northern territory government s18 2020 · no. s18 1 april 2020 northern territory of australia ....

Northern Territory of Australia

Government Gazette ISSN-0157-833X

No. S18 1 April 2020

Northern Territory of Australia

Medical Services Act 1982

Revocation of Determination and Determination of Fees and Charges for Medical Services

I, Natasha Kate Fyles, Minister for Health:

(a) under section 6(3) of the Medical Services Act 1982 and with reference to

section 43 of the Interpretation Act 1978, revoke the determination of charges

for medical services dated 24 June 2019 and published in Gazette No. S50

of 1 July 2019; and

(b) under section 6(3) of the Medical Services Act 1982 and with reference to

section 6(4)(b) of the Act, determine the fees and charges specified in the

Schedule, Part A for the medical services specified opposite the fees or

charges in the Schedule, Part A; and

(c) under section 6(3) of the Act, determine the fees and charges specified in the

Schedule, Part B for the medical services specified opposite the fees or

charges in the Schedule, Part B; and

(d) under section 6(4)(a)(i) of the Act, determine that no fee or charge is payable

for a medical service specified in the Schedule, Part B, by a type of patient

specified in the Schedule, Part C.

Dated 31 March 2020

N. K. Fyles Minister for Health

Northern Territory Government Gazette No. S18, 1 April 2020

Schedule Part A

In this Schedule:

compensable patient means a person who receives medical services provided under the Act and is: (a) entitled to claim damages under Motor Vehicle Third Party Insurance other than

eligible persons under the Motor Accidents (Compensation) Act 1979; or (b) entitled to claim damages under worker's compensation; or (c) has an entitlement to claim under public liability or common law damages.

ineligible patient means a person who receives medical services provided under the Act and is not an eligible person under the Health Insurance Act 1973 (Cth).

MBS means the Medicare Benefits Schedule published from time to time by the Commonwealth Department of Health.

private patient means a person who receives medical services provided under the Act by, or at the request of, a private dentist or private medical practitioner.

professional fees means fees for services provided by a medical officer that qualify for a Medicare benefit.

Medical Services - Hospital Fees

Emergency Care – Compensable, Australian Defence Force Personnel Patient, and Ineligible Patient

Per service based on triage category

Resuscitation $2,175

Emergency $1,195

Urgent $860

Semi Urgent $557

Non Urgent $391

Diagnostics 120% of MBS

Admitted Accommodation – Compensable Patient and Australian Defence Force Personnel Patient Per Day

Intensive Care Unit, Special Care Nursery, Coronary Care Unit $6,490

Overnight $2,596

Same Day $2,500

Hospital in the Home $1,230

Professional fees 120% of MBS



Admitted Accommodation – Ineligible Patient Per Day

Intensive Care Unit, Special Care Nursery, Coronary Care Unit $4,888

Overnight $1,955

Same Day $1,175

Hospital in the Home $1,230

Professional fees/ Diagnostics 120% of MBS

Admitted Accommodation – Public Patient Per Day

Respite Care (Gove Hospital Only)

The maximum amount determined by the Minister under section 52G-3 of the Aged Care Act 1997 (Cth)

for residential care, as amended from time to time,

is adopted for respite care at Gove Hospital.

Nursing Home Type Patient (Patient contribution rate)

The rates set out in rule 8A of the Private Health

Insurance (Complying Product) Rules 2015 (Cth) as amended from time to

time are adopted for public Nursing-Home Type

Patients.

Admitted Accommodation – Private Patient

The rates set out in Schedule 2, Schedule 3 and Schedule 4 of the Private Health Insurance (Benefit Requirements) Rules 2011 (Cth) as amended from time to time are adopted for private patients.

