Dental services

We can pay for this treatment immediately after your transport accident. You don't need to contact us for initial approval.

We may contact you or your provider to check your progress and see if you are getting the support you need. This will help us make sure your treatment is helping your recovery. It will allow us to make decisions about what treatment we can pay for and how long we can pay for it.

How to get dental treatment

  1. If it’s been more than 6 months since you had any treatment paid for by the TAC, call us to find out if we can pay for more treatment
  2. Choose a dentist. Your doctor can recommend one in your local area or you can search for a dentist online.
  3. Call and make an appointment. Tell them you are a TAC client. Ask if they charge at TAC rates. If the provider charges more, they may ask you for a 'gap payment' to make up the difference
  4. Go to your appointment and give the provider your TAC claim number.

We can also pay for any radiology or diagnostic procedures you need as part of your dental treatment.

How to pay for treatment

In most cases, we will pay your provider. If you have to pay, scan or take a photo of your receipt. Send it to us with the ‘Reimbursement form’ button under 'Upload documents' on myTAC, or by email to info@tac.vic.gov.au and we will repay you.

We will pay for your treatment at the TAC rate. If your provider charges more than the TAC rate, you may need to pay the difference. This is known as a 'gap payment'. If you need to pay a gap, you may be able to recover some of the cost through Medicare or private health insurance.

What does a dentist do?

A dentist is a medical professional trained to treat injuries, diseases and conditions that affect the teeth, gums, jaw and mouth.

Information for health and service providers

If you are a dental services provider, please refer to our TAC Provider Guidelines.

Dental fees

Effective 1 September 2019

Dental services can be invoiced online via LanternPay for next business day payments.

