CALCULATED AT AN HOURLY

RATE R 357.20 - - - R 357.20 R 357.20 - - -

9571 BASIC CHARGE WHICH INCLUDES ACRYLIC BASE R 438.70 R 438.70 R 438.70 R 438.70 R 438.70 R 438.70 - - -

9572 BASIC CHARGE NON ACRYLIC BASE R 211.60 - R 211.60 - R 211.60 - - - -

9573

ADDITIONAL CHARGE FOR FITTING FIRST EXPANSION

SCREW R 83.20 - R 83.20 - R 83.20 - - - -

9575

ADDITIONAL FEE FOR FITTING SUBSEQUENT EXPANSION

SCREWS R 71.10 - R 71.10 - R 71.10 - - - -

9576 ADDITIONAL FEE FOR FULL ACLUSAL BITE PLATE R 246.30 R 246.30 R 246.30 R 246.30 R 246.30 R 246.30 - - -

9577 ADDITIONAL FEE FOR BITE PLATE ANTERIOR R 83.20 R 83.20 R 83.20 - R 83.20 R 83.20 - - -

9578 ADDITIONAL FEE FOR BITE PLATE POSTERIOR R 83.20 R 83.20 R 83.20 - R 83.20 R 83.20 - - -

9579 ADDITIONAL FEE FOR FITTING TONGUE GUARD R 104.00 - R 104.00 - R 104.00 - - - -

9581 ADDITIONAL FEE FOR FLAT OR INCLINED PLANE R 64.20 - R 64.20 - R 64.20 - - - -

9583 ADDITIONAL FEE FOR ADAMS CRIB R 76.30 - R 76.30 - R 76.30 - - - -

9585 ADDITIONAL FEE FOR JACKSON CRIB R 79.80 - R 79.80 - R 79.80 - - - -

9587 ADDITIONAL FEE FOR BALL CLASP R 90.20 R 90.20 R 90.20 R 90.20 R 90.20 - - - -

9589 ADDITIONAL FEE FOR SINGLE ARM CLASP R 69.40 - R 69.40 - R 69.40 - - - -

9591 ADDITIONAL FEE FOR DOUBLE ARM CLASP R 121.40 - R 121.40 - R 121.40 - - - -

9593

ADDITIONAL FEE FOR FITTING SINGLE LOOP FINGER

SPRING R 57.20 - R 57.20 - R 57.20 - - - -

9595

ADDITIONAL FEE FOR FITTING DOUBLE LOOP FINGER

SPRING R 67.60 - R 67.60 - R 67.60 - - - -

9597

ADDITIONAL FEE FOR FITTING BUCCAL RETRACTION

SPRING R 50.30 - R 50.30 - R 50.30 - - - -

9599 ADDITIONAL FEE FOR FITTING APRON SPRING R 130.10 - R 130.10 - R 130.10 - - - -

9603 ADDITIONAL FEE FOR FITTING COFFIN SPRING R 124.90 - R 124.90 - R 124.90 - - - -

9605 ADDITIONAL FEE FOR FITTING QUAD HELIX R 138.70 - R 138.70 - R 138.70 - - - -

9607 ADDITIONAL FEE FOR FITTING FLAPPER OR “T”-SPRING R 104.00 - R 104.00 - R 104.00 - - - -

9609

ADDITIONAL FEE FOR FITTING ALL SPRINGS WITH

TUBING, EACH R 116.20 - R 116.20 - R 116.20 - - - -

9611 ADDITIONAL FEE FOR FITTING LABIAL ARCH R 65.90 - R 65.90 - R 65.90 - - - -

9613 ADDITIONAL FEE FOR FITTING BUCCAL ARCH R 78.00 - R 78.00 - R 78.00 - - - -

9615 ADDITIONAL FEE FOR FITTING ROBERTS RETRACTOR R 145.70 - R 145.70 - R 145.70 - - - -

9617 INVISIBLE RETAINER - - - - R 192.50 - - - -

Trf


9619

ADDITIONAL FEE FOR FITTING TWIN WIRE ARCH EXTRA-

ORAL ARCH R 182.10 - R 182.10 - R 182.10 - - - -

9620 ADDITIONAL FEE LIP BUMPER R 76.30 - R 76.30 - R 76.30 - - - -