Admitted Private Patient Per service

Professional fees 100% of MBS


Outpatients – Compensable, Australian Defence Force Personnel Patient and Ineligible Patient Per Service

Attendance by Medical Practitioner - $692

Attendance by a Dietitian, Masseur, Naturopath, Social Worker, Speech Pathologist, Audiologist or Audiometrist, Aboriginal and Torres Strait Islander Health Practitioner, Chinese Medicine Practitioner, Chiropractor, Occupational Therapist, Optometrist, Osteopath, Physiotherapist, Podiatrist, Psychologists or Nurse - $337

Hyperbaric unit $2,645

Minor Operations $1,000


Chemotherapy $1,359

Telehealth – Attendance by Medical Practitioner $1,038

Telehealth – Attendance by Allied Health or Nurse $506

Allied Health or Nurse (education only) $75


Rehabilitation Services – Compensable, Australian Defence Force Personnel Patient and Ineligible Patient

Per service

Aboriginal Health Practitioner $337

Occupational Therapy $337

Speech Pathology $337

Social Work $337

Physiotherapy $337

Classes (including hydrotherapy) $51

Checklists / Education $51

Renal Services – Compensable, Australian Defence Force Personnel Patient and Ineligible Patient Per service

Dialysis $780

Medical Services – Other health centre (Applied to Compensable, Australian Defence Force Personnel Patient and Ineligible Patients)

Fees

Primary Health Care

Standard General Practitioner Consultation 250% of MBS

Long General Practitioner Consultation 250% of MBS

Other Medical Consultation/ Treatment (where AMA** rate exists)

250% of MBS

Health Assessment for Employment (All patients regardless of Medicare status)

$362 per service

Aboriginal Health Practitioner Consultation/Service $114 per hour (pro-rata in 15 minute blocks)

Nurse attendance in Clinic – Non Emergency – $114 per hour (pro-rata in 15 minute blocks)

Emergency Service Presentations Per hour

Medical Officer’s Attendance $693

Nurse Attendance $416


Medi-Hotel Fees (Royal Darwin Hospital Only)

Fees

Accommodation (Shared Room) Per Bed, Per Day

Transitional Care Program clients $60

TIO Motor Vehicle Accident clients $121

Ineligible and other compensable patients $121

WA Patient Assisted Travel Scheme patient $60

WA Patient Assisted Travel Scheme escort $60

Unapproved Escort (Social Admissions) $30

Medical Transport (Applied to Compensable, Australian Defence Force Personnel Patient and Ineligible Patients)

Fees

Aeromedical Transport (dedicated aeromedical service) ***

Per aero-nautical mile from the place of

dispatch and return to the dispatch location

Single Payer per Trip $46.00

Multiple Patient Multiple Payer per Trip (per payer, per nautical mile) $30.00

Ground based Ambulance Services – Provided by Central Australian and Top End Health Services

From the place of accident to hospital,

urban health centre of other health centre

0-24 km $400

25-49 km $450

50-99 km $600

100-149 km $700

150-199 km $800

200+ km $900 ****

Transport from hospital, urban health centre or other health centre to aerodrome $250

Medical Records (Applied to all patient categories)

Fees

Patient Requests

Copy of Discharge summary No Charge

Copies of Medical Records (per page) $0.25


Search Fee $39.00

Replacement Medical Certificate $39.00

Medical/Allied Health Report (maximum 2 pages) $323.00

Medical/Allied Health Report (additional pages, per page) $164.00

Medical images to CD - 1 Study $13.00

Medical images to CD - 2 Studies $21.00

Medical images to CD - more than 2 Studies $31.00

Third Party Requests

Copies of Medical Records (per page) $1.00

Search Fee $41.00

Medical Report (maximum 2 pages) $359.00

Medical Report (additional pages, per page) $179.00

Medical images to CD - 1 Study $22.00

Medical images to CD - 2 Studies $30.00

Medical images to CD - more than 2 Studies $40.00

Part B

Dental Fee Schedule

Description of Service Service Provider Diagnostic Services Specialist

Fee Dentist

Fee Comprehensive oral examination $77.28 $66.24

Periodic oral examination $64.19 $55.02

Oral examination–limited $40.32 $34.56

Consultation (less than 30 mins) $93.17 $79.86

Consultation-extended ( 30 mins or more) $152.46 $130.68

Consultation by referral (less than 30 mins) $221.55 $129.24

Consultation by referral–extended (30 mins or more) $301.91 $258.78

Comprehensive clinical report (not elsewhere included) $69.09 $59.22

Letter of referral $16.31 $13.98 Radiological Examination, Analysis and Interpretation Intraoral periapical or bitewing radiograph–per exposure $54.32 $46.56

