Dental
Last Updated on:
| Sl No | Service Category | Service Code | Service Name | Hospital Cost (Basic Rate) |
|---|---|---|---|---|
| 1 | DENTAL | 255804799 | SCALING /ORAL PROPHYLAXIS | 400 |
| 2 | DENTAL | 255804880 | TOOTH EXTRACTION | 50 |
| 3 | DENTAL | 255804891 | X-RAY (PER TOOTH) | 50 |
| 4 | DENTAL | 255804796 | REMOVAL PARTIAL DENTURE (1 TO 3 TEETH) | 400 |
| 5 | DENTAL | 255804892 | COMPOSITE FILLING | 220 |
| 6 | DENTAL | 255804893 | GIC (PER FILLING) | 220 |
| 7 | DENTAL | 255804895 | IMPACTIONS (WITH MATERIALS) | 400 |
| 8 | DENTAL | 255804795 | COMPOSITE RESTORATION | 120 |
| 9 | DENTAL | 255804896 | BIOPSY (WITH MATERIALS) | 350 |
| 10 | DENTAL | 255804794 | GIC RESTORATION | 120 |
| 11 | DENTAL | 255804894 | GIC OR MIRACLE MIX RESTORATION | 100 |
| 12 | DENTAL | 255804897 | ENAMELOPLASTY | 50 |
| 13 | DENTAL | 255804881 | SURGICAL TOOTH EXTRACTION | 250 |
| 14 | DENTAL | 255804800 | GINGIVAL CURETTAGE | 250 |
| 15 | DENTAL | 255804798 | COMPLETE DENTURE | 1000 |
| 16 | DENTAL | 255804801 | TOOTH CANAL TREATMENT | 1400 |
| 17 | DENTAL | 255804797 | REMOVAL PARTIAL DENTURE (MORE THAN 3 TEETH) | 600 |