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Dental Services

               
No.Paid ServiceUnitRate, excl. VATCost of MaterialsPrice before DenominationPrice after DenominationPrice $ USA 
1 2 3 4 5 6 7  
1. General Dental Services (therapy, orthopedics, orthodontics):    
1.1.1. Examination during the first visit examination 77200   77200 7,72 3,9
1.1.2. Follow-up during treatment examination 38600   38600 3,86 1,9
1.1.3. Examination + expert opinion consultation 115800   115800 11,58 5,8
1.1.4. Evaluation of dental X-rays examination 18500   18500 1,85 0,9
1.1.5. Evaluation of visiograms, panoramic radiographs, orthopantomograms and teleroentgenograms examination 57100   57100 5,71 2,9
1.1.6. Evaluation of the results of other examinations examination 18500   18500 1,85 0,9
1.2.1. Description of dental risk factors, promotion of dental health, teeth cleaning tips consultation 40200   40200 4,02 2
1.2.2. Coating of one tooth with Clinpro fluoride-containing medication or sealant manipulation 15400 23200 38600 3,86 1,9
1.2.3. Coating of each next tooth with Clinpro fluoride-containing medication or sealant manipulation 10800 23200 34000 3,4 1,7
1.4.24 Selective grinding of cusps manipulation 15400 4100 19500 1,95 1
1.4.25 Selective grinding of cusps of two adjacent teeth (supraclusion) manipulation 23200 8100 31300 3,13 1,6
1.2.4 Control of oral hygiene using special oral hygiene indices (key teeth are evaluated) manipulation 3100   3100 0,31 0,2
1.2.5. Control of oral hygiene using colouring agents manipulation 38600   38600 3,86 1,9
1.2.6. Removal of plaque from one tooth + cleaning of one tooth (DETARTRINE Z) manipulation 72600 2500 75100 7,51 3,8
1.2.6. Removal of plaque from one tooth + cleaning of one tooth (POLIDENT No.1) manipulation 72600 1800 74400 7,44 3,7
1.2.7. Removal of calculus from one tooth (using hooks) manipulation 23200 100 23300 2,33 1,2
1.2.8. Removal of calculus from one tooth using dental instruments and chemical agents manipulation 30900 100 31000 3,1 1,6
1.2.9. Ultrasonic scaling of one tooth manipulation 15500 0 15500 1,55 0,8
1.2.13 Polishing of one tooth after removal of calculus (DETARTRINE Z) manipulation 10800 2700 13500 1,35 0,7
1.2.13 Polishing of one tooth after removal of calculus (POLIDENT №1) manipulation 10800 2100 12900 1,29 0,6
1.4.1. Temporary dental filling manipulation 18500 100 18600 1,86 0,9
1.4.2 Removal of one hard dental filling manipulation 46300 6100 52400 5,24 2,6
1.4.3 Removal of one defective filling manipulation 23200 4700 27900 2,79 1,4
1.4.7 Oral instillation (irrigation) manipulation 10800 500 11300 1,13 0,6
1.4.8 Gingival retraction of one tooth Astringent retraction manipulation 10800 15000 25800 2,58 1,3
1.3.2 Infiltration anesthesia UBISTEZIN manipulation 38600 4200 42800 4,28 2,1
1.3.2 Infiltration anesthesia ERPIKAIN manipulation 38600 6500 45100 4,51 2,3
1.3.2 Infiltration anesthesia ULTRAKAIN manipulation 38600 7900 46500 4,65 2,3
1.3.3 Regional nerve block ARTIKAIN manipulation 38600 4300 42900 4,29 2,1
1.3.4 Intraligamentary anesthesia UBISTEZIN manipulation 38600 4300 42900 4,29 2,1
1.3.4 Intraligamentary anesthesia ERPIKAIN manipulation 38600 7900 46500 4,65 2,3
1.3.4 Intraligamentary anesthesia ULTRAKAIN manipulation 38600 7900 46500 4,65 2,3
1.5.1 Kit of instruments used during each visit of a patient for therapeutic manipulations manipulation   100 100 0,01  
1.5.2 Kit of instruments used during each visit of a patient for surgical manipulations manipulation   100 100 0,01  
1.3.5 Disposable syringe + needle manipulation   100 100 0,01  
1.3.6 Cartridge syringe + needle manipulation   400 400 0,04  
1.3.8 Anesthetic manipulation   7900 7900 0,79 0,4
