Dental fees

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Effective 1 July 2021

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

For dental services provided on or after 1 July 2021
GeneralSpecialist
Service DescriptionADA NumberMaximum
Payment
Rate
Maximum
Payment
Rate
Diagnostic services
Comprehensive Oral Examination 011 $100.59 $100.59
Periodic Oral Examination 012 $63.58 $63.58
Consultation 014 $100.59 $100.59
Written report (not elsewhere included) 018 $139.95 $184.22
Intraoral periapical or bitewing radiograph - per exposure 022 $49.55 $49.55
Cone Beam Volumetric Tomography - scan acquisition - per appointment 026 $158.16 $158.16
Cephalometric Radiograph - per exposure 036 $111.81 $111.81
Panoramic radiograph - per exposure 037 $111.81 $111.81
Pulp Testing - per appointment 061 $35.96 $35.96
Diagnostic model - per model 071 $69.58 $69.58
Photographic records - intraoral - per appointment 072 $39.73 $39.73
Cone Beam Volumetric Tomography analysis and/or interpretation - maxillary or mandibular dentition (both arches) 089 $73.81 $73.81
Preventive Services
(Prior approval from TAC required for these services)
Removal Of Calculus - first appointment 114 $124.97      $124.97
Bleaching, Internal - per tooth 117 $221.74 $221.74
Topical application of remineralisation and/or cariostatic agents - one treatment 121 $45.60 $45.60
Oral hygiene instruction 141 $49.84 $49.84
Desensitising Procedure - per appointment 165 $46.94 $46.94
Odontoplasty - per tooth 171 $50.22 $50.22
Periodontal Debridement - per tooth 222 $56.94  $65.47     
Periodontal Flap Surgery - per tooth - Limit of 10 per visit, 20 per 12 month period 232 $281.18    $281.18     
Surgical treatment of Peri-implant Disease - per implant 233 $339.25 $339.25
Gingival Graft - per tooth, implant or extraction 235 $489.58 $575.99
Guided Tissue Regeneration - per tooth or implant 236 $489.58 $575.99   
Guided Tissue Regeneration - membrane removal 237 $568.74     $669.12
Periodontal Surgery for Crown Lengthening - per tooth 238 $491.89 $578.69
Osseous Graft- per tooth or implant 243 $489.58 $575.99
Oral Surgery
Removal of a tooth or part(s) thereof 311 $208.22 $225.17
Sectional removal of tooth or part(s) thereof 314 $274.41 $280.11
Surgical removal of a tooth or tooth fragment not requiring removal of bone or tooth division 322 $308.71 $323.19
Surgical removal of a tooth or tooth fragment requiring removal of bone 323 $371.73 $397.52
Splinting of displaced tooth/teeth - per tooth 386 $204.70 $256.28
Replantation and splinting of a tooth - per tooth 387 $411.54 $473.27
Endodontics
(These fees include the cost of x-rays where required)    
Direct Pulp Capping 411 $55.44 $58.18
Pulpotomy 414 $136.77 $186.88
Complete chemo-mechanical preparation of root canal - one canal 415 $319.80 $367.76
Complete chemo-mechanical preparation of root canal - each additional canal 416 $157.41 $182.41
Root canal obturation - one canal 417 $313.87 $360.94
Root canal obturation - each additional canal 418 $154.83 $178.05
Extirpation of pulp or debridement of root canal(s) - emergency or palliative 419 $219.62 $219.62
Removal Of Root Filling - Per Canal 451 $149.71 $172.18
Additional Visit For Irrigation And/Or Dressing Of The Root Canal System - per tooth 455 $165.78 $190.64
Restorative Services   
Metallic Restoration - One Surface - direct 511 $163.55 $188.08
Metallic Restoration - Two Surfaces - direct 512 $195.46 $224.78
Metallic Restoration - Three Surfaces - direct 513 $228.86 $263.20
Metallic Restoration - Four Surfaces - direct 514 $262.53 $301.91
Metallic Restoration - Five Surfaces - direct 515 $298.13 $342.84
Adhesive Restoration - One Surface - Anterior Tooth - direct 521 $175.85 $202.22
Adhesive Restoration - Two Surfaces - Anterior tooth - direct 522 $206.82 $237.86
Adhesive Restoration - Three Surfaces - Anterior tooth - direct 523 $242.71 $279.12
Adhesive Restoration - Four Surfaces - Anterior tooth - direct 524 $273.07 $314.04
