denis 2019 rates

*

-

Trf

CodeTariffDescription

*Pre-

authorisation

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Oral

Hygiene

(113)

8025HANDLING FEE - DIRECT MATERIALS (26% OF MATERIAL

COST TO A MAXIMUM OF R26.00) R 40.20 R 40.20 R 40.20 R 40.20 - R 40.20 - -8101 ORAL EXAMINATION R 223.70 R 223.70 R 223.70 R 223.70 - R 223.70 R 116.40 -8102 COMPREHENSIVE ORAL EXAMINATION R 361.40 R 361.40 R 361.40 R 361.40 - R 361.40 R 187.90 -8104 LIMITED ORAL EXAMINATION R 108.50 R 108.50 R 108.50 R 108.50 - R 108.50 R 90.70 -8106 SPECIAL REPORT R 229.70 R 229.70 R 229.70 R 229.70 - R 229.70 - -8107 INTRAORAL RADIOGRAPH - PERIAPICAL R 90.60 R 90.60 R 90.60 R 90.60 - R 90.60 R 87.30 R 87.208108 INTRAORAL RADIOGRAPHS - COMPLETE SERIES R 701.00 R 701.00 R 701.00 R 701.00 - R 701.00 R 671.80 R 671.808109 INFECTION CONTROL/BARRIER TECHNIQUES R 20.10 R 20.10 R 20.10 R 20.10 - R 20.10 R 20.10 R 20.108110 STERILIZED INSTRUMENTATION R 52.00 R 52.00 R 52.00 R 52.00 - R 52.00 R 51.90 R 51.908112 INTRAORAL RADIOGRAPH - BITEWING R 90.60 R 90.60 R 90.60 R 90.60 - R 90.60 R 87.30 -8113 INTRAORAL RADIOGRAPH - OCCLUSAL R 156.00 R 156.00 R 156.00 R 156.00 - R 156.00 - -8114 EXTRAORAL RADIOGRAPH - HAND-WRIST R 362.00 R 362.00 R 362.00 R 362.00 - R 362.00 - -8115 EXTRAORAL RADIOGRAPH - PANORAMIC R 362.00 R 362.00 R 362.00 R 362.00 - R 362.00 - -8116 EXTRAORAL RADIOGRAPH - CEPHALOMETRIC R 362.00 R 362.00 R 362.00 R 362.00 - R 362.00 - -8117 DIAGNOSTIC MODELS R 97.30 R 97.30 R 97.30 R 97.30 - R 97.30 - -8118 EXTRAORAL RADIOGRAPH - SKULL/FACIAL BONE R 362.00 R 362.00 R 362.00 R 362.00 - R 362.00 - -8119 DIAGNOSTIC MODELS MOUNTED R 244.70 R 244.70 R 244.70 R 244.70 - R 244.70 - -8120 TREATMENT PLAN COMPLETED - - - - - - - -

8121ORAL AND/OR FACIAL IMAGE (DIGITAL/CONVENTIONAL) R 97.30 R 97.30 R 97.30 R 97.30 - R 97.30 - R 93.70

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

8124 PULP TESTS R 26.70 - - - - - - -

8129OFFICE/HOSPITAL VISIT – AFTER REGULARLY SCHEDULED

HOURS R 337.00 R 337.00 - R 337.00 - R 337.00 R 279.30 -8131 EMERGENCY DENTAL TREATMENT R 137.40 R 137.40 R 137.40 R 137.40 - R 280.00 R 116.40 R 116.408132 PULP REMOVAL (PULPECTOMY) R 224.70 R 224.70 - - - R 298.80 - -

DENIS 2019 Rates

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 will be included in the authorisation process.

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

Tariff amount not applicable

Trf


*Pre-

authorisation

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Oral

Hygiene

(113)

8133 RECEMENT INLAY, ONLAY, CROWN OR VENEER R 137.40 R 137.40 - - - R 174.30 - -8135 REMOVE INLAY, ONLAY OR CROWN R 273.30 R 273.30 - - - R 273.30 - -

8136ACCESS THROUGH A PROSTHETIC CROWN OR INLAY TO

FACILITATE ROOT CANAL TREATMENT R 122.30 R 122.30 - R 122.30 - R 122.30 - -8137 EMERGENCY CROWN (CHAIR-SIDE) R 471.10 R 471.10 - - - R 471.10 - -

8138REMOVE RETENTION POST (PREFABRICATED OR CAST) R 179.40 R 179.40 - - - R 179.40 - -

8139 APPOINTMENT NOT KEPT /30MIN - - - - - - - -

8140HOUSE/EXTENDED CARE FACILITY/HOSPITAL CALL * R 223.00 R 223.00 - R 223.00 - R 223.00 R 184.80 -

8141INHALATION SEDATION - FIRST 15 MINUTES OR PART

THEREOF R 100.70 R 100.70 - R 100.70 - R 100.70 - -

8143INHALATION SEDATION - EACH ADDNL 15 MINUTES R 52.00 R 52.00 - R 52.00 - R 52.00 - -

8144 INTRAVENOUS SEDATION * R 60.30 R 60.30 - R 60.30 - R 60.30 - -8145 LOCAL ANAESTHETIC - PER VISIT R 87.30 R 87.30 R 87.30 R 87.30 - R 87.30 R 19.80 R 19.808146 RESIN BONDING FOR RESTORATIONS - - - - - - - -

8147MONITORING EQUIPMENT FOR INTRAVENOUS

SEDATION R 214.70 R 214.70 - R 214.70 - R 214.70 - -8151 ORAL HYGIENE INSTRUCTION R 137.40 - - R 275.00 - R 275.00 R 91.40 R 91.40

8153ORAL HYGIENE INSTRUCTION - EACH ADDITIONAL VISIT R 100.70 - - R 132.40 - R 132.40 R 66.90 R 66.90

8154 ORAL EXAMINATION - ORAL HYGIENIST - - - - - - - R 116.508155 POLISHING - COMPLETE DENTITION R 137.40 R 137.40 - R 189.40 - R 137.40 R 111.80 R 111.70

8157RE-BURNISHING AND POLISHING OF RESTORATIONS -

COMPLETE DENTITION R 137.40 - - - - - - -8158 ENAMEL MICROABRASION R 125.70 - - - - - - -8159 PROPHYLAXIS - COMPLETE DENTITION R 270.00 R 270.00 - R 380.70 - R 270.00 R 203.60 R 203.608160 REMOVAL OF GROSS CALCULUS - - - - - - - -8161 TOPICAL APPLICATION OF FLUORIDE - CHILD R 137.40 R 137.40 - R 137.40 - R 137.40 R 111.80 R 111.708162 TOPICAL APPLICATION OF FLUORIDE - ADULT R 137.40 - - R 137.40 - R 137.40 R 111.80 R 111.708163 DENTAL SEALANT R 90.60 R 90.60 - R 90.60 - R 90.60 R 82.70 R 82.708164 LIMITED ORAL EXAMINATION - ORAL HYGIENIST - - - - - - - R 90.708165 SEDATIVE FILLING R 137.40 R 137.40 - R 137.40 - R 137.40 R 116.40 R 116.40

8166APPLICATION OF DESENSITISING RESIN, PER TOOTH R 90.60 R 90.60 - R 90.60 - R 90.60 R 76.80 R 76.80

8167APPLICATION OF DESENSITISING MEDICAMENT, PER

VISIT R 105.70 R 105.70 - R 105.70 - R 105.70 R 89.50 R 89.60

Trf


*Pre-

authorisation

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Oral

Hygiene

(113)

8169 OCCLUSAL GUARD R 528.10 R 528.10 R 528.10 R 528.10 - R 528.10 - -8171 MOUTH PROTECTOR R 159.80 R 159.80 R 159.80 R 159.80 - R 159.80 - R 119.808172 COST OF ORTHOTIC APPLIANCE * - - - - - - - -8173 SPACE MAINTAINER - FIXED, PER ABUTMENT R 255.00 R 255.00 R 255.00 R 255.00 - R 255.00 - -8175 SPACE MAINTAINER - REMOVABLE R 328.70 R 328.70 R 328.70 R 328.70 - R 328.70 - -8176 PERIODONTAL SCREENING R 188.50 R 177.80 - R 188.50 - R 188.50 - R 141.20

8177ORAL HYGIENE INSTRUCTION (PERIODONTALLY

COMPROMISED PATIENT) R 208.00 - - - - - - -

8178 ORAL HYGIENE INSTRUCTION - EACH ADDITIONAL VISIT

(PERIODONTALLY COMPROMISED PATIENT) R 112.30 - - - - - - -

8179POLISHING - COMPLETE DENTITION (PERIODONTALLY

COMPROMISED PATIENT) R 157.70 R 157.70 - R 157.70 - R 157.70 - R 118.20

8180PROPHYLAXIS - COMPLETE DENTITION (PERIODONTALLY

COMPROMISED PATIENT) * R 293.40 R 293.40 - R 293.40 - - - R 163.008183 THERAPEUTIC DRUG INJECTION R 60.30 - - - - - - -8189 RE-EXAMINATION - EXISTING CONDITION R 108.50 - - - - - R 90.70 R 90.708190 CONSULTATION - SECOND OPINION OR ADVICE R 223.70 R 223.70 R 223.70 R 223.70 - R 223.70 - -8192 SUTURE - MINOR R 677.40 R 677.40 - R 677.40 - R 677.40 - -

8194

CBCT CAPTURE AND INTERPRETATION WITH

LIMITED FIELD OF VIEW - LESS THAN ONE WHOLE

JAW R 362.10 R 362.10 R 362.10 R 362.10 - R 362.10 - -

8195


LIMITED FIELD OF VIEW OF ONE FULL ARCH -

MANDIBLE R 362.10 R 362.10 R 362.10 R 362.10 - R 362.10 - -

8196



MAXILLA WITHOUT ORBITS AND/OR CRANIUM R 362.10 R 362.10 R 362.10 R 362.10 - R 362.10 - -

8197


LIMITED FIELD OF VIEW OF BOTH DENTAL ARCHES -

WITHOUT ORBITS AND/OR CRANIUM R 362.10 R 362.10 R 362.10 R 362.10 - R 362.10 - -

8198CBCT CAPTURE AND INTERPRETATION FOR TMJ

SERIES INCLUDING TWO OR MORE EXPOSURES R 362.10 R 362.10 R 362.10 R 362.10 - R 362.10 - -

8199



MAXILLA WITH ORBITS AND/OR CRANIUM R 362.10 R 362.10 R 362.10 R 362.10 - R 362.10 - -

Trf


*Pre-

authorisation

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Oral

Hygiene

(113)

8200

CBCT CAPTURE AND INTERPRETATION WITH FIELD

OF VIEW OF BOTH DENTAL ARCHES - WITH ORBITS

AND/OR CRANIUM R 362.10 R 362.10 R 362.10 R 362.10 - R 362.10 - -

8201EXTRACTION - TOOTH OR EXPOSED TOOTH ROOTS

(FIRST PER QUADRANT) R 137.40 R 206.10 R 137.40 R 137.40 - R 137.40 R 130.30 -

8202EXTRACTION - EACH ADDITIONAL TOOTH OR EXPOSED

TOOTH ROOTS R 55.30 R 83.00 R 55.30 R 55.30 - R 55.30 R 50.30 -

8213SURGICAL REMOVAL OF RESIDUAL ROOTS, FIRST TOOTH

PER QUADRANT R 593.60 R 593.60 - R 593.60 - R 593.60 - -

8214SURGICAL REMOVAL OF RESIDUAL ROOTS, SECOND AND

SUBSEQUENT TEETH'S ROOTS R 457.70 R 457.70 - R 457.70 - R 457.70 - -8220 COST OF SUTURE MATERIAL R 215.30 R 215.30 - R 215.30 - R 215.30 R 215.30 -8228 ART RESTORATIONS - - - - - - - R 238.50