Intraoral radiograph-occlusal, maxillary or mandibular–per exposure

$90.37 $77.46

Extra oral radiograph-maxillary, mandibular–per exposure $102.97 $88.26


Lateral, antero-posterior, postero-anterior or submento-vertex radiograph of skull–per exposure

$193.27 $165.66

Radiograph of temporomandibular joint–per exposure $148.47 $127.26

Cephalometric radiograph-lateral, antero-posterior, postero-anterior or submento-vertex–per exposure

$218.12 $186.96

Panoramic radiograph–per exposure $138.32 $118.56

Hand-wrist radiograph–per exposure $129.43 $110.94

Computed tomography of the skull or parts thereof $218.26 $187.08 Bacteriological examination $57.68 $49.44

Culture examination and identification $57.68 $49.44

Antibiotic sensitivity test $101.09 $86.65

Collection of specimen for pathological examination $54.53 $46.74

Saliva screening test $59.43 $50.94

Bacteriological screening test $109.27 $93.66

Biopsy of tissue $181.86 $154.91

Histopathological examination of tissue $88.84 $76.15

Cytological investigation $148.01 $126.86

Blood Sample $74.97 $64.26

Haematological examination $74.97 $64.26

Diagnostic model–per model $88.69 $76.02

Photographic records–intraoral $47.74 $40.92

Photographic records–extra oral $47.74 $40.92

Diagnostic wax-up $350.35 $200.22

Cephalometric analysis - excluding radiographs $95.34 $81.72

Tooth-jaw size prediction analysis $155.19 $133.02

Tomographic analysis $57.68 $49.44


Description of Service Service Provider Other Diagnostic Services - continued Specialist

Fee Dentist

Fee Electromyography analysis $170.14 $145.84 Dental Prophylaxis

Removal of plaque and/or stain $78.96 $67.68

Recontouring and polish of pre-existing restoration(s)–per appointment

$29.89 $25.62

Removal of calculus–first appointment $131.67 $112.86

Removal of calculus–subsequent appointment $85.68 $73.44

Enamel micro-abrasion–per tooth $51.25 $43.93

Bleaching, internal–per tooth $281.68 $241.44

Bleaching, external–per tooth $277.27 $237.66

Bleaching, home application–per arch $68.28 $58.52 Remineralising Agents Topical application of remineralising and/or cariostatic agents–one treatment

$50.75 $43.50

Topical remineralisation and/or cariostatic agents, home application- per tooth

$39.69 $34.02

Concentrated remineralising and/or cariostatic agent, application–single tooth

$39.69 $34.02

Other Preventative Services

Dietary analysis and advice $53.41 $45.78

Oral hygiene instruction $72.59 $62.22

Provision of a mouthguard–indirect $220.64 $189.12


Description of Service Service Provider Other Preventative Services - continued Specialist

Fee Dentist

Fee Bi-maxillary mouthguard - indirect $213.92 $183.36

Fissure and /or tooth surface sealing–per tooth $67.62 $57.96

Desensitising procedure–per appointment $39.69 $34.02

Odontoplasty–per tooth $74.55 $63.90 Periodontics Treatment of acute periodontal infection–per appointment $102.34 $87.72