For dental services provided on or after 1 September 2019
GeneralSpecialist
Service DescriptionADA NumberMaximum
Payment
Rate
Maximum
Payment
Rate
Diagnostic services
Comprehensive Oral Examination 011 $97.36 $97.36
Periodic Oral Examination 012 $61.54 $61.54
Consultation 014 $97.36 $97.36
Written report (not elsewhere included) 018 $135.46 $178.31
Intraoral periapical or bitewing radiograph - per exposure 022 $47.96 $47.96
Cone Beam Volumetric Tomography - scan acquisition - per appointment 026 $153.08 $153.08
Cephalometric Radiograph - per exposure 036 $108.22 $108.22
Panoramic radiograph - per exposure 037 $108.22 $108.22
Pulp Testing - per appointment 061 $34.81 $34.81
Diagnostic model - per model 071 $67.35 $67.35
Photographic records - intraoral - per appointment 072 $38.46 $38.46
Cone Beam Volumetric Tomography analysis and/or interpretation - maxillary or mandibular dentition (both arches) 089 $71.44 $71.44
Preventive Services
(Prior approval from TAC required for these services)
Removal Of Calculus - first appointment 114 $120.96 $120.96
Bleaching, Internal - per tooth 117 $214.63 $214.63
Topical application of remineralisation and/or cariostatic agents - one treatment 121 $44.13 $44.13
Oral hygiene instruction 141 $48.24 $48.24
Desensitising Procedure - per appointment 165 $45.44 $45.44
Odontoplasty - per tooth 171 $48.61 $48.61
Periodontal Debridement - per tooth 222 $55.11 $63.37
Periodontal Flap Surgery - per tooth - Limit of 10 per visit, 20 per 12 month period 232 $272.16 $272.16
Surgical treatment of Peri-implant Disease - per implant 233 $328.36 $328.36
Gingival Graft - per tooth, implant or extraction 235 $473.87 $557.50
Guided Tissue Regeneration - per tooth or implant 236 $473.87 $557.50
Guided Tissue Regeneration - membrane removal 237 $550.49 $647.64
Periodontal Surgery for Crown Lengthening - per tooth 238 $476.10 $560.12
Osseous Graft- per tooth or implant 243 $473.87 $557.50
Oral Surgery
Removal of a tooth or part(s) thereof 311 $201.54 $217.94
Sectional removal of tooth or part(s) thereof 314 $265.60 $271.12
Surgical removal of a tooth or tooth fragment not requiring removal of bone or tooth division 322 $298.80 $312.82
Surgical removal of a tooth or tooth fragment requiring removal of bone 323 $359.80 $384.77
Splinting of displaced tooth/teeth - per tooth 386 $198.13 $248.05
Replantation and splinting of a tooth - per tooth 387 $398.33 $458.08
Endodontics
(These fees include the cost of x-rays where required)    
Direct Pulp Capping 411 $53.66 $56.31
Pulpotomy 414 $132.38 $180.88
Complete chemo-mechanical preparation of root canal - one canal 415 $309.54 $355.96
Complete chemo-mechanical preparation of root canal - each additional canal 416 $152.36 $176.55
Root canal obturation - one canal 417 $303.79 $349.36
Root canal obturation - each additional canal 418 $149.86 $172.34
Extirpation of pulp or debridement of root canal(s) - emergency or palliative 419 $212.57 $212.57
Removal Of Root Filling - Per Canal 451 $144.91 $166.65
Additional Visit For Irrigation And/Or Dressing Of The Root Canal System - per tooth 455 $160.45 $184.52
Restorative Services   
Metallic Restoration - One Surface - direct 511 $158.30 $182.04
Metallic Restoration - Two Surfaces - direct 512 $189.19 $217.57
Metallic Restoration - Three Surfaces - direct 513 $221.52 $254.75
Metallic Restoration - Four Surfaces - direct 514 $254.10 $292.22
Metallic Restoration - Five Surfaces - direct 515 $288.56 $331.84
Adhesive Restoration - One Surface - Anterior Tooth - direct 521 $170.21 $195.73
Adhesive Restoration - Two Surfaces - Anterior tooth - direct 522 $200.19 $230.22
Adhesive Restoration - Three Surfaces - Anterior tooth - direct 523 $234.92 $270.16
Adhesive Restoration - Four Surfaces - Anterior tooth - direct 524 $264.31 $303.96
Adhesive Restoration - Five Surfaces - Anterior tooth - direct 525 $310.89 $357.51
Adhesive Restoration - Veneer - Anterior tooth- direct 526 $343.91 $384.73
Adhesive restoration - one surface - posterior tooth - direct 531 $179.45 $206.37
Adhesive restoration - two surfaces - posterior tooth - direct 532 $213.76 $245.83
Adhesive restoration - three surfaces - posterior tooth - direct 533 $250.02 $287.53
Adhesive restoration - four surfaces - posterior tooth - direct 534 $281.66 $323.91
Adhesive restoration - five surfaces - posterior tooth - direct 535 $335.62 $385.96
Adhesive Restoration - Veneer - Posterior tooth - direct 536 $343.91 $384.73
Tooth coloured restoration - one surface - indirect 551 $886.40 $996.37
Tooth coloured restoration - two surfaces - indirect 552 $960.29 $1,104.33
Tooth coloured restoration - three surfaces - indirect 553 $1,109.28 $1,275.68
Tooth coloured restoration - four surfaces - indirect 554 $1,204.19 $1,384.82
Tooth coloured restoration - five surfaces - indirect 555 $1,320.53 $1,518.61
Tooth - coloured restoration - Veneer - indirect 556 $1,267.46 $1,457.58
Provisional (intermediate/temporary) restoration - per tooth 572 $92.87 $92.87
Pin retention - per pin 575 $41.97 $41.97
Post - Direct 597 $172.06 $193.48
Crown and Bridgework
(If these procedures are to be carried out in a hospital under general anaesthesia, prior approval must be obtained from the TAC)
Full crown - non metallic - indirect 613 $1,491.56 $1,715.30
Full crown - veneered - indirect 615 $1,471.36 $1,692.06
Full crown - metallic indirect 618 $1,480.54 $1,702.62
Post and core for crown - indirect 625 $465.79 $560.12
Preliminary restoration for crown - direct 627 $260.37 $276.67
Provisional bridge pontic - per pontic 632 $295.10 $295.10
Bridge pontic - direct - per pontic 642 $384.20 $441.83
Bridge pontic - indirect - per pontic 643 $1,109.56 $1,497.90
Retainer for bonded fixture - indirect - per tooth 649 $659.14 $758.01
Implant Procedures
Fitting of an implant abutment - per abutment 661 $951.58 $951.58
Prosthesis with metal frame attached to implants - fixed - per arch 666 $3.428.88 $5,023.95
Removal and reattachment of prosthesis fixed to implant(s) – per implant 669 $165.21 $165.21
Full crown attached to osseointegrated implant - veneered indirect 672 $1,897.11 $2,490.40
Surgical implant guide 679 $225.37 $225.37
Insertion of first stage of two-stage endosseous implant - per implant 684 $2,041.00 $2,041.00
Insertion of one stage endosseous implant - per implant
Includes the cost of hardware
688 $2,462.97 $2,462.97
Second stage surgery of two stage endosseous implant - per implant
Includes the cost of hardware
691 $421.86 $421.86
Prosthodontics
Complete Maxillary Denture 711 $1,367.61 $1,572.75
Complete Mandibular Denture 712 $1,367.61 $1,572.75
Complete Maxillary and Mandibular Denture 719 $2,479.98 $2,851.97
Partial maxillary denture - resin base 721 $878.14 $878.14
Partial mandibular denture - resin base 722 $878.14 $878.14
Partial maxillary denture - cast metal framework 727 $1,523.61 $1,752.15
Partial mandibular denture - cast metal framework 728 $1,523.61 $1,752.15
Acrylic Dentures (Additional items)
Retainer - Per Tooth 731 $55.02 $55.02
Occlusal Rest - per rest 732 $15.95 $15.95
Tooth/teeth partial denture 733 $54.09 $54.09
Immediate tooth replacement - per tooth 736 $10.73 $10.73
Relining - complete denture - processed 743 $430.65 $430.65
Relining - partial denture - processed 744 $419.18 $419.18
Adding tooth to partial denture to replace an extracted or decoronated tooth - per tooth 768 $186.65 $216.89
Orthodontics
Active removable appliance therapy - per arch 821 $984.87 $1,129.30
Full arch banding - per arch 831 $2,715.55 $3,881.52
Minor tooth guidance - fixed 846 $880.64 $880.64
Complete course of orthodontic treatment 881 $5,609.69 $7,263.78
General
Travel to provide services 916 FBN* FBN*
Clinical occlusal analysis, including muscle and joint palpation - limit one per three year period 963 $92.87 $129.96
Occlusal splint 965 $618.11 $633.58
Adjustment of pre-existing occlusal splint - per appointment 966 $88.04 $112.62
For dental services provided between 1 July 2019 and 31 August 2019
GeneralSpecialist
Service DescriptionADA NumberMaximum
Payment
Rate
Maximum
Payment
Rate
Diagnostic services
Periodic oral examination 012 $61.54 $72.81
Comprehensive Oral Examination 011 $97.36 $120.65