8231COMPLETE DENTURES - MAXILLARY AND MANDIBULAR R 2 216.60 - - R 2 216.60 - R 4 627.70 - -

8232COMPLETE DENTURE - MAXILLARY OR MANDIBULAR R 1 366.50 - - R 1 366.50 - R 3 237.70 - -

8233 PARTIAL DENTURE - RESIN BASE - ONE TOOTH R 635.40 - - R 635.40 - R 635.40 - -8234 PARTIAL DENTURE - RESIN BASE - TWO TEETH R 635.40 - - R 635.40 - R 635.40 - -8235 PARTIAL DENTURE - RESIN BASE - THREE TEETH R 950.70 - - R 950.70 - R 950.70 - -8236 PARTIAL DENTURE - RESIN BASE - FOUR TEETH R 950.70 - - R 950.70 - R 950.70 - -8237 PARTIAL DENTURE - RESIN BASE - FIVE TEETH R 950.70 - - R 950.70 - R 950.70 - -8238 PARTIAL DENTURE - RESIN BASE - SIX TEETH R 1 261.00 - - R 1 261.00 - R 1 261.00 - -8239 PARTIAL DENTURE - RESIN BASE - SEVEN TEETH R 1 261.00 - - R 1 261.00 - R 1 261.00 - -8240 PARTIAL DENTURE - RESIN BASE - EIGHT TEETH R 1 261.00 - - R 1 261.00 - R 1 261.00 - -

8241PARTIAL DENTURE - RESIN BASE - NINE OR MORE TEETH R 1 261.00 - - R 1 261.00 - R 1 261.00 - -

8244 IMMEDIATE DENTURE - MAXILLARY R 1 366.50 - - R 1 366.50 - R 2 049.80 - -8245 IMMEDIATE DENTURE - MANDIBULAR R 1 366.50 - - R 1 366.50 - R 2 049.80 - -8251 CLASP OR REST - CAST GOLD R 125.70 - - - - - - -8253 CLASP OR REST - WROUGHT GOLD R 125.70 - - - - - - -8255 CLASP OR REST - STAINLESS STEEL R 132.40 - - - - - - -8257 BAR - LINGUAL OR PALATAL R 156.00 - - - - - - -

8259REBASE COMPLETE OR PARTIAL DENTURE

(LABORATORY) R 518.00 - - R 518.00 - R 747.70 - -8261 REMODEL COMPLETE OR PARTIAL DENTURE R 831.70 - - R 831.70 - R 831.70 - -

Trf


*Pre-

authorisation

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Oral

Hygiene

(113)

8263RELINE COMPLETE OR PARTIAL DENTURE (CHAIR-SIDE) R 328.70 - - R 328.70 - R 410.70 - -

8265TISSUES CONDITIONING PER ARCH (INCLUDING SOFT

SELF-CURE RELINE) R 214.70 R 214.70 - R 214.70 - R 275.00 - R 161.00

8267RELINE COMPLETE OR PARTIAL DENTURE (LABORATORY) R 756.30 - - R 756.30 - R 756.30 - -

8269REPAIR DENTURE OR OTHER INTRA-ORAL APPLIANCE R 174.30 - - - - R 187.70 - -

8270 ADD CLASP TO EXISTING PARTIAL DENTURE R 125.70 - - - - - - -8271 ADD TOOTH TO EXISTING PARTIAL DENTURE R 125.70 - - - - - - -

8273IMPRESSION TO REPAIR OR MODIFY A DENTURE OR

OTHER INTRA-ORAL APPLIANCE R 100.70 - - R 100.70 - R 100.70 - -8275 ADJUST COMPLETE OR PARTIAL DENTURE R 100.70 - - R 100.70 - R 100.70 - -8277 INLAY IN DENTURE R 417.40 - - - - R 823.20 - -

8281PARTIAL DENTURE - CAST METAL FRAMEWORK ONLY R 1 482.30 - - R 1 482.30 - R 1 482.30 - -

8301 PULP CAP - DIRECT R 182.70 - - - - - - -8303 PULP CAP - INDIRECT R 182.70 - - - - - R 165.30 -8304 RUBBER DAM PER ARCH R 107.30 R 107.30 - R 107.30 - R 107.30 - -8306 COST OF MTA - - - - - - - -8307 PULP AMPUTATION (PULPOTOMY) R 179.40 R 179.40 - R 179.40 - R 179.40 - -8310 SUPPLY OF BLEACHING MATERIALS - - - - - - - -8325 INTERNAL BLEACHING - PER TOOTH R 325.30 - - - - R 488.00 - -8327 INTERNAL BLEACHING - EACH ADDITIONAL VISIT R 156.00 - - - - R 234.00 - -

8328ROOT CANAL OBTURATION - ANTERIORS AND

PREMOLARS - EACH ADDITIONAL CANAL R 255.00 R 255.00 - - - R 339.10 - -

8329ROOT CANAL THERAPY - ANTERIORS AND PREMOLARS -

EACH ADDITIONAL CANAL R 318.60 R 318.60 - - - R 423.70 - -8330 REMOVAL OF ROOT CANAL OBSTRUCTION R 179.40 R 179.40 - R 179.40 - R 179.40 - -

8332ROOT CANAL PREPARATORY VISIT - SINGLE CANAL

TOOTH R 137.40 R 137.40 - - - R 182.60 - -

8333ROOT CANAL PREPARATORY VISIT - MULTI CANAL

TOOTH R 192.70 R 192.70 - - - R 192.70 - -

8334RE-TREATMENT OF PREVIOUSLY COMPLETED ROOT

CANAL THERAPY, PER CANAL R 203.00 R 203.00 - R 203.00 - R 244.70 - -

8335ROOT CANAL OBTURATION - ANTERIORS AND

PREMOLARS - FIRST CANAL R 623.70 R 623.70 - - - R 829.40 - -

Trf


*Pre-

authorisation

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Oral

Hygiene

(113)

8336ROOT CANAL OBTURATION - POSTERIORS - FIRST CANAL R 858.40 R 858.40 - - - R 1 141.60 - -

8337ROOT CANAL OBTURATION - POSTERIORS - EACH

ADDITIONAL CANAL R 255.00 R 255.00 - - - R 339.10 - -

8338ROOT CANAL THERAPY - ANTERIORS AND PREMOLARS -

FIRST CANAL R 954.00 R 954.00 - - - R 1 268.80 - -

8339ROOT CANAL THERAPY - POSTERIORS - FIRST CANAL R 1 311.10 R 1 311.10 - - - R 1 743.60 - -

8340ROOT CANAL THERAPY - POSTERIORS - EACH

ADDITIONAL CANAL R 318.60 R 318.60 - - - R 423.70 - -8341 AMALGAM - ONE SURFACE R 273.30 R 273.30 - R 273.30 - R 273.30 R 238.50 -8342 AMALGAM - TWO SURFACES R 337.00 R 337.00 - R 337.00 - R 337.00 R 294.00 -8343 AMALGAM - THREE SURFACES R 410.70 R 410.70 - R 410.70 - R 410.70 R 358.40 -8344 AMALGAM - FOUR OR MORE SURFACES R 457.70 R 457.70 - R 457.70 - R 457.70 R 399.20 -

8345PREFABRICATED POST RETENTION, PER POST (IN

ADDITION TO RESTORATION) R 270.00 R 270.00 - R 270.00 - R 270.00 - -

8347PIN RETENTION - FIRST PIN (IN ADDITION TO

RESTORATION) R 135.70 R 135.70 - R 135.70 - R 135.70 - -

8348PIN RETENTION - EACH ADDITIONAL PIN (IN ADDITION

TO RESTORATION) R 125.70 R 125.70 - R 125.70 - R 125.70 - -

8349CARVE RESTORATION TO ACCOMMODATE EXISTING

REMOVABLE PROSTHESIS R 55.30 - - - - - - -

8350RESIN CROWN - ANTERIOR PRIMARY TOOTH (DIRECT) R 596.30 R 596.30 - R 596.30 - R 596.30 R 520.00 -

8351 RESIN - ONE SURFACE, ANTERIOR R 300.00 R 300.00 - R 300.00 - R 300.00 R 288.60 -8352 RESIN - TWO SURFACES, ANTERIOR R 377.30 R 377.30 - R 377.30 - R 377.30 R 362.70 -8353 RESIN - THREE SURFACES, ANTERIOR R 451.00 R 451.00 - R 451.00 - R 451.00 R 433.40 -8354 RESIN - FOUR OR MORE SURFACES, ANTERIOR R 503.00 R 503.00 - R 503.00 - R 503.00 R 483.70 -8355 VENEER - RESIN (CHAIR-SIDE) R 476.30 R 476.30 - R 476.30 - R 476.30 - -8357 PREFABRICATED METAL CROWN R 280.00 R 280.00 - R 280.00 - R 280.00 - -8361 INLAY - METAL - ONE SURFACE R 417.40 - - - - R 823.30 - -8362 INLAY/ONLAY - METAL - TWO SURFACES R 610.30 - - - - R 1 193.70 - -8363 INLAY/ONLAY - METAL - THREE SURFACES R 1 017.70 - - - - R 1 851.00 - -

8364INLAY/ONLAY - METAL - FOUR OR MORE SURFACES R 1 230.70 - - - - R 1 851.00 - -

8366PIN RETENTION AS PART OF CAST RESTORATION (ANY

NUMBER OF PINS) R 203.00 - - - - R 275.00 - -8367 RESIN - ONE SURFACE, POSTERIOR R 325.30 R 325.30 - R 325.30 - R 325.30 R 312.80 -

Trf


*Pre-

authorisation

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Oral

Hygiene

(113)

8368 RESIN - TWO SURFACES, POSTERIOR R 402.40 R 402.40 - R 402.40 - R 402.40 R 387.00 -8369 RESIN - THREE SURFACES, POSTERIOR R 486.30 R 486.30 - R 486.30 - R 486.30 R 467.40 -8370 RESIN - FOUR OR MORE SURFACES, POSTERIOR R 523.00 R 523.00 - R 523.00 - R 523.00 R 502.80 -8371 INLAY - PORCELAIN - ONE SURFACE R 503.00 - - - - R 994.30 - -8372 INLAY/ONLAY - PORCELAIN - TWO SURFACES R 742.70 - - - - R 1 432.00 - -8373 INLAY/ONLAY - PORCELAIN - THREE SURFACES R 1 224.00 - - - - R 2 225.00 - -

8374INLAY/ONLAY - PORCELAIN - FOUR OR MORE SURFACES R 1 482.30 - - - - R 2 225.00 - -

8375 PREFABRICATED RESIN CROWN R 280.00 R 280.00 - R 280.00 - R 280.00 - -8376 CORE BUILD-UP WITH PREFABRICATED POSTS R 747.70 - - - - R 747.70 - -8379 COST OF PREFABRICATED POSTS R 104.10 - - - - R 104.10 - -8381 INLAY - RESIN - ONE SURFACE R 503.00 - - - - R 994.30 - -8382 INLAY/ONLAY - RESIN - TWO SURFACES R 742.70 - - - - R 1 432.00 - -8383 INLAY/ONLAY - RESIN - THREE SURFACES R 1 224.00 - - - - R 2 225.00 - -

8384INLAY/ONLAY - RESIN - FOUR OR MORE SURFACES R 1 482.30 - - - - R 2 225.00 - -

8391 CAST CORE WITH SINGLE POST * R 315.30 - - - - R 315.30 - -8392 CAST POST (EACH ADDITIONAL) R 187.70 - - - - R 187.70 - -8397 CAST CORE WITH PINS (ANY NUMBER OF PINS) * R 503.00 - - - - R 654.00 - -8398 CORE BUILD-UP WITH PINS R 610.30 - - - - R 610.30 - -8401 CROWN - FULL CAST METAL * R 1 569.40 - - - - R 2 310.40 - -8403 CROWN - 3/4 CAST METAL * R 1 569.40 - - - - R 2 310.40 - -8404 CROWN - 3/4 PORCELAIN/CERAMIC * R 1 482.10 - - - - R 2 225.00 - -8405 CROWN - RESIN LABORATORY * R 1 482.10 - - - - R 2 225.00 - -8407 CROWN - RESIN WITH METAL * R 1 569.40 - - - - R 2 310.40 - -8409 CROWN - PORCELAIN/CERAMIC * R 1 569.40 - - - - R 2 310.40 - -8410 PROVISIONAL CROWN R 305.00 - - R 305.00 - R 457.70 - -8411 CROWN - PORCELAIN VENEERED TO METAL * R 1 569.40 - - - - R 2 310.40 - -8413 REPAIR CROWN (PERMANENT OR PROVISIONAL) R 305.00 R 305.00 - - - R 305.00 - -