1.5.5. Wipe manipulation   1100 1100 0,11 0,1
1.5.6. Saliva ejector nozzle manipulation   200 200 0,02  
1.5.8. Disposable mask manipulation   900 900 0,09  
1.5.9. Pair of gloves manipulation   1700 1700 0,17 0,1
1.5.11 Cotton rolls manipulation   200 200 0,02  
1.5.12 Gauze sponges manipulation   100 100 0,01  
1.5.13 Cotton wool manipulation   100 100 0,01  
1.5.14 Micro applicator manipulation   700 700 0,07  
1.5.15 Syringe for the irrigation of root canals manipulation   100 100 0,01  
1.5.19 Surgical scissors manipulation   100 100 0,01  
1.5.20 Scalpel manipulation   100 100 0,01  
1.5.21. Hemostat manipulation   100 100 0,01  
1.5.22. Surgical extraction elevator manipulation   100 100 0,01  
1.5.23 Surgical chisel manipulation   100 100 0,01  
1.5.24 Curette manipulation   100 100 0,01  
1.5.25 Dental forceps manipulation   100 100 0,01  
1.5.30 SINGLE BOND adhesive agent (one tooth) manipulation   18600 18600 1,86 0,9
1.53.41. GLUMA COMFORT BOND adhesive agent (one tooth) manipulation   6000 6000 0,6 0,3
1.5.31 Etch (one tooth) manipulation   1000 1000 0,1 0,1
1.5.31 Etch gel (one tooth) manipulation   100 100 0,01 0
1.5.32 Stripper manipulation   1300 1300 0,13 0,1
1.5.33 Polishing disc manipulation   17200 17200 1,72 0,9
2. Dental Therapy    
2.1. Invasive fissure sealing using Filtek Ultimate Flowable (one tooth) manipulation 58700 42700 101400 10,14 5,1
2.1.1 Invasive fissure sealing using Clinpro White (one tooth) manipulation 58700 22700 81400 8,14 4,1
2.2 Preparation of hard tissues of one tooth during treatment of caries (I, II, III, IV, V class of Black’s classification) and non-carious diseases developed after tooth eruption + localization of cavities regardless of cavity surface            
2.2.1 Minimal invasive cavity preparation manipulation 30900 4000 34900 3,49 1,7
2.2.2 Cavity preparation in case of 1/3 of dental crown damage manipulation 46300 5000 51300 5,13 2,6
2.2.3 Cavity preparation in case of 1/2 of dental crown damage manipulation 71000 6300 77300 7,73 3,9
2.2.4. Cavity preparation in case of more than 1/2 of dental crown damage manipulation 89500 9500 99000 9,9 5
2.3.1. Separating cement base manipulation 30900 100 31000 3,1 1,6
2.3.2 Separating chemical cure glass-ionomer cement base manipulation 38600 13400 52000 5,2 2,6
(KETAC MOLAR)  
2.3.2 Separating chemical cure glass-ionomer cement base manipulation 38600 68000 106600 10,66 5,3
(VITREMER)  
2.3.3 Separating photocurable base (composite, compomer, flow) using VITREMER material manipulation 30900 8700 39600 3,96 2
2.3.4 Separating base made with the help of an adhesive system using SINGLE BOND material manipulation 30900 18600 49500 4,95 2,5
2.3.4 Separating base made with the help of an adhesive system using GLUMA COMFORT BOND material manipulation 30900 6000 36900 3,69 1,8
2.3.5 Separating photocurable base (composite, compomer, flow) using FILTEK bulk Fill material manipulation 30900 65600 96500 9,65 4,8
2.3.5 CALCEMOL calcium-containing pupl cap manipulation 30900 700 31600 3,16 1,6
2.4 Endodontic treatment of one tooth (in case of pulpitis or apical periodontitis)    
2.4.1 Preparation of carious cavity and cavity of a single-rooted tooth manipulation 46300 5700 52000 5,2 2,6
2.4.2 Preparation of carious cavity and cavity of a multi-rooted tooth manipulation 71000 9500 80500 8,05 4
2.4.3. Devitalizing paste (DEVIT-C) manipulation 15500 200 15700 1,57 0,8
2.4.4 Preparation of one root canal with a good patency using dental instruments manipulation 38600 9800 48400 4,84 2,4
2.4.5 Preparation of one root canal with a bad patency using dental instruments manipulation 86400 13600 100000 10 5
2.4.7. Preparation of one root canal with a bad patency using an endodontic handpiece manipulation 71000 6600 77600 7,76 3,9