9621 ADDITIONAL FEE FOR FITTING EXTRA-ORAL ARCH R 173.40 - R 173.40 - R 173.40 - - - -

9622

ADDITIONAL FEE FOR FITTING SPACE MAINTAINER

ARCH R 76.30 - R 76.30 - R 76.30 - - - -

9623 ADDITIONAL FEE FOR EACH SPOT-WELDING JOINT R 34.70 - R 34.70 - R 34.70 - - - -

9625 ADDITIONAL FEE FOR EACH SOLDERING JOINT R 55.50 - R 55.50 - R 55.50 - - - -

9627 ADDITIONAL FEE FOR EACH INVESTED SOLDERING JOINT R 154.30 - R 154.30 - R 154.30 - - - -

9629

ADDITIONAL FEE FOR EACH HOOK FOR ELASTIC

TRACTION R 50.30 - R 50.30 - R 50.30 - - - -

9631 MOUTH PROTECTOR (GUM GUARD) - - - - R 326.00 - - - -

9633 ORAL SCREEN R 400.60 R 400.60 R 400.60 R 400.60 R 400.60 R 400.60 - - -

9635 ANDRESEN OR NORWEGIAN APPLIANCE R 716.20 R 716.20 R 716.20 R 716.20 R 716.20 R 716.20 - - -

9637 TOOTH POSITIONER R 825.50 - R 825.50 R 825.50 R 825.50 R 825.50 - - -

9639 GUNNING SPLINT R 1 099.40 R 1 099.40 R 1 099.40 R 1 099.40 R 1 099.40 R 1 099.40 - - -

9641 FRANKEL APPLIANCE R 1 061.30 - R 1 061.30 - R 1 061.30 - - - -

9643 CHIN CAP R 352.00 - R 352.00 - R 352.00 - - - -

9645 BIONATOR R 717.90 - R 717.90 - R 717.90 - - - -

9646 DIAGNOSTIC SET-UP - - - - R 690.20 - - - -

9647 SNORING APPLIANCE - - - - R 652.00 - - - -

9651

PINCHED OR SWAGED BAND WITH WELDED

ATTACHMENT (EXCLUDING COST OF ATTACHMENT) R 211.60 - R 211.60 - R 211.60 - - - -

9653

PINCHED OR SWAGED BAND WITH SOLDERED

ATTACHMENT R 277.50 - R 277.50 - R 277.50 - - - -

9662

ADDITIONAL FEE FOR EACH REMAKE AT AN AGREED

QUANTUM OF TIME TO BE CALCULATED AT AN HOURLY

RATE - - - - R 357.20 - - - -

9700 DIATORICS 1 X 6/8 R 173.50 R 173.50 - R 173.50 R 173.50 R 173.50 - R 173.50 -

9702 DIATORICS, ODDS, ANTERIOR R 59.00 - - R 59.00 R 59.00 R 59.00 - - -

9704 DIATORICS, ODDS, POSTERIOR R 59.00 - - R 59.00 R 59.00 R 59.00 - R 59.00 -

9706 COST OF BLEACHING TRAY MATERIAL - - - - - - - - -

9720 SOFT BASE MATERIAL PER DENTURE R 627.70 - - R 627.70 R 627.70 R 627.70 - R 627.70 -

9722 ACRYLIC PER DENTURE R 71.00 R 71.00 R 71.00 R 71.00 R 71.00 R 71.00 - - -

9724 COST OF PRECISION ATTACHMENT, PER ATTACHMENT - - - - - - - - -

9726 PREFORMED BALL OR ROACH CLASP R 12.20 R 12.20 R 12.20 R 12.20 R 12.20 R 12.20 - - -

Trf


9728 COST OF LINGUAL / PALATAL BAR R 142.20 - - - R 142.20 R 142.20 - - -

9729 COST OF MESH STRENGTHENER R 74.60 - - - R 74.60 R 74.60 - - -

9730

COST OF PRE-FABRICATED BURN-OUT COMPONENT,

PER COMPONENT R 73.80 - - - R 73.80 R 73.80 - - -

9732

COST OF OTHER ATTACHMENT COMPONENTS E.G.