Clinical periodontal analysis and recording $206.99 $66.60

Periodontal debridement–per tooth $52.78 $32.82

Non-surgical treatment of peri-implant disease–per implant $52.78 $32.82

Gingivectomy–per tooth or implant $142.97 $92.14

Periodontal flap surgery–per tooth $268.41 $172.98

Gingival graft–per tooth or implant $77.07 $66.06

Guided tissue regeneration-membrane implant $777.07 $666.06

Guided tissue regeneration-membrane removal $399.77 $342.66

Periodontal flap surgery for crown lengthening–per tooth $821.45 $475.74

Root resection–per root $397.32 $272.52

Osseous surgery–per tooth or implant $403.65 $260.14

Osseous graft–per tooth or implant $429.63 $276.89

Osseous graft–block $749.77 $483.20

Periodontal surgery involving one tooth $232.75 $99.90


Description of Service Service Provider Periodontics - continued Specialist

Fee Dentist

Fee Maxillary sinus augmentation–Trans-alveolar technique–per sinus

$1,156.82 $991.56

Maxillary sinus augmentation–Lateral wall approach–per sinus

$1,156.82 $991.56

Active Non-surgical Periodontal Therapy–per quadrant $433.09 $185.64

Supportive Periodontal Therapy–per appointment $404.04 $199.50 Oral Surgery Removal of a tooth or part(s) thereof $239.47 $165.24

Sectional removal of tooth or part(s) thereof $327.81 $211.14 Surgical Extractions Surgical removal of a tooth or tooth fragment not requiring removal of bone or tooth division

$415.94 $268.14

Surgical removal of a tooth or tooth fragment requiring removal of bone

$516.39 $306.24

Surgical removal of a tooth or tooth fragment requiring both removal of bone and tooth division

$639.38 $411.96

Surgery for Prostheses Alveolectomy–per segment $245.63 $167.16

Osteotomy–per jaw $652.54 $559.32

Reduction of fibrous tuberosity $364.63 $235.02

Reduction of flabby ridge–per segment $221.90 $133.14

Removal of hyperplastic tissue $532.77 $213.12

Repositioning of muscle attachment $599.55 $513.90

Vestibuloplasty $635.67 $544.86

Skin or mucosal graft $584.29 $500.82


Description of Service Service Provider Treatment of Maxillo-Facial Injuries Specialist

Fee Dentist

Fee Repair of skin and subcutaneous tissue or mucous membrane

$312.41 $201.30

Fracture of maxilla or mandible–not requiring fixation $273.42 $234.36

Fracture of maxilla or mandible–with wiring of teeth or intra-oral fixation

$861.84 $738.72

Fracture of maxilla or mandible–with external fixation $861.84 $738.72

Fracture of zygoma $1,145.83 $982.14

Fracture requiring open reduction $925.89 $793.62 Dislocations

Mandible–relocation following dislocation $87.15 $74.70

Mandible–relocation requiring open operation $252.07 $216.06 Osteotomies Osteotomy–maxilla $2,050.02 $1,757.16

Osteotomy–mandible $2,050.02 $1,757.16 General Surgical–Oral Pathology Removal of tumour, cyst or scar-cutaneous, subcutaneous or in mucous membrane

$301.70 $258.60

Removal of tumour, cyst or scar involving muscle, bone or other deep tissue

$1,069.67 $916.86

Surgery to salivary duct $941.78 $807.24

Surgery to salivary gland $319.20 $273.60

Removal or repair of soft tissue (not elsewhere defined) $396.06 $255.00

Surgical removal of foreign body $223.79 $144.36

Marsupialisation of cyst $577.29 $494.82


Description of Service Service Provider Other Surgical Procedures Specialist

Fee Dentist

Fee Surgical exposure of unerupted tooth–per tooth $510.51 $437.58

Surgical exposure and attachment of device for orthodontic traction

$579.04 $496.32

Repositioning of displaced tooth/teeth–per tooth $373.66 $240.18

Surgical repositioning of unerupted tooth–per tooth $579.04 $496.32

Splinting of displaced tooth/teeth–per tooth $389.48 $247.80

Replantation and splinting of a tooth–per tooth $753.06 $485.22

Transplantation of tooth or tooth bud $864.43 $740.94

Surgery to isolate and preserve neurovascular tissue $276.08 $236.64

Frenectomy $345.38 $222.54

Drainage of abscess $181.16 $121.92

Surgery involving the maxillary antrum $1,156.82 $991.56

Surgery for osteomyelitis $755.30 $647.40

Repair of nerve trunk $1,516.41 $1,299.78

Control of reactionary or secondary post-operative haemorrhage

$65.79 $56.39

Pulp and Root Canal Treatments Direct pulp capping $67.90 $43.92

Incomplete endodontic therapy (tooth not suitable for further treatment)