Consultation 014 $97.36 $231.15
Consultation - extended (30 minutes or over) 015 $123.48 $103.57
Written report (not elsewhere included) 018 $135.46 $178.31
Intraoral periapical or bitewing radiograph - per exposure 022 $48.65 $47.96
Cephalometric Radiograph - per exposure 036 $108.22  $108.22
Panoramic radiograph - per exposure 037 $105.11  $110.53
Pulp Testing - per appointment 061 $34.81 $35.45
Diagnostic model - per model 071 $67.35 $63.61
Photographic records - intraoral - per appointment 072 $38.46 $38.46
Preventive Services
(Prior approval from TAC required for these services)
Removal of calculus - first appointment 114 $130.93 $120.96
Bleaching, internal - Per Tooth 117 $171.67 $214.63
Topical application of remineralisation and/or cariostatic agents - one treatment 121 $44.13 $53.19
Oral hygiene instruction 141 $45.29 $45.88
Adjunctive General Services
Desensitising Procedure - per appointment 165 $45.44  $42.75
Odontoplasty - per tooth 171 $34.14  $34.14
Periodontics   
Periodontal debridement - per tooth 222 $288.09 $273.08
Periodontal flap surgery - per tooth 232 FBN* $272.16
Surgical treatment of peri-implant disease - per implant 233 FBN*  $328.36
Application of biologically active material 234 FBN*  
Gingival graft - per tooth, implant or extraction 235 FBN* $728.03
Guided Tissue Regeneration - per tooth or implant) 236   $728.03
Periodontal surgery for crown lengthening - per tooth 238   $560.12
Osseous graft 243 FBN* FBN*
Oral Surgery
Removal of a tooth or part(s) thereof 311 $201.54 $217.94
Sectional removal of tooth or part(s) thereof 314 $265.60 $271.12
Surgical removal of a tooth or tooth fragment not requiring removal of bone or tooth division 322 $298.80 $312.82
Surgical removal of a tooth or tooth fragment requiring removal of bone 323 $359.80 $384.77
Removal or repair of soft tissue (not elsewhere defined) 377 $48.20 $48.20
Splinting of displaced tooth/teeth - per tooth 386 $198.13 $248.05
Replantation and splinting of a tooth - per tooth 387 $281.44 $398.33
Endodontics
Direct Pulp Capping 411 $53.66 $56.31
Pulpotomy 414 $132.38 $180.88
Complete chemo-mechanical preparation of root canal - one canal 415† $309.54 $329.82
Complete chemo-mechanical preparation of root canal - each additional canal 416 $152.36 $160.59
Root canal obturation - one canal 417† $303.79 $337.43
Root canal obturation - each additional canal 418 $149.86 $157.45
Extirpation of pulp or debridement of root canal(s) - emergency or palliative 419 $212.57 $212.72
Apicectomy - per root 432 $245.10 $325.86
Apical seal - per canal 434 $245.10 $325.86
Removal Of Root Filling - Per Canal 451 $158.51 $141.81
Additional Visit For Irrigation And/Or Dressing Of The Root Canal System - Per Tooth 455 $160.45 $152.24
Interim therapeutic root filling - per tooth 458 $139.74 $219.62
† These fees include the cost of x-rays where required
Restorative Services   
Metallic restoration - one surface - direct 511 $158.30 $178.31
Metallic restoration - two surfaces - direct 512 $189.19 $190.82
Metallic restoration - three surfaces - direct 513 $221.52 $235.66
Metallic restoration - four surfaces - direct 514 $254.10 $254.10
Metallic restoration - five surfaces - direct 515 $288.56 $296.14
Adhesive restoration - one surface - anterior tooth - direct 521 $170.21 $172.06
Adhesive restoration - two surfaces - anterior tooth - direct 522 $200.19 $204.38
Adhesive restoration - three surfaces - anterior tooth - direct 523 $234.92 $232.53
Adhesive restoration - four surfaces - anterior tooth - direct 524 $266.80 $264.86
Adhesive restoration - five surfaces - anterior tooth - direct 525 $310.89 $375.47
Adhesive restoration - one surface - posterior tooth - direct 531 $179.45 $179.35
Adhesive restoration - two surfaces - posterior tooth - direct 532 $222.57 $213.76
Adhesive restoration - three surfaces - posterior tooth - direct 533 $258.07 $259.65
Adhesive restoration - four surfaces - posterior tooth - direct 534   $281.66
Adhesive restoration - five surfaces - posterior tooth - direct 535 $335.62 $375.47
Metallic restoration - one surface - indirect 541 $616.29 $616.29
Metallic restoration - two surfaces - indirect 542 $629.73 $771.06
Metallic restoration - three surfaces - indirect 543 $740.23 $927.70
Metallic restoration - four surfaces - indirect 544 $724.43  
Metallic restoration - five surfaces - indirect 545 $724.43  
Tooth coloured restoration - one surface - indirect 551 $907.04 $843.95
Tooth coloured restoration - two surfaces - indirect 552 $1,037.34 $856.20
Tooth coloured restoration - three surfaces - indirect 553 $1,175.49 $1,109.28
Tooth coloured restoration - four surfaces - indirect 554 $1,280.41 $1,114.39
Tooth coloured restoration - five surfaces - indirect 555 $1,195.01 $1,195.01
Provisional (intermediate/temporary) restoration - per tooth 572 $108.75 $123.95
Pin retention - per pin 575 $41.97 $40.67
Post - Direct 597 $193.48 $172.06
Crown and Bridgework
Bridges should be described in terms of the Australian Dental Association's Schedule of Dental Services.  However, in addition to the number of units, the number of abutment teeth and pontics should be stated [eg 3 units (2+1). The fee which the TAC will consider reasonable may be calculated by adding the fees listed for the restoration of the abutment teeth to the fees listed for the pontic or pontics as hereunder specified.
Full crown - non metallic - indirect 613 $1,707.48 $1,621.47
Full crown - veneered - indirect 615 $1,696.08 $1,758.53
Full crown - metallic indirect 618 $1,688.18 $1,671.08
Post and core for crown - indirect 625 $465.79 $560.12
Preliminary restoration for crown - direct 627 $260.37 $276.67
Provisional bridge pontic - per pontic 632 $291.77 $295.10
Bridge pontic - direct - per pontic 642 $240.29 $320.17
Bridge pontic - indirect - per pontic 643 $1,266.86 $1,651.27
Retainer for bonded fixture - indirect - per tooth 649 $1,370.92 $2,459.68
Implant Procedures
Fitting of an implant abutment - per abutment 661 $951.58 $944.73
Prosthesis with metal frame attached to implants - fixed - per arch 666 $2,941.87 $5,023.95
Removal and reattachment of prosthesis fixed to implant(s) – per implant 669   $165.21
Full crown attached to osseointegrated implant - veneered indirect 672 $2,036.99 $2,490.40
Surgical implant guide 679 $225.37 $225.37
Insertion of first stage of two-stage endosseous implant - per implant 684   $1,001.61
Insertion of one stage endosseous implant - per implant 688 FBN* $2,462.97
Second stage surgery of two stage endosseous implant - per implant 691   $378.99
If these procedures are to be carried out in a hospital under general anaesthesia, prior approval must be obtained from TAC.
For the second and subsequent fixtures inserted at the same appointment, the multiple operation rule applies.
In addition, the surgeon is entitled to reimbursement for the retail cost of any expendable implant hardware supplied directly.
Prosthodontics
Complete Maxillary Denture 711 $1,367.61 $1,372.26
Complete Mandibular Denture 712 $1,380.18 $1,462.98
Complete maxillary and mandibular denture 719 $2,479.98 $2,493.70
Partial maxillary denture - resin base 721 $878.14 $772.67
Partial maxillary denture - cast metal framework 727 $1,604.72 $1,601.65
Acrylic Dentures (Additional items)
Retainer - Per Tooth 731 $55.02 $55.27
Occlusal Rest - per rest 732 $15.73 $15.95
Tooth/teeth partial denture 733 $51.19 $54.09
Immediate tooth replacement - per tooth 736 $10.57 $10.73
Relining - complete denture - processed 743 $427.63 $430.65
Relining - partial denture - processed 744 $403.54 $419.18
Denture base modification 754 $157.81 $160.15
Adding tooth to partial denture to replace an extracted or decoronated tooth - per tooth 768 $216.89 $186.65
Orthodontics
Active removable appliance therapy - per arch 821 $984.87 $1,129.30
Full arch banding - per arch 831   $3,881.52
Minor tooth guidance - fixed 846   $880.64
Complete course of orthodontic treatment 881   $7,263.78
Travel to provide treatment 916 FBN* FBN*
Clinical occlusal analysis, including muscle and joint palpation 963 $233.37 $290.51
Registration and mounting of models for oclusal analysis 964 $233.37 $290.51
Occlusal splint 965 $618.11 $633.58