2.4.8 Pulp amputation manipulation 12400 200 12600 1,26 0,6
2.4.9 Application of filling paste over root canal orifice manipulation 20100 200 20300 2,03 1
2.4.10. Extirpation of pulp from one root canal manipulation 20100 600 20700 2,07 1
2.4.11. Removal of filling paste and preparation of one root canal using dental instruments manipulation 78700 12400 91100 9,11 4,6
2.4.12. Removal of cement or resorcin-formalin and preparation of one root canal using dental instruments manipulation 117300 16500 133800 13,38 6,7
2.4.13. Removal of filling paste and preparation of one root canal using an endodontic handpiece manipulation 97200 5800 103000 10,3 5,1
2.4.14. Removal of cement or resorcin-formalin and preparation of one root canal using an endodontic handpiece manipulation 137400 8000 145400 14,54 7,3
2.4.15. Antiseptic preparation of one root canal manipulation 20100 200 20300 2,03 1
2.4.16. Treatment of one root canal with special agents for retrieval and enlargement of root canals (lubricants), Canal Plus manipulation 30900 17900 48800 4,88 2,4
2.4.16. Treatment of one root canal with special agents for retrieval and enlargement of root canals (lubricants), Endogel No.1 manipulation 30900 400 31300 3,13 1,6
2.4.17. Therapeutic canal packing of one root canal manipulation 30900 400 31300 3,13 1,6
2.4.18. Removal of a foreign body from one root canal manipulation 97200 3500 100700 10,07 5
2.4.19. Removal of a post or core from one root canal manipulation 117300 11300 128600 12,86 6,4
2.4.20. Canal filling with ENDOMETHASONE paste (canal sealer), per canal manipulation 58700 17200 75900 7,59 3,8
2.4.20. Canal filling with CANASON paste (canal sealer), per canal manipulation 58700 13700 72400 7,24 3,6
2.4.20. Canal filling with METAPEX paste (canal sealer), per canal manipulation 58700 27200 85900 8,59 4,3
2.4.21. Canal filling with gutta-percha points and canal sealer using a condensation method (ENDOMETHASONE material), per canal manipulation 58700 10100 68800 6,88 3,4
2.4.21. Canal filling with gutta-percha points and canal sealer using a condensation method (METAPEX material), per canal manipulation 58700 15200 73900 7,39 3,7
2.5. Restoration of one dental crown with a chemical cure composite in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity: surface:    
2.5.1. Restoration of one dental crown with a chemical cure composite in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (minimal invasive preparation of cavity) manipulation          
2.5.1. CARISMA PPF material manipulation 58700 4600 63300 6,33 3,2
2.5.1. COMPALUX material manipulation 52400 2000   0  
  Clinpro XT material   58700 46400 105100 10,51 5,3
2.5.2. Restoration of one dental crown with a chemical cure composite in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (1/3 of crown damaged) manipulation          
2.5.2. ALFADENT material manipulation 5,1 0   0 0
2.5.2. Clinpro XT material   78700 69600 148300 14,83 7,4
2.5.2. CARISMA PPF material manipulation 78700 4600 83300 8,33 4,2
2.5.3. Restoration of one dental crown with a chemical cure composite in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (1/2 of crown damaged) manipulation          
2.5.3. ALFADENT material manipulation 5,6 0   0 0
2.5.3. Clinpro XT material manipulation 86400 5900 92300 9,23 4,6
2.5.3. CARISMA PPF material   86400 92800 179200 17,92 9
2.5.4. Restoration of one dental crown with a chemical cure composite in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (over 1/2 of crown damaged) manipulation          
2.5.4. CARISMA PPF material manipulation 117300 7400 124700 12,47 6,2
2.5.4. Clinpro XT material   117300 116000 233300 23,33 11,7