$280.21 $150.24

Pulpotomy $129.43 $95.70

Complete chemo-mechanical preparation of root canal–one canal

$582.12 $269.52

Complete chemo-mechanical preparation of root canal–each additional canal

$297.50 $128.40


Description of Service Service Provider Other Surgical Procedures Specialist

Fee Dentist

Fee Root canal obturation–one canal $582.12 $262.56

Root canal obturation–each additional canal $297.50 $122.76

Extirpation of pulp or debridement of root canal(s)–emergency or palliative

$243.11 $173.58

Resorbable root canal filling–primary tooth $280.21 $150.24 Periradicular Surgery Periapical curettage–per root $599.55 $380.64

Apicectomy–per root $599.55 $380.64

Exploratory periradicular surgery $233.59 $160.08

Apical seal - per canal $777.07 $456.66

Sealing of perforation $555.03 $239.70

Surgical treatment and repair of an external root resorption–per tooth

$543.76 $332.94

Hemisection $516.39 $306.24 Other Endodontic Services Exploration and/or negotiation of a calcified canal–per canal, per appointment

$206.99 $133.02

Removal of root filling–per canal $206.99 $133.02

Removal of cemented root canal post or post crown $193.97 $133.02

Removal or bypassing fractured endodontic instrument $181.16 $110.94

Additional appointment for irrigation and/or dressing of the root canal system–per tooth

$206.99 $133.02

Obturation of resorption defect or perforation (non-surgical) $206.99 $133.02

Interim therapeutic root filling–per tooth $232.75 $177.42


Description of Service Service Provider Direct Restorations Specialist

Fee Dentist

Fee Metallic Restorations–Direct Metallic restoration–one surface $153.02 $131.16

Metallic restoration–two surfaces $187.60 $160.80

Metallic restoration–three surfaces $223.93 $191.94

Metallic restoration–four surfaces $255.22 $218.76

Metallic restoration–five surfaces $291.41 $249.78 Adhesive Restoration–Anterior Teeth - Direct Adhesive restoration–one surface–anterior tooth $169.47 $145.26

Adhesive restoration–two surfaces–anterior tooth $205.80 $176.40

Adhesive restoration–three surfaces–anterior tooth $243.74 $208.92

Adhesive restoration–four surfaces–anterior tooth $281.68 $241.44

Adhesive restoration–five surfaces–anterior tooth $393.54 $283.74

Adhesive restoration–veneer–anterior tooth–direct $393.54 $283.74 Adhesive Restorations–Posterior Teeth–Direct

Adhesive restoration–one surface–posterior tooth $181.09 $155.22

Adhesive restoration–two surfaces–posterior tooth $227.29 $194.82

Adhesive restoration–three surfaces–posterior tooth $273.21 $234.18

Adhesive restoration–four surfaces–posterior tooth $307.86 $263.88

Adhesive restoration–five surfaces–posterior tooth $460.88 $304.80

Adhesive restoration–veneer–posterior tooth–direct $393.54 $283.74


Description of Service Service Provider Indirect Restorations Specialist

Fee Dentist Fee

Metallic Restorations–Indirect Metallic restoration–one surface $799.12 $684.96

Metallic restoration–two surfaces $1,021.23 $875.34

Metallic restoration–three surfaces $1,332.10 $1,141.80

Metallic restoration–four surfaces $1,487.57 $1,275.06

Metallic restoration–five surfaces $2,197.72 $1,427.16 Tooth-Coloured Restorations–Indirect Tooth-coloured restoration–one surface $1,332.10 $856.38