Adjustment of pre-existing occlusal splint - per appointment 966 $88.04 $112.62
For dental services provided between 1 January 2019 and 30 June 2019
GeneralSpecialist
Service DescriptionADA NumberMaximum
Payment
Rate
Maximum
Payment
Rate
Diagnostic services
Periodic oral examination 012 $60.30 $71.35
Comprehensive Oral Examination 011 $95.40 $118.23
Consultation 014 $95.40 $226.51
Consultation - extended (30 minutes or over) 015 $121.00 $101.49
Written report (not elsewhere included) 018 $132.74 $174.73
Intraoral periapical or bitewing radiograph - per exposure 022 $47.67 $47.00
Cephalometric Radiograph - per exposure 036 $106.05  $106.05
Panoramic radiograph - per exposure 037 $103.00  $108.31
Pulp Testing - per appointment 061 $34.11 $34.74
Diagnostic model - per model 071 $66.00 $62.33
Photographic records - intraoral - per appointment 072 $37.69 $37.69
Preventive Services
(Prior approval from TAC required for these services)
Removal of calculus - first appointment 114 $128.30 $118.53
Bleaching, internal - Per Tooth 117 $168.22 $210.32
Topical application of remineralisation and/or cariostatic agents - one treatment 121 $43.24 $52.12
Oral hygiene instruction 141 $44.38 $44.96
Adjunctive General Services
Desensitising Procedure - per appointment 165 $44.53  $41.89
Odontoplasty - per tooth 171 $33.45  $33.45
Periodontics   
Periodontal debridement - per tooth 222 $282.30 $267.59
Periodontal flap surgery - per tooth 232 FBN* $266.69
Surgical treatment of peri-implant disease - per implant 233 FBN*  $321.76
Application of biologically active material 234 FBN*  
Gingival graft - per tooth, implant or extraction 235 FBN* $713.41
Guided Tissue Regeneration - per tooth or implant) 236   $713.41
Periodontal surgery for crown lengthening - per tooth 238   $548.87
Osseous graft 243 FBN* FBN*
Oral Surgery
Removal of a tooth or part(s) thereof 311 $197.49 $213.56
Sectional removal of tooth or part(s) thereof 314 $260.26 $265.67
Surgical removal of a tooth or tooth fragment not requiring removal of bone or tooth division 322 $292.80 $306.54
Surgical removal of a tooth or tooth fragment requiring removal of bone 323 $352.57 $377.04
Removal or repair of soft tissue (not elsewhere defined) 377 $47.23 $47.23
Splinting of displaced tooth/teeth - per tooth 386 $194.15 $243.07
Replantation and splinting of a tooth - per tooth 387 $275.79 $390.33
Endodontics
Direct Pulp Capping 411 $52.58 $55.18
Pulpotomy 414 $129.72 $177.25
Complete chemo-mechanical preparation of root canal - one canal 415† $303.32 $323.19
Complete chemo-mechanical preparation of root canal - each additional canal 416 $149.30 $157.36
Root canal obturation - one canal 417† $297.69 $330.65
Root canal obturation - each additional canal 418 $146.85 $154.29
Extirpation of pulp or debridement of root canal(s) - emergency or palliative 419 $208.30 $208.45
Apicectomy - per root 432 $240.18 $319.31
Apical seal - per canal 434 $240.18 $319.31
Removal Of Root Filling - Per Canal 451 $155.33 $138.96
Additional Visit For Irrigation And/Or Dressing Of The Root Canal System - Per Tooth 455 $157.23 $149.18
Interim therapeutic root filling - per tooth 458 $136.93 $215.21
† These fees include the cost of x-rays where required
Restorative Services   
Metallic restoration - one surface - direct 511 $155.12 $174.73
Metallic restoration - two surfaces - direct 512 $185.39 $186.99
Metallic restoration - three surfaces - direct 513 $217.07 $230.93
Metallic restoration - four surfaces - direct 514 $249.00 $249.00
Metallic restoration - five surfaces - direct 515 $282.76 $290.19
Adhesive restoration - one surface - anterior tooth - direct 521 $166.79 $168.60
Adhesive restoration - two surfaces - anterior tooth - direct 522 $196.17 $200.27
Adhesive restoration - three surfaces - anterior tooth - direct 523 $230.20 $227.86
Adhesive restoration - four surfaces - anterior tooth - direct 524 $261.44 $259.54
Adhesive restoration - five surfaces - anterior tooth - direct 525 $304.64 $367.93
Adhesive restoration - one surface - posterior tooth - direct 531 $175.85 $175.75
Adhesive restoration - two surfaces - posterior tooth - direct 532 $218.10 $209.47
Adhesive restoration - three surfaces - posterior tooth - direct 533 $252.89 $254.43
Adhesive restoration - four surfaces - posterior tooth - direct 534   $276.00
Adhesive restoration - five surfaces - posterior tooth - direct 535 $328.88 $367.93
Metallic restoration - one surface - indirect 541 $603.91 $603.91
Metallic restoration - two surfaces - indirect 542 $617.08 $755.57
Metallic restoration - three surfaces - indirect 543 $725.36 $909.06
Metallic restoration - four surfaces - indirect 544 $709.88  
Metallic restoration - five surfaces - indirect 545 $709.88  
Tooth coloured restoration - one surface - indirect 551 $888.82 $827.00
Tooth coloured restoration - two surfaces - indirect 552 $1,016.50 $839.00
Tooth coloured restoration - three surfaces - indirect 553 $1,151.88 $1,087.00
Tooth coloured restoration - four surfaces - indirect 554 $1,254.69 $1,092.00
Tooth coloured restoration - five surfaces - indirect 555 $1,171.00 $1,171.00
Provisional (intermediate/temporary) restoration - per tooth 572 $106.57 $121.46
Pin retention - per pin 575 $41.13 $39.85
Post - Direct 597 $189.59 $168.60
Crown and Bridgework
Bridges should be described in terms of the Australian Dental Association's Schedule of Dental Services.  However, in addition to the number of units, the number of abutment teeth and pontics should be stated [eg 3 units (2+1). The fee which the TAC will consider reasonable may be calculated by adding the fees listed for the restoration of the abutment teeth to the fees listed for the pontic or pontics as hereunder specified.
Full crown - non metallic - indirect 613 $1,673.18 $1,588.90
Full crown - veneered - indirect 615 $1,662.01 $1,723.20
Full crown - metallic indirect 618 $1,654.27 $1,637.51
Post and core for crown - indirect 625 $456.43 $548.87
Preliminary restoration for crown - direct 627 $255.14 $271.11
Provisional bridge pontic - per pontic 632 $285.91 $289.17
Bridge pontic - direct - per pontic 642 $235.46 $313.74
Bridge pontic - indirect - per pontic 643 $1,241.41 $1,618.10
Retainer for bonded fixture - indirect - per tooth 649 $1,343.38 $2,410.27
Implant Procedures
Fitting of an implant abutment - per abutment 661 $932.46 $925.75
Prosthesis with metal frame attached to implants - fixed - per arch 666 $2,882.77 $4,923.03
Removal and reattachment of prosthesis fixed to implant(s) – per implant 669   $161.89
Full crown attached to osseointegrated implant - veneered indirect 672 $1,996.07  
Surgical implant guide 679 $220.84 $220.84
Insertion of first stage of two-stage endosseous implant - per implant 684   $981.49
Insertion of one stage endosseous implant - per implant 688 FBN* $2,413.49
Second stage surgery of two stage endosseous implant - per implant 691   $371.38
If these procedures are to be carried out in a hospital under general anaesthesia, prior approval must be obtained from TAC.
For the second and subsequent fixtures inserted at the same appointment, the multiple operation rule applies.
In addition, the surgeon is entitled to reimbursement for the retail cost of any expendable implant hardware supplied directly.
Prosthodontics
Complete Maxillary Denture 711 $1,340.14 $1,344.69
Complete Mandibular Denture 712 $1,352.45 $1,433.59
Complete maxillary and mandibular denture 719 $2,430.16 $2,443.61
Partial maxillary denture - resin base 721 $860.50 $757.15
Partial maxillary denture - cast metal framework 727 $1,572.48 $1,569.48
Acrylic Dentures (Additional items)
Retainer - Per Tooth 731 $53.91 $54.16
Occlusal Rest - per rest 732 $15.41 $15.63
Tooth/teeth partial denture 733 $50.16 $53.00
Immediate tooth replacement - per tooth 736 $10.36 $10.51
Relining - complete denture - processed 743 $419.04 $422.00
Relining - partial denture - processed 744 $395.43 $410.76
Denture base modification 754 $154.64 $156.93
Adding tooth to partial denture to replace an extracted or decoronated tooth - per tooth 768 $212.53 $182.90
Orthodontics
Active removable appliance therapy - per arch 821 $965.09 $1,106.61
Full arch banding - per arch 831   $3,803.55