8414ADDITIONAL FEE FOR PROVISION OF CROWN WITHIN AN

EXISTING CLASP OR REST R 90.60 - - - - R 90.60 - -8415 PONTIC - CERAMIC * R 1 281.00 - - - - R 1 280.90 - -8416 PONTIC - CAST METAL * R 1 017.70 - - - - R 1 017.80 - -8417 PONTIC - RESIN WITH METAL * R 1 281.00 - - - - R 1 280.90 - -8418 PONTIC - PORCELAIN VENEERED TO METAL * R 1 281.00 - - - - R 1 280.90 - -8419 PROVISIONAL PONTIC R 305.00 - - - - R 457.70 - -

Trf


*Pre-

authorisation

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Oral

Hygiene

(113)

8432INLAY/ONLAY RETAINER - METAL - TWO SURFACES * R 610.30 - - - - R 1 193.70 - -

8433INLAY/ONLAY RETAINER - METAL - THREE SURFACES * R 1 017.70 - - - - R 1 851.00 - -

8434INLAY/ONLAY RETAINER - METAL - FOUR OR MORE

SURFACES * R 1 230.70 - - - - R 1 851.00 - -

8436INLAY/ONLAY RETAINER - PORCELAIN - TWO SURFACES * R 742.70 - - - - R 1 432.00 - -

8437INLAY/ONLAY RETAINER - PORCELAIN - THREE SURFACES * R 1 224.00 - - - - R 2 225.00 - -

8438INLAY/ONLAY RETAINER - PORCELAIN - FOUR OR MORE

SURFACES * R 1 482.30 - - - - R 2 225.00 - -8441 CROWN RETAINER - FULL CAST METAL * R 1 569.40 - - - - R 2 310.40 - -8442 CROWN RETAINER - 3/4 CAST METAL * R 1 569.40 - - - - R 2 310.40 - -8443 CROWN RETAINER - CERAMIC * R 1 569.40 - - - - R 2 310.40 - -8444 CROWN RETAINER - 3/4 CERAMIC * R 1 569.40 - - - - R 2 310.40 - -

8445CROWN RETAINER - PORCELAIN VENEERED TO METAL * R 1 569.40 - - - - R 2 310.40 - -

8446 CROWN RETAINER - RESIN WITH METAL * R 1 569.40 - - - - R 2 310.40 - -8447 PROVISIONAL CROWN RETAINER R 305.00 - - - - R 457.70 - -8499 GENERAL ANAESTHETIC - - - - - - - -8501 CONSULTATION - PROSTHODONTIS - - - - - R 285.10 - -8503 OCCLUSION ANALYSIS MOUNTED R 305.00 - - - - R 457.70 - -8505 PANTOGRAPHIC RECORDING R 442.70 - - - - R 664.00 - -8506 DETAILED CONSULTATION - PROSTHODONTIST - - - - - R 746.00 - -

8507COMPREHENSIVE CONSULTATION - PROSTHODONTIST - - - - - R 457.70 - -

8508 ELECTROGNATHOGRAPHIC RECORDING R 473.90 - - - - R 711.00 - -

8509ELECTROGNATHOGRAPHIC RECORDING WITH

COMPUTER ANALYSIS R 786.80 - - - - R 1 180.40 - -8514 RECEMENT BRIDGE R 137.40 R 137.40 - - - R 174.30 - -8516 REMOVE BRIDGE R 273.30 R 273.30 - - - R 273.30 - -

8517REIMPLANTATION OF AVULSED TOOTH (INCLUDE

STABILISATION) R 317.40 R 317.40 - R 317.40 - R 476.30 - -8518 REPAIR BRIDGE R 305.00 R 305.00 - - - R 305.00 - -

8533IMPLANT SUPPORTED REMOVABLE COMPLETE

OVERDENTURE R 2 463.50 - - - - R 3 695.40 - -

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8534IMPLANT SUPPORTED REMOVABLE PARTIAL

OVERDENTURE R 1 970.80 - - - - R 2 956.30 - -

8536CROWN-IMPLANT/ABUTMENT SUPPORTED CROWN -

PORCELAIN/CERAMIC * R 2 037.10 - - - - R 2 694.40 - -


PORCELAIN WITH METAL * R 2 037.10 - - - - R 2 694.40 - -


CAST METAL * R 2 037.10 - - - - R 2 694.40 - -

8546IMPLANT SUPPORTED CROWN RETAINER - CERAMIC * R 2 037.10 - - - - R 2 694.40 - -

8547IMPLANT SUPPORTED CROWN RETAINER - PORCELAIN

VENEERED TO METAL * R 2 037.10 - - - - R 2 694.40 - -

8548CROWN RETAINER - IMPLANT/ABUTMENT SUPPORTED -

CAST METAL * R 2 037.10 - - - - R 2 694.40 - -8551 OCCLUSAL ADJUSTMENT - MAJOR R 869.60 - R 1 304.40 - - R 1 304.40 - -8552 VENEER - PORCELAIN (LABORATORY) R 1 054.00 - - - - R 1 581.10 - -8553 OCCLUSAL ADJUSTMENT - MINOR R 303.30 R 415.70 R 415.70 R 415.70 - R 415.70 - -8554 VENEER - RESIN (LABORATORY) R 1 054.00 - - - - R 1 581.10 - -8560 COST OF CERAMIC BLOCK * R 616.40 - - - - R 616.40 - -8561 GOLD FOIL CLASS I OR IV R 795.90 - - - - R 1 193.70 - -8563 GOLD FOIL CLASS V R 931.10 - - - - R 1 396.70 - -8565 GOLD FOIL CLASS III R 1 171.30 - - - - R 1 757.10 - -

8570FABRICATION OF COMPUTER GENERATED CERAMIC

RESTORATION * R 1 495.40 - - - - R 1 495.40 - -8578 PREFABRICATED ABUTMENT R 255.00 - - - - R 382.30 - -8579 CUSTOM ABUTMENT R 1 162.50 - - - - R 1 743.70 - -8580 CUSTOMISED PREFABRICATED ABUTMENT * R 475.20 R 475.20 - - - R 475.20 - -8581 CAST CORE WITH SINGLE POST - - - - - - - -8582 CAST CORE WITH DOUBLE POST - - - - - - - -8583 CAST CORE WITH TRIPLE POST - - - - - - - -8584 CONNECTOR BAR - IMPLANT SUPPORTED - - - - - - - -8585 CONNECTOR BAR - - - - - - - -8586 STRESS BREAKER - - - - - - - -8587 COPING METAL R 204.60 - - - - R 382.30 - -

8590IMPLANT MAINTENANCE PROCEDURES - PER IMPLANT R 112.80 - - - - R 169.30 - R 85.70

8592 CROWN - IMPLANT/ABUTMENT SUPPORTED * R 2 036.70 - - - - R 2 694.40 - -

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8594 REPAIR OF IMPLANT SUPPORTED PROSTHESIS R 125.20 - - - - R 187.70 - -8595 REPAIR OF IMPLANT ABUTMENT R 125.20 - - - - R 187.70 - -8597 LOCKS AND MILLED RESTS R 125.20 - - - - R 187.70 - -

8599PRECISION ATTACHMENT (REMOVABLE DENTURE) R 305.00 - - - - R 457.70 - -

8600 COST OF IMPLANT COMPONENTS * - - - - - - - -8611 PONTIC - SANITARY - - - - - R 1 396.70 - -8613 PONTIC - POSTERIOR - - - - - R 1 708.70 - -8615 PONTIC - ANTERIOR/PREMOLAR - - - - - R 1 846.00 - -

8617RETAINER CAST METAL (MARYLAND TYPE RETAINER) * R 610.30 - - - - R 1 193.70 - -

8631ROOT CANAL THERAPY - FIRST CANAL SPECIALIST

PROSTHODONTIST - - - - - R 1 619.70 - -

8633ROOT CANAL THERAPY - EACH ADDITIONAL CANAL

SPECIALIST PROSTHODONTIST - - - - - R 407.40 - -

8635APEXIFICATION/APEXOGENESIS/RECALCIFICATION – PER

VISIT R 182.70 R 182.70 - R 182.70 - R 359.00 - -

8640REMOVAL OF FRACTURED ROOT CANAL INSTRUMENT R 476.30 - - - - R 476.30 - -

8643COMPLETE DENTURES - MAXILLARY AND MANDIBULAR.

ONLY FOR PROSTHODONTISTS - - - - - R 6 005.80 - -

8645COMPLETE DENTURES - MAXILLARY OR MANDIBULAR.

ONLY FOR PROSTHODONTISTS - - - - - R 7 387.50 - -

8649IMMEDIATE DENTURE - MAXILLARY. ONLY FOR

PROSTHODONTIST - - - - - R 3 695.40 - -

8651IMMEDIATE DENTURE - MANDIBULAR. ONLY FOR

PROSTHODONTIST - - - - - R 4 156.50 - -8652 OVERDENTURE - COMPLETE R 2 463.50 - - - - R 3 695.40 - -8653 OVERDENTURE - PARTIAL R 1 970.80 - - - - R 2 956.30 - -

8654IMPLANT SUPPORTED FIXED-DETACHABLE COMPLETE

OVERDENTURE R 2 771.00 - - - - R 4 156.50 - -

8655IMPLANT SUPPORTED FIXED-DETACHABLE PARTIAL

OVERDENTURE R 2 216.70 - - - - R 2 848.20 - -8657 REPLACEMENT OF PRECISION ATTACHMENT R 174.30 - - - - R 187.70 - -8658 INTERIM COMPLETE DENTURE R 1 366.40 - - - - R 2 049.70 - -8659 INTERIM PARTIAL DENTURE R 1 093.10 - - - - R 1 639.70 - -

8660ADDITIONAL FEE TO IMPLANT SUPPORTED FIXED-

DETACHABLE DENTURE - PER IMPLANT R 382.30 - - - - R 382.30 - -

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8661DIAGNOSTIC DENTURES (INCLUDING TISSUE

CONDITIONING) - - - - - - - -

8662ADJUST COMPLETE OR PARTIAL DENTURES

(REMOUNTING) R 355.60 - - - - R 533.30 - -8663 METAL BASE TO COMPLETE DENTURE R 742.20 - - - - R 1 113.30 - -

8664REMOUNT CROWN OR BRIDGE FOR ADJUSTMENT R 355.60 - - - - R 557.20 - -

8667 SOFT BASE TO DENTURE (HEAT CURED) R 742.20 - - - - R 1 113.30 - -

8671PARTIAL DENTURE - CAST METAL FRAMEWORK WITH

RESIN DENTURE BASE - - - - - R 3 695.40 - -

8672ALTERED CAST TECHNIQUE (IN ADDITION TO PARTIAL

DENTURE) R 95.20 - - R 95.20 - R 142.60 - -8674 ADDITIVE PARTIAL DENTURE R 1 117.90 - - - - R 1 676.70 - -8701 CONSULTATION - PERIODONTIST - - - R 285.10 - - - -8703 CONSULTATION - PERIODONTIST (DETAILED) - - - R 746.00 - - - -8705 RE-EXAMINATION - PERIODONTIST - - - R 223.00 - - - -8707 PERIODONTAL SCREENING - PERIODONTIST - - - R 223.00 - - - -

