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 JASA/KONSULTASI (TANPA TINDAKAN) ................................................... Rp. 35.

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

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