Minor tooth guidance - fixed 846   $862.95
Complete course of orthodontic treatment 881   $7,117.86
Travel to provide treatment 916 FBN* FBN*
Clinical occlusal analysis, including muscle and joint palpation 963 $228.68 $284.67
Registration and mounting of models for oclusal analysis 964 $228.68 $284.67
Occlusal splint 965 $605.69 $620.85
Adjustment of pre-existing occlusal splint - per appointment 966 $86.27 $110.36
For dental services provided between 1 July 2018 and 31 December 2018
GeneralSpecialist
Service DescriptionADA NumberMaximum
Payment
Rate
Maximum
Payment
Rate
Diagnostic services
Periodic oral examination 012 $60.30 $71.35
Comprehensive Oral Examination 011 $95.40 $118.23
Consultation 014 $95.40 $226.51
Written report (not elsewhere included) 018 $132.74 $174.73
Intraoral periapical or bitewing radiograph - per exposure 022 $47.67 $47.00
Cephalometric Radiograph - per exposure 036 $106.05  $106.05
Panoramic radiograph - per exposure 037 $103.00  $108.31
Pulp Testing - per appointment 061 $34.11 $34.74
Diagnostic model - per model 071 $66.00 $62.33
Photographic records - intraoral - per appointment 072 $37.69 $36.78
Preventive Services
(Prior approval from TAC required for these services)
Removal of calculus - first appointment 114 $128.30 $118.53
Bleaching, internal - Per Tooth 117 $168.22 $210.32
Topical application of remineralisation and/or cariostatic agents - one treatment 121 $43.24 $52.12
Oral hygiene instruction 141 $44.38 $44.96
Adjunctive General Services
Desensitising Procedure - per appointment 165 $44.53  $41.89
Odontoplasty - per tooth 171 $33.45  $33.45
Periodontics   
Periodontal debridement - per tooth 222 $282.30 $267.59
Periodontal flap surgery - per tooth 232 FBN* $266.69
Surgical treatment of peri-implant disease - per implant 233 FBN*  $321.76
Application of biologically active material 234 FBN*  
Gingival graft - per tooth, implant or extraction 235 FBN* $713.41
Guided Tissue Regeneration - per tooth or implant) 236   $713.41
Periodontal surgery for crown lengthening - per tooth 238   $548.87
Oral Surgery
Removal of a tooth or part(s) thereof 311 $197.49 $213.56
Sectional removal of tooth or part(s) thereof 314 $260.26 $265.67
Surgical removal of a tooth or tooth fragment not requiring removal of bone or tooth division 322 $292.80 $306.54
Surgical removal of a tooth or tooth fragment requiring removal of bone 323 $352.57 $377.04
Removal or repair of soft tissue (not elsewhere defined) 377 $47.23 $47.23
Splinting of displaced tooth/teeth - per tooth 386 $194.15 $243.07
Replantation and splinting of a tooth - per tooth 387 $275.79 $390.33
Splint - resin - indirect 772   $390.33
Endodontics
Direct Pulp Capping 411 $52.58 $55.18
Pulpotomy 414 $129.72 $177.25
Complete chemo-mechanical preparation of root canal - one canal 415† $303.32 $323.19
Complete chemo-mechanical preparation of root canal - each additional canal 416 $149.30 $157.36
Root canal obturation - one canal 417† $297.69 $330.65
Root canal obturation - each additional canal 418 $146.85 $154.29
Extirpation of pulp or debridement of root canal(s) - emergency or palliative 419 $208.30 $208.45
Apicectomy - per root 432 $240.18 $319.31
Apical seal - per canal 434 $240.18 $319.31
Removal Of Root Filling - Per Canal 451 $155.33 $138.96
Additional Visit For Irrigation And/Or Dressing Of The Root Canal System - Per Tooth 455 $157.23 $149.18
Interim therapeutic root filling - per tooth 458 $136.93 $215.21
† These fees include the cost of x-rays where required
Restorative Services   
Metallic restoration - one surface - direct 511 $155.12 $174.73
Metallic restoration - two surfaces - direct 512 $185.39 $186.99
Metallic restoration - three surfaces - direct 513 $217.07 $230.93
Metallic restoration - five surfaces - direct 515 $282.76 $290.19
Adhesive restoration - one surface - anterior tooth - direct 521 $166.79 $168.60
Adhesive restoration - two surfaces - anterior tooth - direct 522 $196.17 $200.27
Adhesive restoration - three surfaces - anterior tooth - direct 523 $230.20 $227.86
Adhesive restoration - four surfaces - anterior tooth - direct 524 $261.44 $259.54
Adhesive restoration - five surfaces - anterior tooth - direct 525 $304.64 $367.93
Adhesive restoration - one surface - posterior tooth - direct 531 $175.85 $175.75
Adhesive restoration - two surfaces - posterior tooth - direct 532 $218.10 $209.47
Adhesive restoration - three surfaces - posterior tooth - direct 533 $252.89 $254.43
Adhesive restoration - five surfaces - posterior tooth - direct 535 $328.88 $367.93
Metallic restoration - two surfaces - indirect 542 $617.08 $755.57
Metallic restoration - three surfaces - indirect 543 $725.36 $909.06
Provisional (intermediate/temporary) restoration - per tooth 572 $106.57 $121.46
Pin retention - per pin 575 $41.13 $39.85
Post - Direct 597 $189.59 $168.60
Crown and Bridgework
Bridges should be described in terms of the Australian Dental Association's Schedule of Dental Services.  However, in addition to the number of units, the number of abutment teeth and pontics should be stated [eg 3 units (2+1). The fee which the TAC will consider reasonable may be calculated by adding the fees listed for the restoration of the abutment teeth to the fees listed for the pontic or pontics as hereunder specified.
Full crown - non metallic - indirect 613 $1,673.18 $1,588.90
Full crown - veneered - indirect 615 $1,662.01 $1,723.20
Full crown - metallic indirect 618 $1,654.27 $1,637.51
Post and core for crown - indirect 625 $456.43 $548.87
Preliminary restoration for crown - direct 627 $255.14 $271.11
Provisional bridge pontic - per pontic 632 $285.91 $289.17
Bridge pontic - direct - per pontic 642 $235.46 $313.74
Bridge pontic - indirect - per pontic 643 $1,241.41 $1,618.10
Retainer for bonded fixture - indirect - per tooth 649 $1,343.38 $2,410.27
Implant Procedures
Fitting of an implant abutment - per abutment 661 $932.46 $925.75
Prosthesis with metal frame attached to implants - fixed - per arch 666 $2,882.77 $4,923.03
Removal and reattachment of prosthesis fixed to implant(s) – per implant 669   $161.89
Full crown attached to osseointegrated implant - veneered indirect 672 $1,996.07  
Surgical implant guide 679 $220.84 $220.84
Insertion of first stage of two-stage endosseous implant - per implant 684   $981.49
Insertion of one stage endosseous implant - per implant 688 FBN* $2,413.49
Second stage surgery of two stage endosseous implant - per implant 691   $371.38
If these procedures are to be carried out in a hospital under general anaesthesia, prior approval must be obtained from TAC.
For the second and subsequent fixtures inserted at the same appointment, the multiple operation rule applies.
In addition, the surgeon is entitled to reimbursement for the retail cost of any expendable implant hardware supplied directly.
Prosthodontics
Complete Maxillary Denture 711 $1,340.14 $1,344.69
Complete Mandibular Denture 712 $1,352.45 $1,433.59
Complete maxillary and mandibular denture 719 $2,430.16 $2,443.61
Partial maxillary denture - resin base 721 $860.50 $757.15
Partial maxillary denture - cast metal framework 727 $1,572.48 $1,569.48
Splint - resin - indirect 772 $275.79  
Acrylic Dentures (Additional items)
Retainer - Per Tooth 731 $53.91 $54.16
Occlusal Rest - per rest 732 $15.41 $15.63
Immediate tooth replacement - per tooth 736 $10.36 $10.51
Relining - complete denture - processed 743 $419.04 $422.00
Relining - partial denture - processed 744 $395.43 $410.76
Denture base modification 754 $154.64 $156.93
Adding tooth to partial denture to replace an extracted or decoronated tooth - per tooth 768 $212.53 $182.90
Orthodontics
Active removable appliance therapy - per arch 821 $965.09 $1,106.61
Full arch banding - per arch 831   $3,803.55
Minor tooth guidance - fixed 846   $862.95
Complete course of orthodontic treatment 881   $7,117.86
Travel to provide treatment 916 FBN* FBN*
Clinical occlusal analysis, including muscle and joint palpation 963 $228.68 $284.67
Registration and mounting of models for oclusal analysis 964 $228.68 $284.67
Occlusal splint 965 $605.69 $620.85
Adjustment of pre-existing occlusal splint - per appointment 966 $86.27 $110.36

