000
OPEN BUR/PEMEDIKASI/DEBRIDEMENT/PREPARASI ........................... Rp. 80.000
..............................................................................................................................
PERAWATAN GIGI ANAK
PENCABUTAN GIGI ANAK
TOPIKAL/CE .................................................................................... Rp. 80.000
INFILTRASI………………………………………………… Rp. 100.000 – 150.000
PERAWATAN GIGI ANAK
GLASS IONOMER …………………………………………Rp. 100.000 – 120.000
KOMPOSIT…………………………………………………. Rp. 120.000 – 150.000
.................................................................................................................................
TOPIKAL APLIKASI FLOUR (PER RAHANG) ………….Rp. 100.000
PERAWATAN PERIODONSIA
SKALLING + POLISHING(RINGAN, SEDANG, BERAT ….. Rp. 150.000-200.000
BEDAH KURETASE ........................................................... Rp.300.000
BEDAH GINGIVEKTOMI ................................................... Rp.300.000
BEDAH OPERCULEKTOMI ............................................... Rp.400.000
PERAWATAN ERDODONSIA
DEUTALISASI ..................................................................... Rp.100.000-150.000
APLIKASI EUGENOL/CHKM/TKF/CRESOPHEN............ Rp.130.000
SANDWICH.......................................................................... Rp.180.000
PENGISIAN SALURAN AKAR.......................................... Rp.150.000
PERAWATAN KONSERVASI
TAMBAL GLASS IONOMER ............................................. Rp.150.000
TAMBAL KOMPOSIT
KECIL .............................................................................. Rp.150.000
SEDANG .......................................................................... Rp.200.000
BESAR ............................................................................. Rp.250.000
VEENER ANTERIOR/ESTETIS(PER GIGI) ......................... Rp.400.000
PERAWATAN EXODONSIA
PENCABUTAN GIGI DEPAN ............................................... Rp.150.000
PENCABUTAN GIGI BELAKANG
RINGAN ............................................................................. Rp.150.000
SEDANG ............................................................................ Rp.200.000
BERAT ............................................................................... Rp.250.000
HECTING JAHIT/PENCABUTAN DENGAN PENYULIT ... Rp.100.000
OPENING / SEPARASI .......................................................... Rp.100.000
ODONTEKTOMI .................................................................... Rp.400.000-1.000.000
ALVEOLECTOMI .................................................................. Rp.300.000
SPLINTING / FIXASI (PER GIGI) ......................................... Rp.150.000
PERAWATAN PROSTEODENSI (GIGI PALSU)
PENCETAKAN
GIGI TIRUAN LEPASAN AKRILIK
PERPLAT .............................................................................. Rp.600.000
PENAMBAHAN 1 GIGI ....................................................... Rp.100.000
GIGI TIRUAN LEKAT/SARUNG GIGI/CROWN
AKRILIK (PER GIGI) .......................................................... Rp.500.000
PFM (PER GIGI) ................................................................... Rp.1.200.000
FULL FORCELAIN (PER GIGI) .......................................... Rp. 2.000.000
ZIRCONIA ............................................................................ Rp. 2.500.000
GT FULL (PER RAHANG) ....................................................... Rp. 1.800.000
PERAWATAN ORTODONSIA
CETAK ...................................................................................... Rp.50.000/Rahang
INSERSI BRACKET
METAL (PER RAHANG) ..................................................... Rp.1.500.000-2.000.000
KERAMIK (PER RAHANG) ................................................ Rp.2.000.000
KONTROL BRACKET ............................................................. Rp.150.000
VALPLAST ………………………………………………… . Rp 800.000/Plat
GIGI BERIKUTNYA ………………………………………… Rp 150.000/Gigi
BRACKET HILANG 1 UNIT ……………………………… Rp 70.000
LEPAS 1 UNIT .................................................................. Rp 50.000
WIRE 1 UNIT .................................................................... Rp 70.000
PEMUTIHAN GIGI/BLEECHING ........................................................ Rp. 1.500.000