TANDARTS
Drg Widiastuti Maandag t/m Zaterdag 09.00 t/m 15.00
Per bezoek komt bij deze tarieven nog één keer de hospital fee IDR50.000
| No | ITEM | TARIEF | NO | ITEM | TARIEF |
| 1 | Check Up | 100,000 | V | CROWN / BRIDGE | |
| 2 | Emergency treatment | 100,000 | 1 |
Metal ( silver alloy ) |
750,000 |
| II | CONSERVATIVE TREATMENT | 2 |
Acrylic |
450,000 |
|
| 1 | Nerve Treatment | 100,000 | 3 |
Metal Porcelain per Tooth |
900,000 |
| 2a | Amalgam Filling Class I | 100,000 | 4 |
All porcelain ( inceram / metal free |
1,500,000 |
| 2b | Amalgam Filling Class II | 100,000 | 5 |
Crowning / Bridging Per Tooth |
100,000 |
| 3 |
Ionomer Glass Filling |
100,000 | 6 |
Impermanent Crowning |
100,000 |
| 4 | Composite Filling | 100,000 | 7 |
Crown veetris per tooth |
1,125,000 |
| 5 | Inlay, Uplay, Onlay Filling | 375,000 | 8 |
Crown / Bridge veetris - targis per tooth |
1,200,000 |
| 6 |
Fissurre sealant per regio |
100,000 |
VI |
MOUTH SURGERY |
|
| 7 | Treatment per Root Canal | 100,000 | 1 |
Tooth Extract With Topical Anastasia |
100,000 |
| 8 |
Bleatching |
600,000 | 2 |
Tooth Permanent Extract With Local Anesthesia |
100,000 |
| III |
ORTHODONTIC |
3 |
Tooth Extract With Citojet |
105,000 |
|
| 1 | One Plate | 450,000 | 4 |
Complicated Tooth Extract |
150,000 |
| 2 | Additional Plate | 300,000 | 5 |
Open Method Tooth Extract |
225,000 |
| 3 | Screw Additional | 100,000 | 6 |
Impact Tooth Extraction |
562,500 |
| 4 | Control Per Visite | 100,000 | 7 |
Intra oral Abscess Incision |
100,000 |
| IV | DENTAL PLASTIC | 8 |
Splinting per Maxilla or Mandibulla |
450,000 |
|
| 1 | Full Dental Plastic , Maxilla and Mandibulla | 3,000,000 |
9 |
Alveolectomy per regio |
225,000 |
| 2 | Half Dental Plastic, | 375,000 |
10 |
Post Operative Control |
100,000 |
| 3 | Metal Denture, 1st Tooth | 1,500,000 |
VII |
PERIODONTIC |
|
| 4 | Additional Denture | 100,000 |
1 |
Scaling per Maxilla Or Mandibulla + Polishing |
100,000 |
| 5 |
Plate Repair |
225,000 |
2 |
Close Methode Gingiva Curettage Without anastasia per regio |
100,000 |
| 6 | Relinning Full Dental Plastic, Maxilla / Mandibulla | 300,000 |
3 |
Open Methode Curettage + anastasia + Hecting / packing per regio |
300,000 |
| 7 | Full Dental Plastic Rebasing, Maxilla / Mandibulla | 600,000 |
4 |
Uperculectomy- packing per regio |
225,000 |