* Note: Where the terminology FBN appears in this schedule, the fee must be negotiated with the TAC before any dental treatment is commenced.

Medical services reimbursement rates

The TAC has adopted the Medicare Benefits Schedule (MBS) items, explanations, definitions, rules and conditions for services provided by medical practitioners.  When invoicing for medical services, medical practitioners are expected to adhere to the MBS rules unless otherwise specified by the TAC in the Reimbursement Rates for Medical Services booklet or its medical policies.

The Reimbursement Rates for Medical Services must be read in conjunction with:

The government recently announced a temporary expansion of telehealth MBS items to help reduce the risk of community transmission of COVID-19 and provide protection for patients and health care providers. These services are for non-admitted patients and geographical restrictions do not apply.

The TAC will fund these temporary telehealth items for services provided by medical specialists, such as GPs, consulting physicians and psychiatrists at the TAC rates below until 30 September 2020.

The TAC expects its providers to only use telehealth when it is clinically appropriate to do so and relates to a client’s accident injuries. Telehealth services must be provided in line with the TAC Clinical Framework.

These items are effective from 13 March 2020 unless specified otherwise. 

General Practitioner attendances

For Medical services delivered via telehealth in response to COVID-19
Service DescriptionMBS/TAC Item NumberMaximum Payment Rate
Standard GP Attendance
Video-conference attendances
Attendance for an obvious problem (existing MBS item 3) 91790 $29.29
Attendance less than 20 minutes (existing MBS item 23) 91800 $61.35
Attendance at least 20 minutes (existing MBS item 36)  91801 $112.93
Attendance at least 40 minutes (existing MBS item 44)  91802 $166.29
Telephone attendances (for when video-conferencing is not available) 
Attendance for an obvious problem (existing MBS item 3) 91795 $29.29
Attendance less than 20 minutes (existing MBS item 23)  91809 $61.35
Attendance at least 20 minutes (existing MBS item 36)  91810 $112.93
Attendance at least 40 minutes (existing item MBS 44)  91811 $166.29
Health assessment for people of Aboriginal or Torres Strait Islander decent
Video-conference attendances
GP health assessment (existing MBS item 715) 92004 $364.60
Telephone attendances (for when video-conferencing is not available)
GP health assessment (existing MBS item 715) 92016 $364.60
Chronic Disease Management
Video-conference attendances
GP management plan, prepare (existing MBS item 721) 92024 $252.65
GP team care arrangement, co-ordinate development (existing MBS item 723) 92025 $199.08
GP contribution to prepare or review a multidisciplinary care plan, prepared by another provider (existing MBS item 729) 92026 $87.80
GP contribution to prepare or review a multidisciplinary care plan, prepared by a provider when the patient was admitted or by a RACF (existing MBS item 731) 92027 $87.80
GP attendance to coordinate a GP management plan or team care arrangements (existing MBS item 732) 92028 $126.33
Telephone attendances (for when video-conferencing is not available)
GP management plan, prepare (existing MBS item 721) 92068 $252.65
GP team care arrangement, co-ordinate development (existing MBS item 723) 92069 $199.08
GP contribution to prepare or review a multidisciplinary care plan, prepared by another provider (existing MBS item 729) 92070 $87.80
GP contribution to prepare or review a multidisciplinary care plan, prepared by a provider when the patient was admitted or by a RACF (existing MBS item 731) 92071 $87.80
GP attendance to coordinate a GP management plan or team care arrangements (existing MBS item 732) 92072 $126.33
Pregnancy support
Video-conference attendances
GP pregnancy support item, more than 20 minutes (existing MBS item 4001) 92136 $140.24
Telephone attendances (for when video-conferencing is not available)
GP pregnancy support item, more than 20 minutes (existing MBS item 4001) 92138 $140.24
Urgent After Hours
Video-conference attendances
GP urgent after hours, unsociable (existing MBS item 599) 92210 $204.97
Telephone attendances (for when video-conferencing is not available)
GP urgent after hours, unsociable (existing MBS item 599) 92216 $204.97

Other Medical Practitioner attendances

For Medical services delivered via telehealth in response to COVID-19
Service DescriptionMBS/TAC Item NumberMaximum Payment Rate
Video-conference attendances
Attendance of not more than 5 minutes - metro (existing MBS item 52) 91792 $29.12
Attendance of more than 5 minutes but not more than 25 minutes - metro (existing MBS item 53) 91803 $55.60
Attendance of more than 25 minutes but not more than 45 minutes - metro (existing MBS item 54)  91804 $100.14
Attendance of more than 45 minutes - metro (existing MBS item 57) 91805 $160.68
Attendance of not more than 5 minutes - regional (existing MBS item 179) 91794 $36.33
Attendance of more than 5 minutes but not more than 25 minutes - regional (existing MBS item 185) 91806 $79.51
Attendance of more than 25 minutes but not more than 45 minutes - regional (existing MBS item 189) 91807 $153.86
Attendance of more than 45 minutes - regional (existing MBS item 203) 91808 $226.36
Telephone attendances (for when video-conferencing is not available) 
Attendance of not more than 5 minutes - metro (existing MBS item 52) 91797 $29.12
Attendance of more than 5 minutes but not more than 25 minutes - metro (existing MBS item 53) 91812 $55.60
Attendance of more than 25 minutes but not more than 45 minutes - metro (existing MBS item 54) 91813 $100.14
Attendance of more than 45 minutes - metro (existing MBS item 57) 91814 $160.68
Attendance of not more than 5 minutes - regional (existing MBS item 179) 91799 $36.33
Attendance of more than 5 minutes but not more than 25 minutes - regional (existing MBS item 185) 91815 $79.51
Attendance of more than 25 minutes but not more than 45 minutes - regional (existing MBS item 189) 91816 $153.86
Attendance of more than 45 minutes - regional (existing MBS item 203) 91817 $226.36
Health assessment for people of Aboriginal or Torres Strait Islander decent
Video-conference attendances
OMP health assessment (existing MBS item 228) 92011 $438.08
Telephone attendances (for when video-conferencing is not available)
OMP health assessment (existing MBS item 228) 92023 $438.08
Chronic Disease Management
Video-conference attendances
OMP management plan, prepare (existing MBS item 229) 92055 $297.73
OMP team care arrangement, coordinate development (existing MBS item 230) 92056 $235.94
OMP contribution to prepare or review a multidisciplinary care plan, prepared by another provider (existing MBS item 231) 92057 $145.25
OMP contribution to prepare or review a multidisciplinary care plan, prepared by a provider when the patient was admitted or by a RACF (existing MBS item 232) 92058 $145.25
OMP attendance to coordinate a GP management plan or team care arrangements (existing MBS item 233) 92059 $148.74
Telephone attendances (for when video-conferencing is not available)
OMP management plan, prepare (existing MBS item 229) 92099 $297.73
OMP team care arrangement, coordinate development (existing MBS item 230) 92100 $235.94
OMP contribution to prepare or review a multidisciplinary care plan, prepared by another provider (existing MBS item 231) 92101 $145.25
OMP contribution to prepare or review a multidisciplinary care plan, prepared by a provider when the patient was admitted or by a RACF (existing MBS item 232) 92102 $145.25
OMP attendance to coordinate a GP management plan or team care arrangements (existing MBS item 233) 92103 $148.74
Pregnancy support
Video-conference attendances
OMP pregnancy support item, more than 20 minutes (existing MBS item 792) 92137 $158.15
Telephone attendances (for when video-conferencing is not available)
OMP pregnancy support item, more than 20 minutes (existing MBS item 792) 92139 $158.15
Urgent after hours
Video-conference attendances
OMP urgent after hours, unsociable (existing MBS item 600) 92211 $454.52
Telephone attendances (for when video-conferencing is not available)  
OMP urgent after hours, unsociable (existing MBS item 600) 92217 $454.52

Specialist, Consultant Physican, Psychiatrist, Geriatrician, Public Health Physician and Neurosurgeon attendances