2.5.5. Restoration of one dental crown with a composite resin in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface            
2.5.5. Restoration of one dental crown with a composite resin in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity (minimal invasive preparation of cavity) manipulation          
2.5.5. FILTEK ULTIMATE material manipulation 78700 36800 115500 11,55 5,8
2.5.5. FILTEK Z 250 material manipulation 78700 29500 108200 10,82 5,4
2.5.5. FILTEK ULTIMATE Flowable material manipulation 78700 36800 115500 11,55 5,8
2.5.5. FILTEK Z 550 material manipulation 78700 25500 104200 10,42 5,2
2.5.5. CARISMA GLUMA material manipulation 78700 17300 96000 9,6 4,8
2.5.6. Restoration of one dental crown with a composite resin in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (1/3 of crown damaged) manipulation          
2.5.6. FILTEK ULTIMATE Flowable material manipulation 97300 55200 152500 15,25 7,6
2.5.6. FILTEK ULTIMATE material manipulation 97300 35500 132800 13,28 6,6
2.5.6. CARISMA GLUMA material manipulation 97300 26000 123300 12,33 6,2
2.5.6. FILTEK Z 550 material manipulation 97300 36800 134100 13,41 6,7
2.5.6. FILTEK Z 250 material manipulation 97300 44200 141500 14,15 7,1
2.5.7. Restoration of one dental crown with a composite resin in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (1/2 of crown damaged) manipulation          
2.5.7. FILTEK ULTIMATE Flowable material manipulation 117300 73700 191000 19,1 9,6
2.5.7. FILTEK ULTIMATE material manipulation 117300 52000 169300 16,93 8,5
2.5.7. FILTEK Z 550 material manipulation 117300 52000 169300 16,93 8,5
2.5.7. CARISMA GLUMA material manipulation 117300 34600 151900 15,19 7,6
2.5.7. FILTEK Z 250 material manipulation 117300 58900 176200 17,62 8,8
2.5.8 Restoration of one dental crown with a composite resin in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (over 1/2 of crown damaged) manipulation          
2.5.8. FILTEK ULTIMATE material manipulation 137400 92100 229500 22,95 11,5
2.5.8 FILTEK ULTIMATE Flowable material manipulation 137400 67800 205200 20,52 10,3
2.5.8. FILTEK Z 550 material manipulation 137400 57800 195200 19,52 9,8
2.5.8. FILTEK Z 250 material manipulation 137400 73600 211000 21,1 10,5
2.5.8. CARISMA GLUMA material manipulation 137400 43200 180600 18,06 9
2.5.9. Restoration of one dental crown with a compomer in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface            
2.5.9. Restoration of one dental crown with a compomer in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity (minimal invasive preparation of cavity) using VITRIMER material manipulation 78700 45300 124000 12,4 6,2
2.5.10. Restoration of one dental crown with a compomer in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (1/3 of crown damaged) using VITRIMER material manipulation 97200 68000 165200 16,52 8,3
2.5.11. Restoration of one dental crown with a compomer in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (1/2 of crown damaged) using VITRIMER material manipulation 117300 90700 208000 20,8 10,4
2.5.12. Restoration of one dental crown with a compomer in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (over 1/2 of crown damaged) using VITRIMER material manipulation 137400 113300 250700 25,07 12,5
2.5.16. Restoration of one dental crown with a light cured glass-ionomer cement in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface         0  
2.5.16. Restoration of one dental crown with a light cured glass-ionomer cement in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (minimal invasive preparation of cavity) manipulation       0  
2.5.16. KETAC MOLAR material manipulation 78700 13400 92100 9,20995 4,6
