Dental fees

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Effective 1 September 2019

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.