For Medical services delivered via telehealth in response to COVID-19
Service DescriptionMBS/TAC Item NumberMaximum Payment Rate
Specialist : Video-conference attendances
Specialist. Initial attendance  (existing MBS item 104) 91822 $163.12
Specialist. Subsequent attendance  (existing MBS item 105) 91823 $81.81
Specialist : Telephone attendances (for when video-conferencing is not available)
Specialist. Initial attendance  (existing MBS item 104)  91832 $163.12
Specialist. Subsequent attendance  (existing MBS item 105) 91833 $81.81
Consultant physician : Video-conference attendances
Consultant physician. Initial attendance  (existing MBS item 110)  91824  $279.77
Consultant physician. Subsequent attendance  (existing MBS item 116) 91825  $140.03
Consultant physician. Minor attendance (existing item MBS 119)  91826  $72.17
* Consultant physician. Treatment and management plan - Initial assessment – at least 2 morbidities - at least 45 minutes duration (existing item MBS 132). 
*Effective 6 April 2020.           
92422 $450.03
* Consultant physician. Treatment and management plan - Review – at least 2 morbidities - at least 20 minutes duration (existing item MBS 133).
*Effective 6 April 2020.
92423 $225.26
Consultant physician : Telephone attendances (for when video-conferencing is not available)
Consultant physician. Initial attendance  (existing MBS item 110)  91834  $279.77
Consultant physician. Subsequent attendance  (existing MBS item 116) 91835  $140.03
Consultant physician. Minor attendance (existing item MBS 119) 91836  $72.17
* Consultant physician. Treatment and management plan - Initial assessment – at least 2 morbidities - at least 45 minutes duration (existing item MBS 132). 
*Effective 6 April 2020.
92431 $450.03
* Consultant physician. Treatment and management plan - Review – at least 2 morbidities - at least 20 minutes duration (existing item MBS 133).
*Effective 6 April 2020.
92432 $225.26
Consultant psychiatrist : Video-conference attendances
* Consultant psychiatrist diagnosis and assessment and management plan - at least 45 minutes in duration (existing item MBS 291)
*Effective 6 April 2020.
92435 $752.75
* Consultant psychiatrist diagnosis and assessment and management plan - 30 to 45 minutes (existing item MBS 293)
*Effective 6 April 2020.
92436 $470.56
* Consultant psychiatrist attendance, more than 45 minutes, new patient (or 2 years between last service for existing patient) (existing item MBS 296)
*Effective 6 April 2020.
92437 $432.85
Consultant psychiatrist. Consultation, not more than 15 minutes, fewer than 50 attendances (existing MBS item 300) 91827 $70.90
Consultant psychiatrist. Consultation, 15 to 30 minutes, fewer than 50 attendances (existing MBS item 302) 91828 $141.44
Consultant psychiatrist. Consultation, 30 to 45 minutes, fewer than 50 attendances (existing MBS item 304)  91829 $207.29
Consultant psychiatrist. Consultation, 45 to 75 minutes, fewer than 50 attendances (existing MBS item 306)  91830 $285.97
Consultant psychiatrist. Consultation, more than 75 minutes, fewer than 50 attendances (existing MBS item 308)  91831 $348.42
* Consultant psychiatrist, group psychotherapy, at least 1 hour, involving group of 2 to 9 unrelated patients or a family group of more than 3 patients (existing MBS item 342)
*Effective 20 April 2020.
92455 $80.83
* Consultant psychiatrist, group psychotherapy, at least 1 hour, involving family group of 3 patients (existing MBS item 344)
*Effective 20 April 2020. 
92456 $107.21
* Consultant psychiatrist, group psychotherapy, at least 1 hour, involving family group of 2 patients (existing MBS item 346)
*Effective 20 April 2020.
92457 $158.37
* Consultant psychiatrist attendance, interviewing a person other than a patient, 20 to 45 minutes, initial diagnosis (existing item MBS 348)
*Effective 6 April 2020.
92458 $206.42
* Consultant psychiatrist attendance, interviewing a person other than a patient, more than 45 minutes, initial diagnosis (existing item MBS 350)
*Effective 6 April 2020.
92459 $285.02
* Consultant psychiatrist attendance, interviewing a person other than a patient, more than 20 minutes, continuing management (existing item MBS 352)
*Effective 6 April 2020.
92460 $206.42
Consultant psychiatrist : Telephone attendances (for when video-conferencing is not available)
* Consultant psychiatrist diagnosis and assessment and management plan - at least 45 minutes in duration (existing item MBS 291)
*Effective 6 April 2020.
92475 $752.75
* Consultant psychiatrist diagnosis and assessment and management plan - 30 to 45 minutes (existing item MBS 293)
*Effective 6 April 2020.
92476 $470.56
* Consultant psychiatrist attendance, more than 45 minutes, new patient (or 2 years between last service for existing patient) (existing item MBS 296)
*Effective 6 April 2020.
92477 $432.85
Consultant psychiatrist. Consultation, not more than 15 minutes, fewer than 50 attendances (existing MBS item 300)  91837 $70.90
Consultant psychiatrist. Consultation, 15 to 30 minutes, fewer than 50 attendances (existing MBS item 302) 91838 $141.44
Consultant psychiatrist. Consultation, 30 to 45 minutes, fewer than 50 attendances (existing MBS item 304) 91839 $207.29
Consultant psychiatrist. Consultation, 45 to 75 minutes, fewer than 50 attendances (existing MBS item 306) 91840 $285.97
Consultant psychiatrist. Consultation, more than 75 minutes, fewer than 50 attendances (existing MBS item 308) 91841 $348.42
* Consultant psychiatrist, group psychotherapy, at least 1 hour, involving group of 2 to 9 unrelated patients or a family group of more than 3 patients (existing MBS item 342)
*Effective 20 April 2020.
92495 $80.83
* Consultant psychiatrist, group psychotherapy, at least 1 hour, involving family group of 3 patients (existing MBS item 344)
*Effective 20 April 2020.
92496 $107.21
* Consultant psychiatrist, group psychotherapy, at least 1 hour, involving family group of 2 patients (existing MBS item 346)
*Effective 20 April 2020.
92497 $158.37
* Consultant psychiatrist attendance, interviewing a person other than a patient, 20 to 45 minutes, initial diagnosis (existing item MBS 348)
*Effective 6 April 2020.
92498 $206.42
* Consultant psychiatrist attendance, interviewing a person other than a patient, more than 45 minutes, initial diagnosis (existing item MBS 350)
*Effective 6 April 2020.
92499 $285.02
* Consultant psychiatrist attendance, interviewing a person other than a patient, more than 20 minutes, continuing management (existing item MBS 352)
*Effective 6 April 2020.
92500 $206.42
Geriatric Medicine : Video-conference attendances
* Geriatric Medicine Comprehensive assessment and development of a management plan – patient 65 years or older - 60 minutes duration or more (existing item MBS 141)
*Effective 6 April 2020.
92623 $772.01
* Geriatric Medicine Subsequent attendance to review/revise the initial management plan as necessary – patient 65 years or older - 30 minutes duration or more (existing item MBS 143)
*Effective 6 April 2020.
92624 $484.42
Geriatric Medicine : Telephone attendances (for when video-conferencing is not available)
* Geriatric Medicine Comprehensive assessment and development of a management plan – patient 65 years or older - 60 minutes duration or more (existing item MBS 141)
*Effective 6 April 2020.
92628 $772.01
* Geriatric Medicine Subsequent attendance to review/revise the initial management plan as necessary – patient 65 years or older - 30 minutes duration or more (existing item MBS 143)
*Effective 6 April 2020.
92629 $484.42
Public Health Physician Services : Video-conference attendances
* Public health physician, level A attendance (existing MBS item 410)
*Effective 20 April 2020.
92513 $40.50
* Public health physician, level B attendance, less than 20 minutes (existing MBS item 411)
*Effective 20 April 2020.
92514 $84.79
* Public health physician, level C attendance, at least 20 minutes (existing MBS item 412)
*Effective 20 April 2020.
92515 $155.86
* Public health physician, level D attendance, at least 40 minutes (existing MBS item 413)
*Effective 20 April 2020.
92516 $229.76
Public Health Physician Services : Telephone attendances (for when video-conferencing is not available)
* Public health physician, level A attendance (existing MBS item 410)
*Effective 20 April 2020.
92521 $40.50
* Public health physician, level B attendance, less than 20 minutes  (existing MBS item 411)
*Effective 20 April 2020.
92522 $84.79
* Public health physician, level C attendance, at least 20 minutes (existing MBS item 412)
*Effective 20 April 2020.
92523 $155.86
* Public health physician, level D attendance, at least 40 minutes (existing MBS item 413)
*Effective 20 April 2020.
92524 $229.76
Neurosurgery attendances : Video-conference attendances
* Neurosurgeon, initial attendance (existing MBS item 6007)
*Effective 20 April 2020.
92610 $251.39
* Neurosurgeon, minor attendance (existing MBS item 6009)
*Effective 20 April 2020.
92611 $81.81
* Neurosurgeon, subsequent attendance, 15 to 30 minutes (existing MBS item 6011)
*Effective 20 April 2020.
92612 $163.12
* Neurosurgeon, subsequent attendance, 30 to 45 minutes (existing MBS item 6013)
*Effective 20 April 2020.
92613 $229.94
* Neurosurgeon, subsequent attendance, more than 45 minutes (existing MBS item 6015)
*Effective 20 April 2020.
92614 $292.68
Neurosurgery attendances : Telephone attendances (for when video-conferencing is not available)
* Neurosurgeon, initial attendance (existing MBS item 6007)
*Effective 20 April 2020.
92617 $251.39
* Neurosurgeon, minor attendance (existing MBS item 6009)
*Effective 20 April 2020.
92618 $81.81
* Neurosurgeon, subsequent attendance, 15 to 30 minutes (existing MBS item 6011)
*Effective 20 April 2020.
92619 $163.12
* Neurosurgeon, subsequent attendance, 30 to 45 minutes (existing MBS item 6013)
*Effective 20 April 2020.
92620 $229.94
* Neurosurgeon, subsequent attendance, more than 45 minutes (existing MBS item 6015)
*Effective 20 April 2020.
92621 $292.68