8723PROVISIONAL SPLINTING - EXTRACORONAL (WIRE) - PER

SEXTANT R 255.00 R 255.00 - R 382.30 - R 382.30 - R 255.00

8725PROVISIONAL SPLINTING - EXTRACORONAL (WIRE PLUS

RESIN) - PER SEXTANT R 369.90 R 369.90 - R 555.00 - R 555.00 - R 369.90

8727PROVISIONAL SPLINTING - INTRACORONAL - PER TOOTH R 116.10 R 116.10 - R 174.30 - R 174.30 - -

8731INCISION & DRAINAGE OF ABSCESS - INTRA-ORAL R 219.20 R 219.20 - R 328.70 - - - -

8737ROOT PLANING - FOUR OR MORE TEETH PER QUADRANT * R 550.00 - - R 746.00 - R 550.10 - R 356.30

8739ROOT PLANING - ONE TO THREE TEETH PER QUADRANT * R 437.70 - - R 595.30 - R 437.50 - R 328.20

8741GINGIVECTOMY/GINGIVOPLASTY - FOUR OR MORE

TEETH PER QUADRANT R 717.70 - - R 984.30 - - - -

8743GINGIVECTOMY OR GINGIVOPLASTY - ONE TO THREE

TEETH PER QUADRANT R 573.40 - - R 781.30 - - - -

8749FLAP PROCEDURE, ROOT PLANING AND ONE TO THREE

SURGICAL SERVICES - PER QUADRANT R 1 489.90 - - R 2 235.00 - - - -

8751FLAP PROCEDURE, ROOT PLANING AND ONE TO THREE

SURGICAL SERVICES - PER SEXTANT R 1 234.00 - - R 1 851.00 - - - -

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8753FLAP PROCEDURE, ROOT PLANING AND FOUR OR MORE

SURGICAL SERVICES - PER QUADRANT R 1 846.80 - - R 2 770.00 - - - -

8755FLAP PROCEDURE, ROOT PLANING AND FOUR OR MORE

SURGICAL SERVICES - PER SEXTANT R 1 496.60 - - R 2 245.10 - - - -

8756CLINICAL CROWN LENGTHENING (ISOLATED

PROCEDURE) * R 907.50 - - R 1 361.40 - - - -

8759PEDICLE FLAPPED GRAFT (ISOLATED PROCEDURE) R 681.90 - - R 1 022.70 - - - -

8761MASTICATORY MUCOSAL AUTOGRAFT - ONE TO FOUR

TEETH (ISOLATED PROCEDURE) R 741.00 R 1 111.70 - R 1 111.70 - - - -

8762MASTICATORY MUCOSAL AUTOGRAFT - FOUR OR MORE

TEETH (ISOLATED PROCEDURE) R 1 113.30 R 1 670.00 - R 1 670.00 - - - -8763 WEDGE RESECTION (ISOLATED PROCEDURE) * R 436.00 R 436.00 - R 654.00 - - - -

8765 HEMISECTION OF A TOOTH, RESECTION OF A ROOT OR

TUNNEL PREPARATION (ISOLATED PROCEDURE) R 599.10 - - R 898.70 - R 898.70 - -

8766BONE REGENERATION/REPAIR PROCEDURE - AS PART OF

A FLAP OPERATION R 356.60 - - R 535.00 - - - -

8767BONE REGENERATION/REPAIR PROCEDURE - AT A

SINGLE SITE R 924.40 R 1 386.70 - R 1 386.70 - - - -8768 UNLISTED PERIODONTAL PROCEDURE R 436.00 - - R 654.00 - - - -

8769MEMBRANE REMOVAL (USED FOR GUIDED TISSUE

REGENERATION) R 436.00 R 654.00 - R 654.00 - - - -

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

8772SUBMUCOSAL CONNECTIVE TISSUE AUTOGRAFT

(ISOLATED PROCEDURE) R 748.90 R 1 123.40 - R 1 123.40 - - - -

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

8781 CONSULTATION - ORAL MEDICINE (SIMPLE) - - - - - - - -8782 CONSULTATION - ORAL MEDICINE (COMPLEX) - - - - - - - -

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

8787 UNLISTED ORAL MEDICINE PROCEDURE R 156.50 - - R 234.70 - - - -8801 CONSULTATION - ORTHODONTIST - - R 285.10 - - - - -

8803CONSULTATION - ORTHODONTIS (SUBSEQUENT,

RETENTION AND POST TREATMENT) - - R 166.00 - - - - -8811 TRACING AND ANALYSIS OF EXTRA-ORAL FILM R 42.00 R 42.00 R 42.00 R 42.00 - R 42.00 - -

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8837DIAGNOSIS AND TREATMENT PLANNING -

ORTHODONTIST - - R 132.40 - - - - -8839 DIAGNOSTIC SETUP R 186.80 R 186.80 R 280.00 - - - - -

8840TREATMENT PLANNING FOR ORTHOGNATHIC SURGERY -

ALL R 643.70 R 965.70 R 965.70 - - - - -

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

8842ORTHO TX - FIXED LINGUAL APPLIANCE - ONE ARCH,

MODEATE * - - - - - - - -

8843ORTHO TX - FIXED LINGUAL APPLIANCE - ONE ARCH,

SEVERE * - - - - - - - -8846 REPAIR ORTHODONTIC APPLIANCE - REMOVABLE R 126.20 - R 189.40 - - - - -

8847REPLACE ORTHODONTIC APPLIANCE - REMOVABLE R 436.00 - R 654.00 - - - - -

8848 REPAIR ORTHODONTIC APPLIANCE - FIXED R 186.80 - R 280.00 - - - - -8849 RETAINER (ORTHODONTIC) R 436.00 - R 654.00 - - - - -8850 TREATMENT OF MPDS - FIRST VISIT R 210.10 R 210.10 R 315.30 R 210.10 - R 315.30 - -8851 TREATMENT OF MPDS - SUBSEQUENT VISIT R 110.70 R 110.70 R 166.00 R 110.70 - R 166.00 - -8852 OCCLUSAL ORTHOTIC APPLIANCE R 528.10 R 695.70 R 695.70 R 695.70 - R 695.70 - -

8855CONSULTATION - CLEFT PALATE THERAPY (HOUSE OR

HOSPITAL) R 255.00 - R 382.30 - - R 382.30 - -8856 CONSULTATION - CLEFT PALATE (SUBSEQUENT) R 125.20 - R 187.70 - - R 187.70 - -8857 CONSULTATION - CLEFT PALATE (MAXIMUM) R 870.80 - R 1 306.10 - - R 1 306.10 - -8858 ORTHO TX - FUNCTIONAL APPLIANCE * - - - - - - - -8861 ORTHO TX - PARTIAL FIXED APPLIANCE - MINOR * - - - - - - - -8862 ORTHO TX - REMOVABLE APPLIANCE * - - - - - - - -

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

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

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

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

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

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

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8873ORTHO TX - FIXED APPLIANCE - BOTH ARCHES, CLASS 1

MILD * - - - - - - - -

8874ORTHO TX - FIXED LINGUAL APPLIANCE - BOTH ARCHES,

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


MODERATE * - - - - - - - -


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


SEVERE * - - - - - - - -


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


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


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

8881ORTHO TX - FIXED APPLIANCE - BOTH ARCHES, CLASS 2/3

MILD * - - - - - - - -


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


MODERATE * - - - - - - - -


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


SEVERE * - - - - - - - -


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


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


CLASS 2/3 SEVERE W/ COMPLICATIONS * - - - - - - - -8890 MONTHLY INSTALMENT ORTHO TX * - - - - - - - -8891 ORTHODONTIC TRANSFER * - - - - - - - -8892 ORTHODONTIC RE-TREATMENT * - - - - - - - -8901 CONSULTATION - MFOS - R 285.10 - - - - - -8902 CONSULTATION - MFOS (DETAILED) - R 746.00 - - - - - -

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8903HOUSE/HOSP/NURSING HOME CONSULTATION - MFOS - R 249.70 - - - - - -

8904HOUSE/HOSP/NURSING HOME CONSULTATION

(SUBSEQUENT) - MFOS - R 166.00 - - - - - -

8905AFTER REGULARLY HOURS CONSULTATION - MFOS - R 365.60 - - - - - -

8907HOUSE/HOSP/NURSING HOME CONSULTATION

(MAXIMUM PER WEEK) - MFOS - R 415.70 - - - - - -

8908SURGICAL REMOVAL OF ROOTS FROM MAXILLARY

ANTRUM R 1 815.30 R 2 723.00 - - - - - -8909 ORAL ANTRAL FISTULA CLOSURE R 1 391.70 R 2 087.40 - - - - - -8911 CALDWELL-LUC PROCEDURE R 544.50 R 816.70 - - - - - -8917 BIOPSY OF ORAL TISSUE - SOFT R 347.00 R 462.70 - R 462.70 - - - -8919 BIOPSY OF BONE - NEEDLE * R 534.20 R 801.40 - - - - - -8921 BIOPSY – EXTRA-ORAL BONE/SOFT TISSUE * R 874.10 R 1 311.10 - - - - - -

8931TREATMENT OF POST-EXTRACTION HAEMORRHAGE R 100.70 R 603.70 - R 100.70 - R 100.70 R 85.00 -

8933TREATMENT OF HAEMORRHAGE (BLOOD DYSCRACIAS) R 1 391.70 R 2 087.40 - R 1 391.70 - R 1 391.70 - -

8935 TREATMENT OF SEPTIC SOCKET R 100.70 R 157.70 - R 100.70 - R 100.70 R 85.00 -8937 SURGICAL REMOVAL OF TOOTH R 593.60 R 801.40 - R 593.60 - - - -

8941SURGICAL REMOVAL OF IMPACTED TOOTH - FIRST

TOOTH R 984.30 R 1 294.40 - R 984.30 - - - -

8943SURGICAL REMOVAL OF IMPACTED TOOTH - SECOND

TOOTH R 528.10 R 697.40 - R 528.10 - - - -

8945SURGICAL REMOVAL OF IMPACTED TOOTH - THIRD AND

SUBSEQUENT TEETH R 300.00 R 395.70 - R 300.00 - - - -

8953SURGICAL REMOVAL OF RESIDUAL ROOTS, FIRST TOOTH -

PER TOOTH R 593.70 R 801.40 - R 801.30 - - - -

8957ALVEOLOTOMY OR ALVEOLECTOMY (INCLUDING

EXTRACTIONS) R 728.90 R 1 093.30 - R 728.90 - - - -8958 EMERGENCY TRACHEOTOMY * - - - - - - - -8959 PHARYNGOSTOMY * - - - - - - - -8961 TOOTH TRANSPLANTATION R 1 194.90 R 1 792.40 - - - - - -8962 HARVEST ILIAC CREST GRAFT R 440.50 R 541.40 - - - - - -8963 HARVEST RIB GRAFT R 505.40 R 758.00 - - - - - -8964 HARVEST CRANIUM GRAFT R 395.70 R 593.60 - - - - - -8965 PERIPHERAL NEURECTOMY R 1 194.90 R 1 792.40 - - - - - -

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

8967SURGICAL REMOVAL OF JAW CYST - INTRA-ORAL

APPROACH R 1 660.00 R 2 490.00 - - - - - -

8969SURGICAL REMOVAL OF JAW CYST - EXTRA-ORAL

APPROACH R 2 659.10 R 3 988.80 - - - - - -8971 EXCISION OF TUMOUR OF THE SOFT TISSUE R 534.20 R 801.40 - R 801.40 - - - -8973 SURGICAL EXCISION OF TUMOURS OF THE JAW R 2 659.10 R 3 988.80 - - - - - -8975 HEMIRESECTION OF JAW EXCLUDING CONDYL * - - - - - - - -

8977SURGICAL REPAIR OF MAXILLA OR MANDIBLE - MAJOR R 2 791.20 R 4 186.70 - - - - - -

8979HARVESTING OF AUTOGENOUS GRAFTS (INTRA-ORAL) R 230.20 R 345.30 - R 345.30 - - - -

8981SURGICAL EXPOSURE OF IMPACTED OR UNERUPTED

TEETH TO AID ERUPTION R 1 096.60 R 1 494.00 - R 1 494.00 - - - -8983 CORTICOTOMY - FIRST TOOTH R 793.50 R 1 190.40 - - - - - -8984 CORTICOTOMY - EACH ADDITIONAL TOOTH R 402.40 R 603.70 - - - - - -8985 FRENULECTOMY/FRENULOTOMY R 728.90 R 1 093.30 - R 1 093.30 - - - -8987 REDUCTION OF MYLOHYOID RIDGES - PER SIDE R 1 194.90 R 1 792.40 - - - - - -8989 REMOVAL TORUS MANDIBULARIS R 1 194.90 R 1 792.40 - - - - - -8991 REMOVAL OF TORUS PALATINUS R 1 194.90 R 1 792.40 - - - - - -

8993SURGICAL REDUCTION OF OSSEOUS TUBEROSITY - PER

SIDE R 534.20 R 801.40 - - - - - -8995 GINGIVECTOMY - PER JAW R 1 063.00 R 1 594.70 - - - - - -8997 SULCOPLASTY / VESTIBULOPLASTY R 2 739.70 R 4 109.70 - R 4 109.70 - - - -