2.5.17. Restoration of one dental crown with a light cured glass-ionomer cement in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (1/3 of crown damaged) manipulation       0  
2.5.17. KETAC MOLAR material manipulation 97200 17900 115100 11,50995 5,8
2.5.18. Restoration of one dental crown with a light cured glass-ionomer cement in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (1/2 of crown damaged) manipulation     0    
2.5.18. KETAC MOLAR material manipulation 117300 22300 139600 13,96 7
2.5.19. Restoration of one dental crown with a light cured glass-ionomer cement in patients with caries of I, II, II, IV or V class of Black’s classification + cavity localization regardless of cavity surface (over 1/2 of crown damaged) manipulation          
2.5.19. KETAC MOLAR material manipulation 137400 26800 164200 16,42 8,2
2.5.22 Restoration of a dental crown with an anchor (intrapulpar post) in one tooth canal (filling is for additional charge) manipulation 97200 1000 98200 9,82 4,9
2.5.23 Direct veneer covering of dental crown (filling is for additional charge) manipulation 78700 3700 82400 8,24 4,1
2.5.24 Restoration of a crown angle chip (filling is for additional charge) manipulation 38600 3700 42300 4,23 2,1
2.5.25 Restoration of a crown angle in patients with caries or pulpitis (filling is for additional charge) manipulation 58700 3700 62400 6,24 3,1
2.5.26 Full restoration of anatomic shape of a front tooth crown (filling is for additional charge) manipulation 97200 3700 100900 10,09 5
2.5.27 Full restoration of anatomic shape of a grinding tooth crown (filling is for additional charge) manipulation 117300 3700 121000 12,1 6,1
2.5.28 Application of a matrix:            
2.5.28.1. metal manipulation 15400 2200 17600 1,76 0,9
2.5.28.3. celluloid (mylar) manipulation 15400 500 15900 1,59 0,8
2.5.29. Placement of matrix retainer manipulation 15400 500 15900 1,59 0,8
2.5.30 Placement of interdental wedges manipulation 7700   7700 0,77 0,4
2.5.32. Finishing and polishing of a chemical cure composite filling manipulation 30900 7100 38000 3,8 1,9
2.5.33. Finishing and polishing of a composite resin filling manipulation 58700 7600 66300 6,63 3,3
2.5.34. Finishing and polishing of a glass-ionomer cement filling manipulation 38600 7100 45700 4,57 2,3
2.5.35. Filling sealing         0  
2.5.35.1 SINGLE BOND adhesive material manipulation 20100 18600 38700 3,87 1,9
2.5.35.2 GLUMA COMFORT BOND adhesive material manipulation 20100 6000 26100 2,61 1,3
2.6.5. Whitening of one tooth with BEYOND Max 10 manipulation 67900 91400 159300 15,93 8
2.7.1 Curettement of periodontal pockets (one tooth) manipulation 38600 200 38800 3,88 1,9
3. Outpatient Dental Surgery  
3.1. Postoperative dressing manipulation 77200 100 77300 7,73 3,9
3.1.7 Removal of sutures manipulation 77200 100 77300 7,73 3,9
3.1.8 Suturing manipulation 57100 2800 59900 5,99 3
3.1.10 Surgery for the removal of one single-rooted tooth surgery 77200 100 77300 7,73 3,9
3.1.14 Surgery for the removal of one multi-rooted tooth with forceps surgery 115800 100 115900 11,59 5,8
3.1.21 Administration of a drug into a socket after a tooth extraction manipulation 30900 100 31000 3,1 1,6
3.5.1 Primary surgical treatment of a subperiosteal abscess surgery 77200 100 77300 7,73 3,9
3.5.2 Primary surgical treatment of a periodontal abscess surgery 57100 100 57200 5,72 2,9
3.5.3 Pericoronaroectomy surgery 77200 100 77300 7,73 3,9
3.5.4 Pericoronarotomy surgery 38600 100 38700 3,87 1,9
3.5.5. Treatment of alveolitis of one tooth socket manipulation 57100 100 57200 5,72 2,9
8. Dental X-ray  
8.1. Spot X-ray examination 121900 3500 125400 12,54 6,3

 

 


© 2018 33-я городская студенческая поликлиника

Date information was last updated on: 05.12.2018