Adhesive Restoration - Five Surfaces - Anterior tooth - direct 525 $321.20 $369.37
Adhesive Restoration - Veneer - Anterior tooth- direct 526 $361.93 $397.48
Adhesive restoration - one surface - posterior tooth - direct 531 $185.40 $213.21
Adhesive restoration - two surfaces - posterior tooth - direct 532 $220.85 $253.98
Adhesive restoration - three surfaces - posterior tooth - direct 533 $258.31 $297.06
Adhesive restoration - four surfaces - posterior tooth - direct 534 $291.00 $334.65
Adhesive restoration - five surfaces - posterior tooth - direct 535 $346.75 $398.76
Adhesive Restoration - Veneer - Posterior tooth - direct 536 $355.31 $397.48
Tooth coloured restoration - one surface - indirect 551 $895.12 $1,029.41
Tooth coloured restoration - two surfaces - indirect 552 $992.13 $1,140.95
Tooth coloured restoration - three surfaces - indirect 553 $1,146.06 $1,317.98
Tooth coloured restoration - four surfaces - indirect 554 $1,244.11 $1,430.73
Tooth coloured restoration - five surfaces - indirect 555 $1,364.31 $1,568.96
Tooth - coloured restoration - Veneer - indirect 556 $1,309.49 $1,505.91
Provisional (intermediate/temporary) restoration - per tooth 572 $95.95 $95.95
Pin retention - per pin 575 $43.36 $43.36
Post - Direct 597 $177.77      $199.90
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 $1,541.02 $1,772.18
Full crown - veneered - indirect 615 $1,520.14 $1,748.16
Full crown - metallic indirect 618 $1,529.63 $1,759.07
Post and core for crown - indirect 625 $481.23 $578.69
Preliminary restoration for crown - direct 627 $269.00 $285.84
Provisional bridge pontic - per pontic 632 $304.88 $304.88
Bridge pontic - direct - per pontic 642 $396.94 $456.48
Bridge pontic - indirect - per pontic 643 $1,146.35 $1,547.57
Retainer for bonded fixture - indirect - per tooth 649 $681.00 $783.15
Implant Procedures
Fitting of an implant abutment - per abutment 661 $983.14 $983.14
Prosthesis with metal frame attached to implants - fixed - per arch 666 $3,542.57 $5,190.53
Removal and reattachment of prosthesis fixed to implant(s) – per implant 669 $170.69 $170.69
Full crown attached to osseointegrated implant - veneered indirect 672 $1,960.01 $2,572.98
Surgical implant guide 679 $232.84 $232.84
Insertion of first stage of two-stage endosseous implant - per implant 684 $2,108.67 $2,108.67
Insertion of one stage endosseous implant - per implant
Includes the cost of hardware
688 $2,544.64 $2,544.64
Second stage surgery of two stage endosseous implant - per implant
Includes the cost of hardware
691 $435.85 $435.85
Prosthodontics
Complete Maxillary Denture 711 $1,412.96 $1,624.90
Complete Mandibular Denture 712 $1,412.96 $1,624.90
Complete Maxillary and Mandibular Denture 719 $2,562.21 $2,946.53
Partial maxillary denture - resin base 721 $907.26 $907.26
Partial mandibular denture - resin base 722 $907.26 $907.26
Partial maxillary denture - cast metal framework including rests and retainers 727 $1,574.12 $1,810.25
Partial mandibular denture - cast metal framework including rests and retainers 728 $1,574.12 $1,810.25
Additional items for Acrylic Dentures only
Retainer - Per Tooth 731 $56.85 $56.85
Occlusal Rest - per rest 732 $16.48 $16.48
Tooth/teeth partial denture 733 $55.89 $55.89
Immediate tooth replacement - per tooth 736 $11.09 $11.09
Relining - complete denture - processed 743 $444.93 $444.93
Relining - partial denture - processed 744 $433.08 $433.08
Adding tooth to partial denture to replace an extracted or decoronated tooth - per tooth 768 $192.84 $224.08
Orthodontics
Active removable appliance therapy - per arch 821 $1,017.53 $1,166.75
Full arch banding - per arch 831 $2,805.59 $4,010.22
Minor tooth guidance - fixed 846 $909.84 $909.84
Complete course of orthodontic treatment 881 $5,795.69 $7,504.63
General
Travel to provide services 916 FBN* FBN*
Clinical occlusal analysis, including muscle and joint palpation - limit one per three year period 963 $95.95 $134.27
Occlusal splint 965 $638.60 $654.58