9003REPOSITION MENTAL FORAMEN AND NERVE - PER SIDE R 1 660.00 R 2 490.00 - - - - - -

9004 LATERALIZATION OF INFERIOR DENTAL NERVE R 2 674.90 R 4 012.40 - - - - - -

9005ALVEOLAR RIDGE AUGMENTATION - TOTAL (BY BONE

GRAFT) R 2 793.40 R 4 190.10 - R 4 190.10 - - - -

9007ALVEOLAR RIDGE AUGMENTATION - TOTAL (BY

ALLOPLASTIC MATERIAL) R 1 758.30 R 2 637.40 - - - - - -

9008ALVEOLAR RIDGE AUGMENTATION - ONE TO TWO

TOOTH SITES R 543.60 R 994.30 - R 994.30 - - - -

9009ALVEOLAR RIDGE AUGMENTATION - THREE ACROSS 3

OR MORE TOOTH SITES R 1 208.30 R 1 812.40 - R 1 812.40 - - - -9010 SINUS LIFT PROCEDURE R 1 815.30 R 2 723.00 - R 2 723.00 - - - -

9011INCISION & DRAINAGE OF ABSCESS - INTRA-ORAL

(PYOGENIC) R 339.90 R 509.70 - - - - R 160.50 -

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(113)

9013INCISION & DRAINAGE OF ABSCESS - EXTRA-ORAL

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

9015APICECTOMY/PERIRADICULAR SURGERY - ANTERIORS

(INCLUDING RETROGRADE FILLING) R 677.40 R 898.70 - R 898.70 - R 898.70 - -

9016APICECTOMY/PERIRADICULAR SURGERY - MOLARS

(INCLUDING RETROGRADE FILLING) R 1 194.90 R 1 792.40 - R 1 792.40 - R 1 792.40 - -

9017DECORTICATION, SAUCERISATION AND

SEQUESTRECTOMY * - - - - - - - -

9019SEQUESTRECTOMY - INTRA ORAL PER SEXTANT AND OR

RAMUS R 534.20 R 801.40 - - - - - -

9021SUTURE - RECONSTRUCTION, MINOR (EXCLUDES

CLOSURE OF SURGICAL INCISIONS) R 677.40 R 898.70 - - - - - -

9023SUTURE - RECONSTRUCTION, MAJOR (EXCLUDES

CLOSURE OF SURGICAL INCISIONS) R 1 261.00 R 1 891.40 - - - - - -9024 DENTO-ALVEOLAR FRACTURE - PER SEXTANT R 599.10 R 898.70 - - - - - -9025 MANDIBLE FRACTURE - CLOSED REDUCTION * - - - - - - - -

9027MANDIBLE FRACTURE - COMPOUND, WITH EYELET

WIRING * - - - - - - - -9029 MANDIBLE FRACTURE - SPLINTS * - - - - - - - -9031 MANDIBLE FRACTURE - OPEN REDUCTION * - - - - - - - -

9032REDUCTION OF MASSETER MUSCLE AND BONE - EXTRA-

ORAL APPROACH - - - - - - - - -9033 OPEN TREATMENT OF CONDYLAR FRACTURE - - - - - - - - -9035 MAXILLA FRACTURE - LE FORT I OR GUERIN * - - - - - - - -

9036OPEN TREATMENT OF MAXILLARY FRACTURE - LE FORT I - - - - - - - - -

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

9038OPEN TREATMENT OF MAXILLARY FRACTURE - LE FORT II

MIDDLE THIRD OF FACE - - - - - - - - -

9039MAXILLA FRACTURE - LE FORT III OR CRANIOFACIAL

DISJUNCTION * - - - - - - - -

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

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

9045 ZYGOMATIC ARCH FRACTURE - OPEN REDUCTION

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

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

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

9048SURGICAL REMOVAL OF INTERNAL FIXATION DEVICES,

PER SITE * - - - - - - - -

9049OSTEOTOMY - 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 * - - - - - - - -

9059RECONSTRUCT MAXILLA - LE FORT I OSTEOTOMY, ONE

PIECE * - - - - - - - -

9060RECONSTRUCT MAXILLA - LE FORT I OSTEOTOMY W/

REPOSITIONING AND GRAFT * - - - - - - - -9061 PALATAL OSTEOTOMY * - - - - - - - -

9062RECONSTRUCT MAXILLA - LE FORT I OSTEOTOMY,

MULTIPLE SEGMENTS * - - - - - - - -

9063RECONSTRUCT MAXILLA - LE FORT 2 OSTEOTOMY

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

9065RECONSTRUCT MAXILLA - LE FORT 3 OSTEOTOMY

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

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

9067DISTRACTION OSTEOGENESIS - ACROSS ONE TO TWO

TOOTH SITES - - - R 12 508.60 - - - -

9068DISTRACTION OSTEOGENESIS - ACROSS THREE TO FIVE

TOOTH SITES - - - R 12 508.60 - - - -9069 GLOSSECTOMY - PARTIAL * - - - - - - - -9070 DISTRACTION OSTEOGENESIS - FULL ARCH - - - R 12 508.60 - - - -9071 GENIOHYOIDOTOMY * - - - - - - - -

9072CLOSE SECONDARY ORO-NASAL FISTULA W/ BONE

GRAFTING (COMPLETE PROCEDURE) * - - - - - - - -9074 TMJ ARTHROSCOPY DIAGNOSTIC * - - - - - - - -9075 CONDYLECTOMY, CORONOIDECTOMY OR BOTH * - - - - - - - -9076 TMJ ARTROCENTESIS * - - - - - - - -

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9077 TMJ INTRA-ARTICULAR INJECTION * - - - - - - - -9079 TRIGGER POINT INJECTION * - - - - - - - -9081 CONDYLECTOMY (WARD/KOSTECKA) * - - - - - - - -9083 TMJ SRTHROPLASTY * - - - - - - - -9085 REDUCTION OF TMJ DISLOC W/O ANAESTHETIC * - - - - - - - -9087 REDUCTION OF TMJ DISLOC W/ ANAESTHETIC * - - - - - - - -

9089REDUCTION OF TMJ DISLOC W/ ANAESTHETIC AND

IMMOBOBILISATION * - - - - - - - -

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

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

9093REMOVAL OF SALIVARY STONE (SIALOLITHOTOMY) R 599.10 R 898.70 - - - - - -

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

9096EXCISION OF SALIVARY GLAND - EXTRA ORAL APPROACH * - - - - - - - -

9099UNLISTED DENTAL PROCEDURE OR SERVICE (BY REPORT) * - - - - - - - -

9101OBTURATOR PROSTHESIS, SURGICAL - MODIFIED

DENTURE * - - - - - - - -

9102OBTURATOR PROSTHESIS, SURGICAL - CONTINUOUS

BASE * - - - - - - - -

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

9104OBTURATOR PROSTHESIS, INTERIM - ON EXISTING

DENTURE * - - - - - - - -

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

9106OBTURATOR PROSTHESIS, DEFINITIVE - OPEN/HOLLOW

BOX * - - - - - - - -

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

9108MANDIBULAR RESECTION PROSTHESIS W/ GUIDE

FLANGE * - - - - - - - -

9109MANDIBULAR RESECTION PROSTHESIS W/O GUIDE

FLANGE * - - - - - - - -

9110MANDIBULAR RESECTION PROSTHESIS, PALATAL

AUGMENTATION * - - - - - - - -

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9111 GLOSSAL RESECTION PROSTHESIS - SIMPLE * - - - - - - - -9112 GLOSSAL RESECTION PROSTHESIS - COMPLEX * - - - - - - - -9113 RADIATION CARRIER - SIMPLE * - - - - - - - -9114 RADIATION CARRIER - COMPLEX * - - - - - - - -9115 RADIATION SHIELD - SIMPLE * - - - - - - - -9116 RADIATION SHIELD - COMPLEX * - - - - - - - -9117 RADIATION CONE LOCATOR * - - - - - - - -9118 CHEMOTHERAPEUTIC AGENT CARRIER * - - - - - - - -9119 FEEDING AID PROSTHESIS, NEONATAL * - - - - - - - -

9120ORTHOPAEDIC APPLIANCE, ACTIVE PRESURGICAL -

MINOR * - - - - - - - -


MODERATE * - - - - - - - -


SEVERE * - - - - - - - -


MODIFICATION * - - - - - - - -

9125SPEECH AID/OBTURATOR PROSTHESIS - PALATAL

ALTERATION * - - - - - - - -

9126SPEECH AID/OBTURATOR PROSTHESIS - VELAR

ALTERATION * - - - - - - - -

9127SPEECH AID/OBTURATOR PROSTHESIS - PHARYNGEAL

ALTERATION * - - - - - - - -

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

9129SPEECH 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 * - - - - - - - -

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9140OCULAR 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 * - - - - - - - -9150 FACIAL PROSTHESIS, SURGICAL - SIMPLE * - - - - - - - -9151 FACIAL PROSTHESIS, SURGICAL - COMPLEX * - - - - - - - -9155 CRANIAL PROSTHESIS * - - - - - - - -9156 CRANIAL IMPLANT PROSTHESIS, CUSTOM MADE * - - - - - - - -

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

9158FACIAL 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 - - - - - - - -

9175THEATRE ATTENDANCE (MAXFAC PROSTHOD) /HOUR - - - - - - - -

9180SURGICAL PLACEMENT OF SUB-PERIOSTEAL IMPLANT -

PREPARATORY STAGE * R 1 808.60 R 1 808.50 - - - - - -

9181SURGICAL PLACEMENT OF SUB-PERIOSTEAL IMPLANT -

PLACEMENT STAGE * R 1 808.60 R 1 808.50 - - - - - -

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9182SURGICAL PLACEMENT OF ENDOSTEAL IMPLANT PLATE * R 905.40 R 1 358.10 - R 1 358.10 - - - -

9183SURGICAL PLACEMENT OF ENDOSSEUS IMPLANT - FIRST

PER QUADRANT * R 1 274.30 R 1 732.00 - R 1 732.00 - R 1 731.80 - -

9184SURGICAL PLACEMENT OF ENDOSSEUS IMPLANT -

SECOND PER QUADRANT * R 954.00 R 1 299.40 - R 1 299.40 - R 1 298.90 - -

9185SURGICAL PLACEMENT OF ENDOSSEUS IMPLANT - THIRD

AND SUBSEQUENT PER QUADRANT * R 638.70 R 870.30 - R 870.30 - - - -9187 COST OF ENDOSTEAL IMPLANT BODY * - - - - - - - -9188 COST OF PREFABRICATED ABUTMENT * - - - - - - - -9189 COST OF OTHER IMPLANT COMPNTS * - - - - - - - -

9190SURGICAL EXPOSURE OF ENDOSSEUS IMPLANT - FIRST

PER QUADRANT * R 472.70 R 640.40 - R 640.40 - R 640.40 - -

9191SURGICAL EXPOSURE OF ENDOSSEUS IMPLANT -

SECOND PER QUADRANT * R 355.40 R 481.30 - R 481.30 - R 481.30 - -

9192SURGICAL EXPOSURE OF ENDOSSEUS IMPLANT - THIRD

AND SUBSEQUENT PER QUADRANT * R 238.00 R 323.70 - R 323.70 - R 323.70 - -9198 SURGICAL REMOVAL OF IMPLANT * R 589.10 R 883.70 - R 883.70 - R 589.20 - -9201 CONSULTATION - ORAL PATHOLOGIST - - - - - - - -

9203HOUSE/HOSP/NURSING HOME CONSULTATION - ORAL

PATHOLOGIST - - - - - - - -

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

9207 AFTER HOURS VISIT - ORAL PATHOLOGIST - - - - - - - -9220 REPAIR CLEFT HARD PALATE - UNILATERAL * - - - - - - - -

9222REPAIR CLEFT HARD PALATE - BILATERAL (ONE

PROCEDURE) * - - - - - - - -

9224REPAIR CLEFT HARD PALATE - BILATERAL (TWO

PROCEDURES) * - - - - - - - -

9226REPAIR CLEFT SOFT PALATE - W/O MUSCLE

RECONSTRUCTION * - - - - - - - -

9228REPAIR CLEFT SOFT PALATE - W/ MUSCLE


9230REPAIR SUBMUCOSAL CLEFT AND/OR BIFID UVULA - W/

MUSCLE RECONSTRUCTION * - - - - - - - -

9232VELOPHARYNGEAL RECONSTRUCTION -

UNCOMPLICATED * - - - - - - - -

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

9238 REPAIR ORONASAL FISTULA (ONE PROCEDURE) * - - - - - - - -9240 REPAIR ORONASAL FISTULA (TWO PROCEDURES) * - - - - - - - -9246 SECONDARY PERIOSTEAL FLAPS * - - - - - - - -9248 LIPADHESION * - - - - - - - -