Tooth-coloured restoration–two surfaces $1,509.69 $989.46

Tooth-coloured restoration–three surfaces $1,909.18 $1,217.82

Tooth-coloured restoration–four surfaces $2,064.51 $1,465.32

Tooth-coloured restoration–five surfaces $2,197.72 $1,570.86

Tooth-coloured restoration–veneer–indirect $1,332.10 $1,047.12 Other Restorative Services

Provisional (intermediate/ temporary) restoration–per tooth $71.61 $61.38

Metal band $60.34 $51.72

Pin retention–per pin $41.23 $35.34

Cusp capping–per cusp $44.45 $38.10

Restoration of an incisal corner–per corner $44.45 $38.10

Bonding of tooth fragment $181.16 $121.92

Crown–metallic–with tooth preparation–preformed $510.51 $323.46

Crown–metallic–minimal tooth preparation–preformed $223.93 $191.94


Description of Service Service Provider Other Restorative Services–continued Specialist

Fee Dentist

Fee Crown–tooth-coloured–preformed $510.51 $323.46

Removal of indirect restoration $206.99 $121.92

Recementing of indirect restoration $116.27 $99.66

Post–direct $284.41 $188.52 Crowns Full crown–acrylic resin–indirect $1,803.90 $1,162.44

Full crown–non-metallic–indirect $2,623.39 $1,690.62

Full crown–veneered–indirect $2,894.78 $1,590.42

Full crown–metallic–indirect $2,315.67 $1,490.28

Core for crown including post–indirect $623.13 $402.36

Preliminary restoration for crown–direct $258.79 $166.26

Post and root cap–indirect $633.85 $421.44 Provisional and Crown Bridge

Provisional crown–per tooth $223.79 $191.82

Provisional bridge–per pontic $577.29 $380.64

Provisional implant crown abutment–per abutment $274.19 $235.02

Bridges

Bridge pontic–direct–per pontic $1,909.18 $1,217.82

Bridge pontic–indirect–per pontic $1,909.18 $1,298.40

Semi-fixed attachment $621.46 $292.98

Precision or magnetic attachment $559.37 $372.84


Description of Service Service Provider Bridges - continued Specialist

Fee Dentist

Fee Retainer for bonded fixture–indirect– per tooth $777.07 $494.82 Crown and Bridge Repair and Other Services

Recementing crown or veneer $172.34 $129.78

Recementing bridge or splint–per abutment $196.77 $126.72

Rebonding of bridge or splint where retreatment of bridge surface is required

$183.75 $115.26

Removal of crown $116.55 $77.58

Removal of bridge or splint $271.60 $232.80

Repair of crown, bridge or splint–indirect $273.42 $292.98

Repair of crown, bridge or splint–direct $652.54 $372.84 Procedures for Implant Prostheses Full crown attached to osseointegrated implant–non-metallic–indirect

