| Sr. No. |
Name of the Treatment |
Amount (Rupees) |
| 1 |
Base filling |
100 |
| 2 |
Cleaning per sitting |
200 |
| 3 |
Complete denture acrylic |
3000 |
| 4 |
Complete denture fibre glass |
4500 |
| 5 |
Complete denture lucitone |
6000 |
| 6 |
Composite filling excluding veneers |
400 |
| 7 |
Consultation |
50 |
| 8 |
Crown recementation per tooth |
80 |
| 9 |
Full ceramic fused to metal cap |
2600 |
| 10 |
GIC filling |
250 |
| 11 |
Gingivectomy per tooth |
150 |
| 12 |
Home bleaching |
4500 |
| 13 |
Incision and drainage of abscess |
100 |
| 14 |
Metal cap with ceramic facing |
1800 |
| 15 |
Miracle mix filling |
300 |
| 16 |
Root canal treatment anterior without POR inclusive of all xrays during treatment |
1000 |
| 17 |
Root canal treatment posterior without POR inclusive of all xrays during treatment |
1000 |
| 18 |
Root piece extraction excluding third molars |
150 |
| 19 |
RPD per tooth - fibre glass |
200 |
| 20 |
RPD per tooth - lucitone |
300 |
| 21 |
RPD per tooth -acrylic |
150 |
| 22 |
Screw post with filling |
500 |
| 23 |
Silver amalgam filling |
250 |
| 24 |
Temporary cement filling |
100 |
| 25 |
Tooth extraction excluding Third molars |
100 |
| 26 |
White metal cap |
800 |
| 27 |
White metal cap with acrylic facing |
850 |
| 28 |
X-Ray |
80 |