9250REPAIR CLEFT LIP - UNILATERAL W/O MUSCLE


9252REPAIR CLEFT LIP - UNILATERAL W/ MUSCLE


9254REPAIR CLEFT LIP - BILATERAL W/O MUSCLE


9256REPAIR CLEFT LIP - BILATERAL W/ MUSCLE

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

9260REVISION OF SECONDARY CLEFT LIP DEFORMITY -

PARTIAL * - - - - - - - -

9262REVISION OF SECONDARY CLEFT LIP DEFORMITY - TOTAL

W/ MUSCLE RECONSTRUCTION * - - - - - - - -9264 ABBE-FLAP - TWO STAGES * - - - - - - - -9266 RECONSTRUCT COLUMELLA * - - - - - - - -

9268RECONSTRUCT NOSE DUE TO CLEFT DEFORMITY -

PARTIAL * - - - - - - - -

9270RECONSTRUCT NOSE DUE TO CLEFT DEFORMITY -

COMPLETE * - - - - - - - -

9272PARANASAL AUGMENTATION FOR NASAL BASE

DEVIATION * - - - - - - - -

9274REPAIR ANTERIOR TABLE, FRONTAL SINUS AND/OR

SUPRAORBITAL RIM - - - - - - - -

9276

REPAIR ANTERIOR AND POSTERIOR WALL W/

OBTURATION AND/OR CRANIALISATION OF FRONTAL

SINUS - - - - - - - -

9278REPAIR MEDIAL CANTHAL LIGAMENT (CANTHOPEXY),

PER SIDE - - - - - - - -

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

9282MANIPULATION AND IMMOBILISATION OF NASAL

FRACTURE - - - - - - - -

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9284 MUSCULOFASCIAL FLAP - - - - - - - -9286 MUSCULOCRANIAL FLAP - - - - - - - -9288 BUCCAL FAT PAD (MAJOR REPAIR) - - - - - - - -9290 MAXILLECTOMY - ALVEOLUS ONLY, LEVEL I - - - - - - - -

9292MAXILLECTOMY - 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 - - - - - - - -

9298 MAXILLECTOMY - ALVEOLUS, SINUS, NASAL FLOOR,

ZYGOMA, ORBITAL RIM AND PTERYGOID PLATES LEVEL V - - - - - - - -

9300HEMIRESECTION OF JAW INCLUDING CONDYLE AND

CORONOID PROCESS - - - - - - - -

9301CASTING AND TRIMMING OF MODEL IN PLASTER

(YELLOW/WHITE), PER MODEL R 39.10 R 39.10 R 39.10 R 39.10 R 39.10 R 39.10 - -

9303CASTING AND TRIMMING OF MODEL IN SUPER-HARD

STONE (DIE-STONE) PER MODEL R 55.60 R 55.60 R 55.60 R 55.60 R 55.60 R 55.60 - -

9305CASTING AND TRIMMING OF STUDY MODEL, PER

MODEL R 103.00 R 103.00 R 103.00 R 103.00 R 103.00 R 103.00 - -

9307CASTING AND TRIMMING OF GNATHOSTATIC MODEL,

PER MODEL. R 133.90 R 133.90 R 133.90 R 133.90 R 133.90 R 133.90 - -

9309NEW TRIMMED BASE TO SUPPLIED MODEL, PER MODEL R 47.40 R 47.40 R 47.40 R 47.40 R 47.40 R 47.40 - -

9311 TRIMMING OF SUPPLIED MODEL, PER MODEL R 28.80 R 28.80 R 28.80 R 28.80 R 28.80 R 28.80 - -9312 GINGIVAL TISSUE MASK PER IMPLANT R 222.50 R 222.50 R 222.50 R 222.50 R 222.50 R 222.50 - -9313 DUPLICATING MODEL, PER MODEL R 119.50 R 119.50 R 119.50 R 119.50 R 119.50 R 119.50 - -9314 REFRACTORY MODEL, PER UNIT R 117.40 R 117.40 R 117.40 R 117.40 R 117.40 R 117.40 - -

9315

MODELS AND DUPLICATE MODELS (VIRGIN MODEL) FOR

CROWN AND BRIDGE, WORK INCLUSIVE OF ONE

REMOVABLE DIE R 162.70 - - R 162.70 R 162.70 R 162.70 - -

9317SECTIONAL MODELS FOR CROWN AND BRIDGE, WORK

INCLUSIVE OF ONE REMOVABLE DIE R 144.20 - - - R 144.20 R 144.20 - -

9319EACH ADDITIONAL REMOVABLE DIE FOR ITEMS 9315

AND 9317 PER DIE R 37.10 - - R 37.10 R 37.10 R 37.10 - -

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9320INDEXED OR MODEL TRAY PER DIE (NOT MORE THAN

9319) R 37.10 - - - R 37.10 R 37.10 - -9321 OCCLUSION BLOCK, PER BLOCK R 142.10 R 142.10 - - R 142.10 R 142.10 - -9323 OCCLUSION BLOCK ON BASEPLATE, PER BLOCK R 179.20 - - - R 179.20 R 179.20 - -

9327

INFECTION CONTROL PER IMPRESSION, DENTURE (WAX

OR ACRYLIC) OR ANY ITEM IN CONTACT WITH BODY

FLUIDS R 26.80 R 26.80 R 26.80 R 26.80 R 26.80 R 26.80 - -9329 FIT AND SUPPLY OF DISPOSABLE ARTICULATOR R 70.00 - R 70.00 - R 70.00 R 70.00 - -

9330DELIVERY / COLLECTION FEE PER COMPLETED

PROCEDURE (MAXIMUM 4) - - - - - - - -9331 FULL UPPER AND LOWER DENTURES R 1 911.70 R 1 911.70 - - R 1 911.70 R 1 911.70 - -9333 FULL UPPER OR LOWER DENTURE R 1 118.60 - - - R 1 118.60 R 1 118.60 - -

9335SET-UP AND WAXING OF FULL UPPER AND LOWER

DENTURES R 659.20 - - - R 659.20 R 659.20 - -

9337SET-UP AND WAXING OF FULL UPPER OR LOWER

DENTURE R 440.80 - - - R 440.80 R 440.80 - -

9339WAXING AND FINISHING OF FULL UPPER AND LOWER

DENTURES R 1 172.10 - - - R 1 172.10 R 1 172.10 - -

9341WAXING AND FINISHING OF FULL UPPER OR LOWER

DENTURE R 655.10 - - - R 655.10 R 655.10 - -

9343 ADDITIONAL FEE FOR DENTURES ON FULLY ADJUSTABLE

ARTICULATOR AT REQUEST OF DENTIST R 1 866.40 - - - R 1 866.40 R 1 866.40 - -

9345ADDITIONAL FEE FOR IMMEDIATE DENTURES, OR

TOOTH SOCKETED R 26.80 - - - R 26.80 R 26.80 - -

9346ADDITIONAL FEE FOR IMMEDIATE DENTURES, PER

TOOTH NOT SOCKETED. R 14.40 - - R 14.40 R 14.40 R 14.40 - -

9347ADDITIONAL FEE FOR EACH RETRY FROM THE THIRD

AND UPWARDS AT AN AGREED QUANTUM OF TIME TO

BE CALCULATED AT HOURLY RATE R 424.40 - - - R 424.40 R 424.40 - -9351 SET-UP AND FINISH OF ONE-TOOTH DENTURE R 512.90 - - R 512.90 R 512.90 R 512.90 - -9352 SET-UP AND FINISH OF TWO-TOOTH DENTURE R 545.90 - - R 545.90 R 545.90 R 545.90 - -9353 SET-UP AND FINISH OF THREE-TOOTH DENTURE R 585.00 - - R 585.00 R 585.00 R 585.00 - -9354 SET-UP AND FINISH OF FOUR-TOOTH DENTURE R 618.00 - - R 618.00 R 618.00 R 618.00 - -9355 SET-UP AND FINISH OF FIVE-TOOTH DENTURE R 667.40 - - R 667.40 R 667.40 R 667.40 - -9356 SET-UP AND FINISH OF SIX-TOOTH DENTURE R 797.20 - - R 797.20 R 797.20 R 797.20 - -9357 SET-UP AND FINISH OF SEVEN-TOOTH DENTURE R 947.60 - - R 947.60 R 947.60 R 947.60 - -

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9358 SET-UP AND FINISH OF EIGHT-TOOTH DENTURE R 1 005.30 - - R 1 005.30 R 1 005.30 R 1 005.30 - -

9359SET-UP AND FINISH NINE OR MORE TOOTH DENTURE R 1 030.00 - - R 1 030.00 R 1 030.00 R 1 030.00 - -

9361 SET-UP AND WAXING OF ONE-TOOTH DENTURE R 146.30 - - R 146.30 R 146.30 R 146.30 - -9362 SET-UP AND WAXING OF TWO-TOOTH DENTURE R 177.20 - - R 177.20 R 177.20 R 177.20 - -

9363SET-UP AND WAXING OF THREE-TOOTH DENTURE R 201.90 - - R 201.90 R 201.90 R 201.90 - -

9364 SET-UP AND WAXING OF FOUR-TOOTH DENTURE R 234.80 - - R 234.80 R 234.80 R 234.80 - -9365 SET-UP AND WAXING OF FIVE-TOOTH DENTURE R 259.60 - - R 259.60 R 259.60 R 259.60 - -9366 SET-UP AND WAXING OF SIX-TOOTH DENTURE R 306.90 - - R 306.90 R 306.90 R 306.90 - -

9367SET-UP AND WAXING OF SEVEN-TOOTH DENTURE R 337.80 - - R 337.80 R 337.80 R 337.80 - -

9368SET-UP AND WAXING OF EIGHT-TOOTH DENTURE R 362.60 - - R 362.60 R 362.60 R 362.60 - -

9369SET-UP AND WAXING OF NINE OR MORE TOOTH

DENTURE R 387.30 - - R 387.30 R 387.30 R 387.30 - -

9371WAXING AND FINISHING OF ONE-TOOTH DENTURE R 401.70 - - R 401.70 R 401.70 R 401.70 - -

9372WAXING AND FINISHING OF TWO-TOOTH DENTURE R 409.90 - - R 409.90 R 409.90 R 409.90 - -

9373WAXING AND FINISHING OF THREE-TOOTH DENTURE R 416.10 - - R 416.10 R 416.10 R 416.10 - -

9374WAXING AND FINISHING OF FOUR-TOOTH DENTURE R 424.40 - - R 424.40 R 424.40 R 424.40 - -

9375WAXING AND FINISHING OF FIVE-TOOTH DENTURE R 440.80 - - R 440.80 R 440.80 R 440.80 - -

9376WAXING AND FINISHING OF SIX-TOOTH DENTURE R 457.30 - - R 457.30 R 457.30 R 457.30 - -

9377WAXING AND FINISHING OF SEVEN-TOOTH DENTURE R 570.60 - - R 570.60 R 570.60 R 570.60 - -

9378WAXING AND FINISHING OF EIGHTH-TOOTH DENTURE R 593.30 - - R 593.30 R 593.30 R 593.30 - -

9379WAXING AND FINISHING OF NINE OR MORE TOOTH

DENTURE R 626.20 - - R 626.20 R 626.20 R 626.20 - -

9383ADDITIONAL FEE FOR FINISHING DENTURE IN TOOTH

COLOUR MATERIAL, PER TOOTH R 98.90 - - R 98.90 R 98.90 R 98.90 - -

9385ADDITIONAL FEE FOR SUPPLYING FINISHED DENTURE ON

DUPLICATE MODEL R 187.50 - - R 187.50 R 187.50 R 187.50 - -

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(93)

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(113)

9391

BASIC CHARGE WHICH INCLUDES REPAIR OF ONE

FRACTURE, OR ADDITION OF ONE TOOTH, OR ADDITION

OF ONE CLASP R 325.50 - R 325.50 R 325.50 R 325.50 R 325.50 - -

9393ADDITIONAL CHARGE FOR EACH ADDITIONAL FRACTURE,

OR TOOTH, OR CLASP R 100.90 - R 100.90 R 100.90 R 100.90 R 100.90 - -

9395ADDITIONAL FEE FOR USING WIRE STRENGTHENER R 115.40 - R 115.40 R 115.40 R 115.40 R 115.40 - -

9397ADDITIONAL FEE FOR USING PRE-FORMED

STRENGTHENER R 123.60 - R 123.60 R 123.60 R 123.60 R 123.60 - -

9398ADDITIONAL FEE FOR USING MESH STRENGTHENER IN

REPAIR PROCEDURE R 195.70 - - R 195.70 R 195.70 R 195.70 - -9401 CLEAR BASE - - - - - - - -

9403DOX GRINDING OF UPPER AND LOWER DENTURES R 183.30 - - R 183.30 R 183.30 R 183.30 - -

9405INLAY TO ARTIFICIAL TOOTH, ONE SURFACE ONLY, PER

INLAY - - - - - - - -

9406INLAY TO ARTIFICIAL TOOTH, MULTI-SURFACES E.G.