Adjustment of pre-existing occlusal splint - per appointment 966 $90.96 $116.35
For dental services provided between 1 July 2020 and 30 June 2021
GeneralSpecialist
Service DescriptionADA NumberMaximum
Payment
Rate
Maximum
Payment
Rate
Diagnostic services
Comprehensive Oral Examination 011 $99.32 $99.32
Periodic Oral Examination 012 $62.78 $62.78
Consultation 014 $99.32 $99.32
Written report (not elsewhere included) 018 $138.18 $181.89
Intraoral periapical or bitewing radiograph - per exposure 022 $48.92 $48.92
Cone Beam Volumetric Tomography - scan acquisition - per appointment 026 $156.16 $156.16
Cephalometric Radiograph - per exposure 036 $110.40 $110.40
Panoramic radiograph - per exposure 037 $110.40 $110.40
Pulp Testing - per appointment 061 $35.51 $35.51
Diagnostic model - per model 071 $68.70 $68.70
Photographic records - intraoral - per appointment 072 $39.23 $39.23
Cone Beam Volumetric Tomography analysis and/or interpretation - maxillary or mandibular dentition (both arches) 089 $72.88 $72.88
Preventive Services
(Prior approval from TAC required for these services)
Removal Of Calculus - first appointment 114 $123.39 $123.39
Bleaching, Internal - per tooth 117 $218.94 $218.94
Topical application of remineralisation and/or cariostatic agents - one treatment 121 $45.02 $45.02
Oral hygiene instruction 141 $49.21 $49.21
Desensitising Procedure - per appointment 165 $46.35 $46.35
Odontoplasty - per tooth 171 $49.59 $49.59
Periodontal Debridement - per tooth 222 $56.22 $64.64
Periodontal Flap Surgery - per tooth - Limit of 10 per visit, 20 per 12 month period 232 $277.63 $277.63
Surgical treatment of Peri-implant Disease - per implant 233 $334.96 $334.96
Gingival Graft - per tooth, implant or extraction 235 $483.39 $568.71
Guided Tissue Regeneration - per tooth or implant 236 $483.39 $568.71
Guided Tissue Regeneration - membrane removal 237 $561.55 $660.66
Periodontal Surgery for Crown Lengthening - per tooth 238 $485.67 $571.38
Osseous Graft- per tooth or implant 243 $483.39 $568.71
Oral Surgery
Removal of a tooth or part(s) thereof 311 $205.59 $222.32
Sectional removal of tooth or part(s) thereof 314 $270.94 $276.57
Surgical removal of a tooth or tooth fragment not requiring removal of bone or tooth division 322 $304.81 $319.11
Surgical removal of a tooth or tooth fragment requiring removal of bone 323 $367.03 $392.50
Splinting of displaced tooth/teeth - per tooth 386 $202.11 $253.04
Replantation and splinting of a tooth - per tooth 387 $406.34 $467.29
Endodontics
(These fees include the cost of x-rays where required)    
Direct Pulp Capping 411 $54.74 $57.44
Pulpotomy 414 $135.04 $184.52
Complete chemo-mechanical preparation of root canal - one canal 415 $315.76 $363.11
Complete chemo-mechanical preparation of root canal - each additional canal 416 $155.42 $180.10
Root canal obturation - one canal 417 $309.90 $356.38
Root canal obturation - each additional canal 418 $152.87 $175.80
Extirpation of pulp or debridement of root canal(s) - emergency or palliative 419 $216.84 $216.84
Removal Of Root Filling - Per Canal 451 $147.82 $170.00
Additional Visit For Irrigation And/Or Dressing Of The Root Canal System - per tooth 455 $163.68 $188.23
Restorative Services
Metallic Restoration - One Surface - direct 511 $161.48 $185.70
Metallic Restoration - Two Surfaces - direct 512 $192.99 $221.94
Metallic Restoration - Three Surfaces - direct 513 $225.97 $259.87
Metallic Restoration - Four Surfaces - direct 514 $259.21 $298.09
Metallic Restoration - Five Surfaces - direct 515 $294.36 $338.51
Adhesive Restoration - One Surface - Anterior Tooth - direct 521 $173.63 $199.66
Adhesive Restoration - Two Surfaces - Anterior tooth - direct 522 $204.21 $234.85
Adhesive Restoration - Three Surfaces - Anterior tooth - direct 523 $239.64 $275.59
Adhesive Restoration - Four Surfaces - Anterior tooth - direct 524 $269.62 $310.07
Adhesive Restoration - Five Surfaces - Anterior tooth - direct 525 $317.14 $364.70
Adhesive Restoration - Veneer - Anterior tooth- direct 526 $357.36 $392.49