NYLON CAPS, SLEEVES ETC - - - - - - - - -

9734

COST OF DOLDER BAR AND CLIPS, PER GRAM OR PER

CLIP - - - - - - - - -

9736 COST OF IMPLANT COMPONENTS * * - * - * - - -

9738 COST OF PREFORMED STRENGTHENER R 74.60 - - - R 74.60 R 74.60 - - -

9739 ADDITIONAL CHARGE GOLD PLATING - - - - - - - - -

9740 COST OF GOLD WIRE, PER GRAM - - - - - - - - -

9741 COST OF COBALT CHROME CASTING ALLOY R 117.90 - - - R 117.90 R 117.90 - - -

9742

COST OF SPECIALISED COBALT CHROME CASTING

METAL E G VITALLIUM, TITANIUM - - - - - - - - -

9744 COST OF PRECIOUS CASTING ALLOY - - - - - - - - -

9746 COST OF SEMI-PRECIOUS CASTING ALLOY - - - - - - - - -

9748 COST OF NON-PRECIOUS CASTING ALLOY * - - * * * - * -

9752 COST OF PLATINUM FOIL - - - - - - - - -

9754 COST OF GOLD SOLDER, PER GRAM - - - - - - - - -

9755 ETCHING FOR BONDING (METAL OR CERAMIC) - - - - - - - - -

9756 COST OF SILVER SOLDER, PER GRAM R 43.50 - - - R 43.50 R 43.50 - - -

9757 CEROMER MATERIAL - PER UNIT R 886.20 - - - R 886.10 R 886.20 - - -

9758 FIBER RE-ENFORCED MATERIAL PER UNIT R 292.00 - R 292.00 R 292.00 R 292.00 R 292.00 - - -

9760 COMPOSITE RESTORATION MATERIAL - - - - - - - - -

9761 CERAMIC MATERIAL - - - - - - - - -

9762

COST OF ANTERIOR ORTHODONTIC ATTACHMENT, PER

ATTACHMENT R 25.90 - R 25.90 - R 25.90 - - - -

9763 ORTHODONTIC MATERIAL R 25.90 R 25.90 R 25.90 - R 25.90 - - - -

9764

COST OF POSTERIOR ORTHODONTIC ATTACHMENT, PER

ATTACHMENT R 25.90 - R 25.90 - R 25.90 - - - -

9765 PREFORMED COMPONENTS R 13.90 - R 13.90 - R 13.90 R 13.90 - - -

9766 COST OF EXPANSION SCREW, PER SCREW R 29.50 - R 29.50 - R 29.50 - - - -

9767 SOLDERING MATERIAL R 6.92 - R 6.92 - R 6.92 R 6.92 - - -

9768 COST OF BUCCAL TUBE/TRANSFER TUBE, PER TUBE - - R 12 994.00 - - - - - -

9770 COST OF J-HOOK, PER HOOK R 27.70 - R 27.70 - R 27.70 - - - -

9772 COST OF LINGUAL BUTTONS, PER BUTTON R 27.70 - R 27.70 - R 27.70 R 27.70 - - -

Trf


9774 COST OF INVISIBLE RETAINER MATERIAL - - - - - - - - -

9775 R/A CASE - - - - - - - - -

9776 COST OF MOUTH PROTECTOR MATERIAL - - - - - - - - -

9778 COST OF ARCH WIRE R 6.92 - R 6.92 - R 6.92 - - - -

9779 DUAL LAMINATE MATERIAL - - - - - - - - -

9780

POSITIONING AND FINISHING OF COMPLETE (MALE AND

FEMALE) PRE-FABRICATED BURN-OUT ATTACHMENT - - - - R 546.30 - - - -

9782

POSITIONING AND SOLDERING OF COMPLETE (MALE

AND FEMALE) PRECISION ATTACHMENT - - - - R 456.10 - - - -

9783 IMPLANT STENT PER UNIT - - - - R 421.40 - - - -

9784 ALIGNMENT OF DOLDER BAR AND CLIPS - - - - R 575.70 - - - -

9786

TRIMMING, WAXING AND FINISHING OF IMPLANT

ABUTMENT - CROWN AND BRIDGE WORK ONLY, PER

ABUTMENT R 248.00 - - R 248.00 R 248.00 R 248.00 - - -

9787

WAXING, MILLING AND FINISHING OF A CUSTOM

ABUTMENT R 483.80 - - - R 483.80 R 483.80 - - -

9788

IMPLANT SUPERSTRUCTURE (EDENTULOUS CASES)

INCLUDING PLACING OF PREFORMED PARTS, PER

SECTION CAST - - - - R 2 644.60 - - - -

9789

FINISHING OF PROSTHESIS ON IMPLANT STRUCTURE

PER ARCH R 965.90 - - - R 965.90 R 965.90 - - -

Documents

Denis Tariff Structure 2016 Tariff Structure 2016.pdf · Trf Code TariffDescription 54 62 64 92 93 94 95 96 113 8179 POLISHING - COMPLETE DENTITION (PERIODONTALLY COMPROMISED PATIENT)