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

9407HEKA BASE TECHNIQUE PER UPPER OR LOWER DENTURE R 432.60 - - R 432.60 R 432.60 R 432.60 - -

9409 FREGO FRAME R 187.50 - - R 187.50 R 187.50 R 187.50 - -9410 BLEACHING TRAY - - - - - - - -9411 TEMPLATE PER UPPER OR LOWER DENTURE R 517.10 - - R 517.10 R 517.10 R 517.10 - -9413 RELINE/REBASE OF SINGLE DENTURE R 651.00 - - R 651.00 R 651.00 R 651.00 - -9415 REMODEL OF SINGLE DENTURE R 1 001.20 - - R 1 001.20 R 1 001.20 R 1 001.20 - -9417 SOFT BASE RELINE PER DENTURE R 1 643.90 - - R 1 643.90 R 1 643.90 R 1 643.90 - -9419 SOFT BASE TO NEW DENTURE, PER DENTURE R 1 643.90 - - R 1 643.90 R 1 643.90 R 1 643.90 - -9421 GUM TINTING PER DENTURE - - - - - - - -9423 LINGUAL OR PALATAL BAR R 245.10 - R 245.10 R 245.10 R 245.10 R 245.10 - -

9425CLEANING AND POLISHING OF EXISTING DENTURE, PER

DENTURE R 199.80 - - R 199.80 R 199.80 R 199.80 - -9427 MESH STRENGTHENER R 171.00 - - R 171.00 R 171.00 R 171.00 - -

9429THEATRE/ CONSULTATION OUT OF LABORATORY PER

HOUR OR PART THEREOF R 424.40 R 424.40 - R 424.40 R 424.40 R 424.40 - -9431 SPECIAL TRAY, ACRYLIC, EACH R 160.70 - - R 160.70 R 160.70 R 160.70 - -9432 SPECIAL TRAY LIGHT CURE, EACH R 175.10 - - R 175.10 R 175.10 R 175.10 - -9433 SPECIAL TRAY IN BASE PLATE MATERIAL, EACH R 164.80 - - R 164.80 R 164.80 R 164.80 - -

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(113)

9435PROVISION OF SINGLE ARM CLASP, TO PARTIAL

DENTURE R 84.50 - - R 84.50 R 84.50 R 84.50 - -

9437PROVISION OF DOUBLE ARM CLASP, TO PARTIAL

DENTURE R 146.30 - - R 146.30 R 146.30 R 146.30 - -

9439PROVISION OF SINGLE ARM CLASP WITH REST, TO

PARTIAL DENTURE R 189.50 - - R 189.50 R 189.50 R 189.50 - -

9441PROVISION OF DOUBLE ARM CLASP WITH REST, TO

PARTIAL DENTURE R 255.40 - - R 255.40 R 255.40 R 255.40 - -

9443PROVISION OF PREFORMED ROACH CLASP, TO PARTIAL

DENTURE R 109.20 - - R 109.20 R 109.20 R 109.20 - -9445 PROVISION OF REST ONLY TO PARTIAL DENTURE R 109.20 - - R 109.20 R 109.20 R 109.20 - -9447 CAST CLASP R 383.20 - - R 383.20 R 383.20 R 383.20 - -

9448 CASTING AND TRIMMING OF MODEL FROM IMPRESSION

INSIDE OCCLUSION BLOCK OR WAX TRY IN R 70.00 - - R 70.00 R 70.00 R 70.00 - -

9450FINISHING OF ACRYLIC WORK ON ANY CHROME COBALT

OR GOLD PROSTHESIS R 146.30 R 146.30 R 146.30 R 146.30 R 146.30 R 146.30 - -

9451METAL BASE FOR FULL UPPER OR FULL LOWER DENTURE

EACH - - - - - - - -

9453BASIC CHARGE - WHICH EXCLUDES MODELS AND ANY

SPECIAL TRAYS WHICH MAY BE REQUIRED BY THE

DENTIST, BUT INCLUDES REFRACTORY MODEL R 1 147.40 - - - R 1 147.40 R 1 147.40 - -9455 ADDITIONAL CHARGE FOR EACH ONE ARM CLASP R 47.40 - - - R 47.40 R 47.40 - -9457 ADDITIONAL CHARGE FOR EACH ROACH CLASP R 80.30 - - - R 80.30 R 80.30 - -9459 ADDITIONAL CHARGE FOR EACH REST R 43.30 - - - R 43.30 R 43.30 - -

9461ADDITIONAL CHARGE FOR CONTINUOUS CLASP, PER

TOOTH R 47.40 - - - R 47.40 R 47.40 - -

9463ADDITIONAL CHARGE FOR LINGUAL BAR, PER TOOTH

PASSED R 111.20 - - - R 111.20 R 111.20 - -9465 ADDITIONAL CHARGE FOR PALATAL BAR R 177.20 - - - R 177.20 R 177.20 - -9467 ADDITIONAL CHARGE FOR ONLAY - - - - - - - -

9469ADDITIONAL CHARGE FOR SADDLE WITH FINISHING

LINE, PER TOOTH R 78.30 - - - R 78.30 R 78.30 - -

9471ADDITIONAL CHARGE FOR SADDLE WITHOUT FINISHING

LINE, PER TOOTH R 45.30 - - - R 45.30 R 45.30 - -

9473ADDITIONAL CHARGE FOR HORSESHOE SADDLE, PER

TOOTH R 78.30 - - - R 78.30 R 78.30 - -

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(94)

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(95)

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Hygiene

(113)

9475ADDITIONAL CHARGE FOR FITTING OF TOOTH TO METAL

BACKING, PER TOOTH R 53.60 - - - R 53.60 R 53.60 - -

9479ADDITIONAL CHARGE FOR FITTING ONE DISTAL-

EXTENSION HINGE R 158.60 - - - R 158.60 R 158.60 - -

9480ADDITIONAL CHARGE PER MILLED EDGE PER TOOTH R 138.00 - - - R 138.00 R 138.00 - -

9481ADDITIONAL CHARGE FOR EACH SOLDERING JOINT R 193.60 - - - R 193.60 R 193.60 - -

9483ADDITIONAL CHARGE FOR SOLDERING RETENTION R 234.80 - - - R 234.80 R 234.80 - -

9485ADDITIONAL CHARGE FOR EACH ADDITIONAL

RETENTION SOLDERING JOINT R 72.10 - - - R 72.10 R 72.10 - -9487 ADDITIONAL CHARGE FOR EACH WELDING JOINT R 236.90 - - - R 236.90 R 236.90 - -9489 ADDITIONAL CHARGE FOR FITTING SWING LOCK R 193.60 - - - R 193.60 R 193.60 - -9491 ADDITIONAL CHARGE FOR EACH BACKING CAST R 189.50 - - - R 189.50 R 189.50 - -

9493

ADDITIONAL CHARGE FOR EACH STEELS BACKING OR

PONTIC CAST (PLASTIC WORK TO BE CHARGED IN

ADDITION) R 206.00 - - - R 206.00 R 206.00 - -

9495

BASIC FEE FOR THE REPAIRING OF OR ADDITION TO ANY

APPLIANCE NECESSITATING THE CASTING OF A MODEL

(9301) R 298.70 - - - R 298.70 R 298.70 - -

9497 BASIC FEE IF A NEW SECTION IS TO BE FABRICATED AND

WHERE ITEM 9495 DOES NOT APPLY (9301) R 339.90 - - - R 339.90 R 339.90 - -

9501CERAMIC JACKET CROWN/CEROMER CROWN OR

PONTIC * R 1 304.00 - - - R 1 304.00 R 1 304.00 - -9502 CERAMIC METAL SUBSTITUTE COPING * R 1 052.70 - - - R 1 052.70 R 1 052.70 - -9505 CERAMIC BONDED CROWN OR PONTIC * R 1 722.20 - - R 1 624.80 R 1 722.20 R 1 722.20 - -9507 POST-SOLDER INVESTED JOINT, PER JOINT R 352.30 - - - R 352.30 R 352.30 - -9511 INLAY IN PORCELAIN VENEER CROWN - - - - - - - -9512 CERAMIC, INLAY/ONLAY, BRIDGE RETAINER * R 1 336.90 - - - R 1 336.90 R 1 336.90 - -9513 CERAMIC POST * - - - - - - - -

9515PORCELAIN SHOULDER PER UNIT (NOT APPLICABLE TO

PONTICS) R 115.40 - - R 115.40 R 115.40 R 115.40 - -

9520

ADDITIONAL FEE FOR CROWN- & BRIDGE WORK

PERFORMED ON A MOVABLE CONDYLE ARTICULATOR

PER UNIT R 55.60 - - - R 55.60 R 55.60 - -

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Hygiene

(113)

9521FULL METAL CROWN, MOD, THREE-QUARTER CROWN * R 1 065.00 - - - R 1 065.00 R 1 065.00 - -

9524 INDIRECT COMPOSITE RESIN INLAY - - - - - - - -9525 CLASS IV, MO, DO, CERVICAL/OCCLUSAL INLAY * R 877.60 - - - R 877.60 R 877.60 - -

9526ADDITIONAL FEE FOR ONE PIECE CASTING OF CROWN

OR INLAY ON POST R 267.80 - - - R 267.80 R 267.80 - -9531 PIN-LEDGE INLAY - - - - - - - -9533 FULL METAL PONTIC * R 786.90 - - - R 786.90 R 786.90 - -9535 ABUTMENT THIMBLE CAST R 737.50 - - - R 737.50 R 737.50 - -9537 PRECISION LOCK AND REST CAST - - - - - - - -9538 LOCK AND REST CAST - - - - - - - -9539 CASTING OF REST ONLY R 298.70 - - - R 298.70 R 298.70 - -9541 METAL INLAY OR POST, CAST DIRECT - - - - - - - -9543 GOLD/PRE-SOLDER INVESTED JOINT - - - - - - - -9545 CAST POST WITH THIMBLE, INDIRECT * R 525.30 - - - R 525.30 R 525.30 - -9546 MULTIPLE POST * R 869.30 - - - R 869.30 R 869.30 - -

9547MANUFACTURE CAST POST AND CORE TO EXISTING

CROWN * R 686.00 - - - R 686.00 R 686.00 - -9549 C.S.P. ATTACHMENT (STEIGER) - - - - - - - -9550 MILLING MILLED EDGE PER UNIT R 737.50 - - - R 737.50 R 737.50 - -9551 TELESCOPE CROWN - - - - - - - -

9553COMPOSITE/ACRYLIC VENEER CROWN/PONTIC,

INDIRECT * R 1 452.30 - - - R 1 452.30 R 1 452.30 - -9557 COMPOSITE/ACRYLIC JACKET CROWN, INDIRECT * R 1 025.90 - - - R 1 025.90 R 1 025.90 - -9559 COMPOSITE/ACRYLIC VENEER POST CROWN * R 1 435.80 - - - R 1 435.80 R 1 435.80 - -9560 INDIRECT COMPOSITE RESIN VENEER - - - - - - - -9561 COMPOSITE/ACRYLIC JACKET CROWN, DIRECT * R 700.40 - - - R 700.40 R 700.40 - -