Mental Health attendances

For Medical services delivered via telehealth in response to COVID-19
Service DescriptionMBS/TAC Item NumberMaximum Payment Rate
General Practitioners (credentialed with CEM) : Video-conference attendances
GP without mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 2700) 92112 $106.85
GP without mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 2701) 92113 $157.25
GP to review a mental health plan (existing MBS item 2712) 92114 $206.42
GP mental health consult, more than 20 minutes (existing MBS item 2713) 92115 $136.27
GP with mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 2715) 92116 $135.63
GP with mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 2717) 92117 $199.77
FPS treatment of 30 to 40 minutes (existing MBS item 2729)  91818 $158.19
FPS treatment of more than 40 minutes (existing MBS item 2731) 91819 $226.41
General Practitioners (credentialed with CEM) : Telephone attendances (for when video-conferencing is not available)
GP without mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 2700) 92124 $106.85
GP without mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 2701) 92125 $157.25
GP to review a mental health plan (existing MBS item 2712) 92126 $206.42
GP mental health consult, more than 20 minutes (existing MBS item 2713) 92127 $136.27
GP with mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 2715) 92128 $135.63
GP with mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 2717) 92129 $199.77
FPS treatment of 30 to 40 minutes  (existing MBS item 2729)  91842 $158.19
FPS treatment of more than 40 minutes (existing MBS item 2731)  91843 $226.41
Other Medical Practitioners : Video-conference attendances
OMP without mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 272) 92118 $147.96
OMP without mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 276) 92119 $217.88
OMP to review a mental health plan (existing MBS item 277) 92120 $147.96
OMP mental health consult, more than 20 minutes (existing MBS item 279)  92121 $187.95
OMP with mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 281) 92122 $276.83
OMP with mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 282) 92123 $191.43
FPS treatment of 30 to 40 minutes (existing MBS item 371)  91820 $276.15
FPS treatment of more than 40 minutes (existing MBS item 372) 91821 $395.25
Other Medical Practitioners : Telephone attendances (for when video-conferencing is not available)
OMP without mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 272) 92130 $147.96
OMP without mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 276) 92131 $217.88
OMP to review a mental health plan (existing MBS item 277) 92132 $147.96
OMP mental health consult, more than 20 minutes (existing MBS item 279) 92133 $187.95
OMP with mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 281) 92134 $276.83
OMP with mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 282) 92135 $191.43
FPS treatment of 30 to 40 minutes  (existing MBS item 371) 91844 $276.15
FPS treatment of more than 40 minutes (existing MBS item 372) 91845 $395.25

Current Rates

Important: The Excel spreadsheet below was updated on 1 May and includes the MBS updates for 1 May and the temporary MBS COVID19 telehealth items payable by the TAC. Please replace any older versions you have previously downloaded.

Please note, that there could be up to a 48 hour delay before the MBS changes for 1 May take effect in Lantern Pay.

At the time of production this publication contained up to date information as released by Medicare Australia (Medicare).  The relevant publication will be updated to reflect any further changes that are implemented by Medicare each year.  Please check our website for the latest version.

If you have any questions about these publications or the reimbursement rates, please contact the TAC on 1300 654 329. Alternatively, e-mail info@tac.vic.gov.au.

Dental services

We’re here to help you get your life back on track after your transport accident. We will pay for dental services, provided in Australia, that you need as a result of a transport accident. This includes surgery by a maxillofacial or oral surgeon.

You can get this treatment immediately after your transport accident without initial approval from the TAC.

If it’s been more than 6 months since you had any treatment or service paid for by the TAC, you need to call us to find out if we can pay for this treatment.

When can we pay for dental services

As dental services are a TAC approved treatment we will pay for you to visit a dentist, dental technician, oral or maxillofacial surgeon for treatment, assessment and care planning immediately after your accident. You can also immediately access any radiology or diagnostic procedures required as part of this treatment.

To help you with your injuries, your dentist may also recommend:

  • Dental services, such as partial or full dentures.
  • Dental implants and associated procedures, such as bone, soft tissue grafts and anaesthetic.
  • Prosthodontics including the construction and insertion of an implant-supported prosthesis.

For more information on oral or maxillofacial surgery, see: Surgery and medical specialists.

We will, where appropriate, work with your treating team to make sure that you receive the dental services you need.

We may contact your dental services provider to discuss your progress or request an assessment to make sure that:

  • You have access to the most appropriate treatment and support.
  • You are getting proven, evidence-based treatment and not receiving treatment that isn't helping you recover.
  • You are moving towards getting your life back on track or being able to live independently.

What we can pay for

General dental services:

  • diagnostic services
  • preventative services
  • adjunctive general services
  • restorative services
  • associated dental services to adjoining teeth

Specialist dental services:

  • prosthodontics
  • periodontics
  • endodontics
  • orthodontics
  • temporomandibular joint therapy

Bridges, crowns and restorative services:

  • dental implants
  • implant based bridge maintenance
  • crown and bridgework

Surgical procedures:

  • in-room oral surgery.
  • surgical procedures when performed in the hospital in the first three months from the date of accident

Dental technician services:

  • a partial or full denture
  • relining of a full denture
  • a mouth guard
  • repair to, or replacement of, a client’s denture that was damaged or lost in the transport accident

Dental technician services needing prior approval:

  • dental implants.
  • oral and maxillofacial surgery that is not performed in the first three months following the accident

Treatments and services that we can't pay for

We can’t pay for services that:

  • Do not treat your transport accident injuries.
  • Are not reasonable, necessary or appropriate.
  • Are not clinically justified, safe and effective.

What does my dentist do?

A dentist is trained to treat injuries, diseases and conditions that affect the teeth, gums, jaw and mouth.

Your dentist may be helped by a qualified dental technician, who assists with the design, manufacture, modification and repair of dentures, mouthguards, bridges and crowns.

For more information, see:

How treatments and services are paid for

We pay for your treatment:

  • Directly to your dentist, when you have provided them with your TAC claim number, or
  • If you have to pay, use myTAC to send a copy of your receipt to us and we will repay you.

We pay for your services in line with our responsibilities under the Transport Accident Act 1986.

How much we will pay

We will pay for your dental services, including consultations, implants, prosthodontics and implant based bridge maintenance according to our fee schedule. If your provider charges more than the TAC rate, you may need to pay the difference.

For a list of TAC rates, see:

For accidents that happened before 14 February 2018, we can only pay for these services once any required medical excess has been reached. Find out if the medical excess applies to you.

For providers

If you are a dental services provider, please refer to our TAC Provider Guidelines.