$2,623.39 $1,690.62

Full crown attached to osseointegrated implant–veneered–indirect

$2,894.78 $1,915.08

Full crown attached to osseointegrated implant–metallic–indirect

$2,315.67 $1,492.32

Prosthodontics Complete maxillary denture $1,401.05 $1,200.90

Complete mandibular denture $1,401.05 $1,200.90

Provisional complete maxillary denture $1,050.77 $900.66

Provisional complete mandibular denture $1,050.77 $900.66

Provisional complete maxillary and mandibular dentures $1,863.33 $1,597.14

Metal palate or plate $602.77 $388.46


Description of Service Service Provider Prosthodontics - continued Specialist

Fee Dentist

Fee Complete maxillary and mandibular dentures $2,484.44 $2,129.52

Partial maxillary denture–resin base $640.99 $549.42

Partial mandibular denture–resin base $640.99 $549.42

Provisional partial maxillary denture $480.76 $412.08

Provisional partial mandibular denture $480.76 $412.08

Partial maxillary denture–cast metal framework $1,876.84 $1,608.72

Partial mandibular denture–cast metal framework $1,876.84 $1,608.72

Retainer–per tooth $64.68 $55.44

Occlusal rest–per rest $31.43 $26.94

Tooth/teeth (partial denture) $53.06 $45.48

Overlays – per tooth (can only be claimed with items 727 or 728 from the Australian Schedule of Dental Services and Glossary Australian Dental Association Twelfth Edition Published by the Australian Dental Association 12–14 Chandos St, St Leonards, NSW 2065 Australia © Australian Dental Association, 2017) )

$64.68 $55.44

Precision or magnetic denture attachment $388.43 $332.94

Immediate tooth replacement–per tooth $13.37 $11.46

Resilient lining $277.69 $238.02

Wrought bar $258.79 $221.82

Metal backing – per backing (can only be claimed with 716, 727, or 728 from the Australian Schedule of Dental Services and Glossary Australian Dental Association Twelfth Edition Published by the Australian Dental Association 12–14 Chandos St, St Leonards, NSW 2065 Australia © Australian Dental Association, 2017)

$13.37 $11.46


Description of Service Service Provider Denture Maintenance and Adjustments Specialist

Fee Dentist

Fee

Adjustment of a denture $76.65 $65.70

Relining–complete denture–processed $709.52 $419.10

Relining - partial denture–processed $551.67 $357.30

Remodelling–complete denture $989.62 $637.78

Remodelling–partial denture $989.62 $637.78

Relining–complete denture - direct $399.77 $228.36 Relining–partial denture - direct $244.30 $190.20

Cleaning and polishing of pre-existing denture $82.74 $53.28

Denture base modification $248.02 $212.59

Denture Repairs

Reattaching pre-existing tooth or clasp to denture $155.89 $47.88

Replacing/adding clasp to denture–per clasp $221.20 $189.60

Repairing broken base of a complete denture $155.89 $133.62

Repairing broken base of a partial denture $155.89 $133.62

Replacing/adding new tooth on denture–per tooth $221.20 $189.60

Reattaching existing tooth on denture–per tooth $59.85 $23.58

Adding tooth to partial denture to replace an extracted or decoronated tooth–per tooth

$223.93 $191.94

Repair or addition to metal casting $572.75 $0.00


Description of Service Service Provider Other Prosthodontic Specialist

Fee Dentist

Fee

Tissue conditioning preparatory to impressions–per application $101.71 $87.18

Splint–resin–indirect $665.91 $437.58

Splint–metal–indirect $665.91 $437.58

Obturator $858.68 $553.39

Characterisation of denture base $33.11 $28.38

Impression–dental appliance repair/modification $67.62 $57.96

Identification $54.11 $46.38

Surgical guide for an immediate denture $297.29 $254.82 Removable Appliances Passive removable appliance–per arch $582.83 $375.62

Active removable appliance–per arch $725.42 $467.51

Functional orthopaedic appliance–custom fabrication $2,318.81 $1,494.40

Fixed Appliances Fixed palatal or lingual arch appliance $697.40 $597.77

Partial banding for inter-maxillary elastics (cross elastics) $581.08 $498.07

Maxillary expansion appliance $1,104.25 $946.50

Passive fixed appliance $488.15 $418.42

Minor tooth guidance–fixed $819.43 $702.37 Extra Oral Appliances Extra oral appliance $1,022.83 $876.71


Description of Service Service Provider Attachments Specialist

Fee Dentist

Fee

Bonding of attachment for application of orthodontic force $108.12 $92.68 Other Orthodontic Services Orthodontic adjustment $124.61 $106.81

Repair of removable appliance, resin base $92.97 $79.69

Repair of removable appliance–clasp, spring tooth $92.97 $79.69

Addition to remove appliance–clasp, spring or tooth $199.65 $171.13

Relining- removable appliance–processed $282.18 $241.87 General Services Emergencies