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

9564 HEAT FORMED TEMPLATE SUPPLIED TO DENTIST FOR

THE MANUFACTURE OF TEMPORARY RESTORATIONS - - - - - - - -9565 COMPOSITE/ACRYLIC-FACING REPLACED R 583.00 - - - R 583.00 R 583.00 - -9566 PORCELAIN/ CEROMER FACING REPLACED R 1 056.80 - - - R 1 056.80 R 1 056.80 - -9569 WAXING OF CROWN TO EXISTING DENTURE R 412.00 - - - R 412.00 R 412.00 - -

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9570

ADDITIONAL FEE FOR EACH REMAKE AT AN AGREED

QUANTUM OF TIME TO BE CALCULATED AT AN HOURLY

RATE - - - - - - - -9571 BASIC CHARGE WHICH INCLUDES ACRYLIC BASE R 521.20 R 521.20 R 521.20 R 521.20 R 521.20 R 521.20 - -9572 BASIC CHARGE NON ACRYLIC BASE R 251.30 - R 251.30 - R 251.30 - - -

9573ADDITIONAL CHARGE FOR FITTING FIRST EXPANSION

SCREW R 98.90 - R 98.90 - R 98.90 - - -

9575ADDITIONAL FEE FOR FITTING SUBSEQUENT EXPANSION

SCREWS R 84.50 - R 84.50 - R 84.50 - - -9576 ADDITIONAL FEE FOR FULL ACLUSAL BITE PLATE R 292.50 R 292.50 R 292.50 R 292.50 R 292.50 R 292.50 - -9577 ADDITIONAL FEE FOR BITE PLATE ANTERIOR R 98.90 R 98.90 R 98.90 - R 98.90 R 98.90 - -9578 ADDITIONAL FEE FOR BITE PLATE POSTERIOR R 98.90 R 98.90 R 98.90 - R 98.90 R 98.90 - -9579 ADDITIONAL FEE FOR FITTING TONGUE GUARD R 123.60 - R 123.60 - R 123.60 - - -9581 ADDITIONAL FEE FOR FLAT OR INCLINED PLANE R 76.20 - R 76.20 - R 76.20 - - -9583 ADDITIONAL FEE FOR ADAMS CRIB R 90.60 - R 90.60 - R 90.60 - - -9585 ADDITIONAL FEE FOR JACKSON CRIB R 94.80 - R 94.80 - R 94.80 - - -9587 ADDITIONAL FEE FOR BALL CLASP R 107.10 R 107.10 R 107.10 R 107.10 R 107.10 - - -9589 ADDITIONAL FEE FOR SINGLE ARM CLASP R 82.40 - R 82.40 - R 82.40 - - -9591 ADDITIONAL FEE FOR DOUBLE ARM CLASP R 144.20 - R 144.20 - R 144.20 - - -

9593ADDITIONAL FEE FOR FITTING SINGLE LOOP FINGER

SPRING R 68.00 - R 68.00 - R 68.00 - - -

9595ADDITIONAL FEE FOR FITTING DOUBLE LOOP FINGER

SPRING R 80.30 - R 80.30 - R 80.30 - - -

9597ADDITIONAL FEE FOR FITTING BUCCAL RETRACTION

SPRING R 59.70 - R 59.70 - R 59.70 - - -9599 ADDITIONAL FEE FOR FITTING APRON SPRING R 154.50 - R 154.50 - R 154.50 - - -9603 ADDITIONAL FEE FOR FITTING COFFIN SPRING R 148.30 - R 148.30 - R 148.30 - - -9605 ADDITIONAL FEE FOR FITTING QUAD HELIX R 164.80 - R 164.80 - R 164.80 - - -

9607ADDITIONAL FEE FOR FITTING FLAPPER OR “T”-SPRING R 123.60 - R 123.60 - R 123.60 - - -

9609ADDITIONAL FEE FOR FITTING ALL SPRINGS WITH

TUBING, EACH R 138.00 - R 138.00 - R 138.00 - - -9611 ADDITIONAL FEE FOR FITTING LABIAL ARCH R 78.30 - R 78.30 - R 78.30 - - -9613 ADDITIONAL FEE FOR FITTING BUCCAL ARCH R 92.70 - R 92.70 - R 92.70 - - -

9615ADDITIONAL FEE FOR FITTING ROBERTS RETRACTOR R 173.00 - R 173.00 - R 173.00 - - -

9617 INVISIBLE RETAINER - - - - - - - -

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9619ADDITIONAL FEE FOR FITTING TWIN WIRE ARCH EXTRA-

ORAL ARCH R 216.30 - R 216.30 - R 216.30 - - -9620 ADDITIONAL FEE LIP BUMPER R 90.60 - R 90.60 - R 90.60 - - -

9621ADDITIONAL FEE FOR FITTING EXTRA-ORAL ARCH R 206.00 - R 206.00 - R 206.00 - - -

9622ADDITIONAL FEE FOR FITTING SPACE MAINTAINER ARCH R 90.60 - R 90.60 - R 90.60 - - -

9623ADDITIONAL FEE FOR EACH SPOT-WELDING JOINT R 41.20 - R 41.20 - R 41.20 - - -

9625 ADDITIONAL FEE FOR EACH SOLDERING JOINT R 65.90 - R 65.90 - R 65.90 - - -

9627ADDITIONAL FEE FOR EACH INVESTED SOLDERING JOINT R 183.30 - R 183.30 - R 183.30 - - -

9629ADDITIONAL FEE FOR EACH HOOK FOR ELASTIC

TRACTION R 59.70 - R 59.70 - R 59.70 - - -9631 MOUTH PROTECTOR (GUM GUARD) - - - - - - - -9633 ORAL SCREEN R 475.90 R 475.90 R 475.90 R 475.90 R 475.90 R 475.90 - -9635 ANDRESEN OR NORWEGIAN APPLIANCE R 850.80 R 850.80 R 850.80 R 850.80 R 850.80 R 850.80 - -9637 TOOTH POSITIONER R 980.60 - R 980.60 R 980.60 R 980.60 R 980.60 - -9639 GUNNING SPLINT R 1 306.00 R 1 306.00 R 1 306.00 R 1 306.00 R 1 306.00 R 1 306.00 - -9641 FRANKEL APPLIANCE R 1 260.70 - R 1 260.70 - R 1 260.70 - - -9643 CHIN CAP R 418.20 - R 418.20 - R 418.20 - - -9645 BIONATOR R 852.80 - R 852.80 - R 852.80 - - -9646 DIAGNOSTIC SET-UP - - - - - - - -9647 SNORING APPLIANCE - - - - - - - -

9651 PINCHED OR SWAGED BAND WITH WELDED

ATTACHMENT (EXCLUDING COST OF ATTACHMENT) R 251.30 - R 251.30 - R 251.30 - - -

9653PINCHED OR SWAGED BAND WITH SOLDERED

ATTACHMENT R 329.60 - R 329.60 - R 329.60 - - -

9662

ADDITIONAL FEE FOR EACH REMAKE AT AN AGREED

QUANTUM OF TIME TO BE CALCULATED AT AN HOURLY

RATE - - - - - - - -9700 DIATORICS 1 X 6/8 R 206.20 R 206.20 - R 206.20 R 206.20 R 206.20 - -9702 DIATORICS, ODDS, ANTERIOR R 70.10 - - R 70.10 R 70.10 R 70.10 - -9704 DIATORICS, ODDS, POSTERIOR R 70.10 - - R 70.10 R 70.10 R 70.10 - -9706 COST OF BLEACHING TRAY MATERIAL - - - - - - - -9720 SOFT BASE MATERIAL PER DENTURE R 745.70 - - R 745.70 R 745.70 R 745.70 - -9722 ACRYLIC PER DENTURE R 84.40 R 84.40 R 84.40 R 84.40 R 84.40 R 84.40 - -

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Hygiene

(113)

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

9726 PREFORMED BALL OR ROACH CLASP R 14.50 R 14.50 R 14.50 R 14.50 R 14.50 R 14.50 - -9728 COST OF LINGUAL / PALATAL BAR R 168.80 - - - R 168.80 R 168.80 - -9729 COST OF MESH STRENGTHENER R 88.60 - - - R 88.60 R 88.60 - -

9730COST OF PRE-FABRICATED BURN-OUT COMPONENT, PER

COMPONENT R 87.70 - - - R 87.70 R 87.70 - -

9732COST OF OTHER ATTACHMENT COMPONENTS E.G.

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

9734COST OF DOLDER BAR AND CLIPS, PER GRAM OR PER

CLIP - - - - - - - -9736 COST OF IMPLANT COMPONENTS * - - - - - - - -9738 COST OF PREFORMED STRENGTHENER R 88.60 - - - R 88.60 R 88.60 - -9739 ADDITIONAL CHARGE GOLD PLATING - - - - - - - -9740 COST OF GOLD WIRE, PER GRAM - - - - - - - -9741 COST OF COBALT CHROME CASTING ALLOY R 140.00 - - - R 140.00 R 140.00 - -

9742COST 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 * R 158.60 - - R 158.60 - R 158.60 - -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 51.70 - - - R 51.70 R 51.70 - -9757 CEROMER MATERIAL - PER UNIT R 1 052.70 - - - R 1 052.60 R 1 052.70 - -9758 FIBER RE-ENFORCED MATERIAL PER UNIT R 346.80 - R 346.80 R 346.80 R 346.80 R 346.80 - -9759 FIBRE POST * - - - - - - - -9760 COMPOSITE RESTORATION MATERIAL - - - - - - - -9761 CERAMIC MATERIAL - - - - - - - -

9762COST OF ANTERIOR ORTHODONTIC ATTACHMENT, PER

ATTACHMENT R 30.70 - R 30.70 - R 30.70 - - -9763 ORTHODONTIC MATERIAL R 30.70 R 30.70 R 30.70 - R 30.70 - - -

9764COST OF POSTERIOR ORTHODONTIC ATTACHMENT, PER

ATTACHMENT R 30.70 - R 30.70 - R 30.70 - - -9765 PREFORMED COMPONENTS R 16.50 - R 16.50 - R 16.50 R 16.50 - -9766 COST OF EXPANSION SCREW, PER SCREW R 35.00 - R 35.00 - R 35.00 - - -

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Hygiene

(113)

9767 SOLDERING MATERIAL R 8.22 - R 8.22 - R 8.22 R 8.22 - -

9768COST OF BUCCAL TUBE/TRANSFER TUBE, PER TUBE - - - - - - - -

9770 COST OF J-HOOK, PER HOOK R 32.90 - R 32.90 - R 32.90 - - -9772 COST OF LINGUAL BUTTONS, PER BUTTON R 32.90 - R 32.90 - R 32.90 R 32.90 - -9774 COST OF INVISIBLE RETAINER MATERIAL - - - - - - - -9775 R/A CASE - - - - - - - -9776 COST OF MOUTH PROTECTOR MATERIAL - - - - - - - -9778 COST OF ARCH WIRE R 8.22 - R 8.22 - R 8.22 - - -9779 DUAL LAMINATE MATERIAL - - - - - - - -

9780 POSITIONING AND FINISHING OF COMPLETE (MALE AND

FEMALE) PREFABRICATED BURN-OUT ATTACHMENT - - - - - - - -

9782POSITIONING AND SOLDERING OF COMPLETE (MALE

AND FEMALE) PRECISION ATTACHMENT - - - - - - - -9783 IMPLANT STENT PER UNIT - - - - - - - -9784 ALIGNMENT OF DOLDER BAR AND CLIPS - - - - - - - -

9786

TRIMMING, WAXING AND FINISHING OF IMPLANT

ABUTMENT - CROWN AND BRIDGE WORK ONLY, PER

ABUTMENT R 294.60 - - R 294.60 R 294.60 R 294.60 - -

9787WAXING, MILLING AND FINISHING OF A CUSTOM

ABUTMENT R 574.70 - - - R 574.70 R 574.70 - -

9788

IMPLANT SUPERSTRUCTURE (EDENTULOUS CASES)

INCLUDING PLACING OF PREFORMED PARTS, PER

SECTION CAST - - - - - - - -

9789FINISHING OF PROSTHESIS ON IMPLANT STRUCTURE PER

ARCH R 1 147.40 - - - R 1 147.40 R 1 147.40 - -

denis 2019 rates

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