Adhesive restoration - one surface - posterior tooth - direct 531 $183.06 $210.52
Adhesive restoration - two surfaces - posterior tooth - direct 532 $218.06 $250.77
Adhesive restoration - three surfaces - posterior tooth - direct 533 $255.05 $293.31
Adhesive restoration - four surfaces - posterior tooth - direct 534 $287.32 $330.42
Adhesive restoration - five surfaces - posterior tooth - direct 535 $342.37 $393.72
Adhesive Restoration - Veneer - Posterior tooth - direct 536 $350.82 $392.46
Tooth coloured restoration - one surface - indirect 551 $883.81 $1,016.40
Tooth coloured restoration - two surfaces - indirect 552 $979.59 $1,126.53
Tooth coloured restoration - three surfaces - indirect 553 $1,131.58 $1,301.32
Tooth coloured restoration - four surfaces - indirect 554 $1,228.39 $1,412.65
Tooth coloured restoration - five surfaces - indirect 555 $1,347.07 $1,549.13
Tooth - coloured restoration - Veneer - indirect 556 $1,292.94 $1,486.88
Provisional (intermediate/temporary) restoration - per tooth 572 $94.74 $94.74
Pin retention - per pin 575 $42.81 $42.81
Post - Direct 597 $175.52 $197.37
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 $1,521.54 $1,749.78
Full crown - veneered - indirect 615 $1,500.93 $1,726.07
Full crown - metallic indirect 618 $1,510.30 $1,736.84
Post and core for crown - indirect 625 $475.15 $571.38
Preliminary restoration for crown - direct 627 $265.60 $282.23
Provisional bridge pontic - per pontic 632 $301.03 $301.03
Bridge pontic - direct - per pontic 642 $391.92 $450.71
Bridge pontic - indirect - per pontic 643 $1,131.86 $1,528.01
Retainer for bonded fixture - indirect - per tooth 649 $672.39 $773.25
Implant Procedures
Fitting of an implant abutment - per abutment 661 $970.71 $970.71
Prosthesis with metal frame attached to implants - fixed - per arch 666 $3,497.80 $5,124.93
Removal and reattachment of prosthesis fixed to implant(s) – per implant 669 $168.53 $168.53
Full crown attached to osseointegrated implant - veneered indirect 672 $1,935.24 $2,540.46
Surgical implant guide 679 $229.90 $229.90
Insertion of first stage of two-stage endosseous implant - per implant 684 $2,082.02 $2,082.02
Insertion of one stage endosseous implant - per implant
Includes the cost of hardware
688 $2,512.48 $2,512.48
Second stage surgery of two stage endosseous implant - per implant
Includes the cost of hardware
691 $430.34 $430.34
Prosthodontics
Complete Maxillary Denture 711 $1,395.10 $1,604.36
Complete Mandibular Denture 712 $1,395.10 $1,604.36
Complete Maxillary and Mandibular Denture 719 $2,529.83 $2,909.29
Partial maxillary denture - resin base 721 $895.79 $895.79
Partial mandibular denture - resin base 722 $895.79 $895.79
Partial maxillary denture - cast metal framework including rests and retainers 727 $1,554.23 $1,787.37
Partial mandibular denture - cast metal framework including rests and retainers 728 $1,554.23 $1,787.37
Additional items for Acrylic Dentures only
Retainer - Per Tooth 731 $56.13 $56.13
Occlusal Rest - per rest 732 $16.27 $16.27
Tooth/teeth partial denture 733 $55.18 $55.18
Immediate tooth replacement - per tooth 736 $10.95 $10.95
Relining - complete denture - processed 743 $439.31 $439.31
Relining - partial denture - processed 744 $427.61 $427.61
Adding tooth to partial denture to replace an extracted or decoronated tooth - per tooth 768 $190.40 $221.25
Orthodontics
Active removable appliance therapy - per arch 821 $1,004.67 $1,152.00
Full arch banding - per arch 831 $2,770.13 $3,959.54
Minor tooth guidance - fixed 846 $898.34 $898.34
Complete course of orthodontic treatment 881 $5,722.44 $7,409.78
General
Travel to provide services 916 FBN* FBN*
Clinical occlusal analysis, including muscle and joint palpation - limit one per three year period 963 $94.74 $132.57
Occlusal splint 965 $630.53 $646.31
Adjustment of pre-existing occlusal splint - per appointment 966 $89.81 $114.88

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