Palliative care $133.63 $86.04

After hours callout $134.82 $115.56

Travel to provide services $98.07 $84.06 Drug Therapy Individually made tray–medicaments $232.75 $199.50

Provision of medication/ medicament $40.32 $34.56

Anaesthesia, Sedation and Relaxation Therapy

Sedition- inhalation–per 30 minutes or part thereof $74.97 $64.26

Relaxation therapy (does not involve the use of drugs) $74.97 $64.26

Treatment under general anaesthesia/sedation $299.92 $257.08


Description of Service Service Provider Occlusal Therapy Specialist

Fee Dentist

Fee Minor occlusal adjustment–per appointment $110.14 $64.26

Clinical occlusal analysis including muscle and joint palpation $181.16 $110.94

Registration and mounting of casts for occlusal analysis $133.35 $95.10

Occlusal splint $1,309.84 $670.38

Adjustment of pre-existing occlusal splint–per appointment $132.58 $95.10

Occlusal adjustment following occlusal analysis–per appointment

$199.85 $133.14

Adjunctive physical therapy for temporomandibular joint and associated structures–per appointment

$133.35 $95.10

Repair/addition–occlusal splint $0.00 $361.56 Miscellaneous Splinting and stabilisation–direct–per tooth $181.16 $121.92

Enamel stripping–per appointment $139.79 $119.82

Single arch oral appliance for diagnosed snoring and obstructive snoring and sleep apnoea

$1,186.19 $764.46

Bi-maxillary oral appliance for diagnosed snoring and obstructive snoring and sleep apnoea

$1,186.19 $764.46

Repair/addition–snoring or sleep apnoea device $421.82 $361.56

Post-operative care where not otherwise included $129.43 $88.74

Part C

NT Eligibility for ‘no fee’ Public Dental and Oral Health Services

Eligibility Criteria* Emergency Service

Routine Services

Concessional Persons holding or listed as a dependent on any of the following Australian Government Cards:

1) Health Care Card (issued by the Australian Department of Human Services);

2) Pensioner Concession Card (issued by the Australian Department of Human Services)

3) Commonwealth Seniors Health Card (issued by Australian Department of Human Services)

4) Gold or White Repatriation Health Cards (issued by the Department of Veterans’ Affairs (DVA))


Children Children enrolled in school up to the age of 18 years old

Cleft Lip and Palate Cleft Lip and Palate Scheme recipients up to the age of 22 years old

Cancer Persons undergoing cancer therapies and requiring oral health support

**

Disability Persons with a disability whereby their conditions is affecting their oral health significantly

**

Department of the Attorney-General and Justice Persons in custody and detainees in an NT Government correctional facility or in youth detention

Homeless Homeless people, refugees and asylum seekers

**

Inpatients Hospital inpatients where a dental or oral health condition is impacting on the condition for which the patient is impacting on the condition for which the patient has been admitted

**

Mental Health Persons with mental health conditions residing in residential care, hospital or community facilities

**

Residential Care Persons living in full-time residential facilities, such as nursing homes or homebound patients

**

Remote Persons who reside in remote communities with a distance greater than 100 kilometres from the nearest available private dental service

Renal and Cardiac Persons requiring renal and cardiac transplant surgery

**

Rheumatic Heart Disease Persons listed on the NT Rheumatic Heart Disease Register


NT Eligibility for ‘no fee’ Public Dental and Oral Health Services (continued)

Eligibility Criteria* Emergency Service

Routine Services

Substance Misuse Persons actively enrolled in programs for substance misuse treatment

**

Palliative Care Persons in palliative care

Victims of Crime Persons who have experienced or are at risk of experiencing domestic, family and sexual violence

**

*All patients are required to be Medicare Eligible, with the exception of refugees and asylum seekers **Requires referral from the patient’s medical practitioner

northern territory government s18 2020 · no. s18 1 april 2020 northern territory of australia ....

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