€¦ · XLS file · Web view · 2014-12-15cost of prefabricated abutment cost of other implant...

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* Pre-authorisation is required for the dental code to attract benefit - No tariff amount is available Denis Rates TariffDescription 54 62 64 92 93 94 95 8025 R 32.10 R 32.10 R 32.10 R 32.10 - R 32.10 - 8101 ORAL EXAMINATION R 178.80 R 178.80 R 178.80 R 178.80 - R 178.80 R 93.10 8102 COMPREHENSIVE ORAL EXAMINATION R 288.90 R 288.90 R 288.90 R 288.90 - R 288.90 ### 8104 LIMITED ORAL EXAMINATION R 86.70 R 86.70 R 86.70 R 86.70 - R 86.70 R 72.50 8106 SPECIAL REPORT R 183.60 R 183.60 R 183.60 R 183.60 - R 183.60 - 8107 INTRAORAL RADIOGRAPH - PERIAPICAL R 72.40 R 72.40 R 72.40 R 72.40 - R 72.40 R 69.80 8108 INTRAORAL RADIOGRAPHS - COMPLETE SERIES R 560.40 R 560.40 R 560.40 R 560.40 - R 560.40 ### 8109 INFECTION CONTROL/BARRIER TECHNIQUES R 16.10 R 16.10 R 16.10 R 16.10 - R 16.10 R 16.10 8110 STERILIZED INSTRUMENTATION R 41.60 R 41.60 R 41.60 R 41.60 - R 41.60 R 41.50 8112 INTRAORAL RADIOGRAPH - BITEWING R 72.40 R 72.40 R 72.40 R 72.40 - R 72.40 R 69.80 8113 INTRAORAL RADIOGRAPH - OCCLUSAL R 124.70 R 124.70 R 124.70 R 124.70 - R 124.70 ### 8114 EXTRAORAL RADIOGRAPH - HAND-WRIST R 289.40 R 289.40 R 289.40 R 289.40 - R 289.40 - 8115 EXTRAORAL RADIOGRAPH - PANORAMIC R 289.40 R 289.40 R 289.40 R 289.40 - R 289.40 ### 8116 EXTRAORAL RADIOGRAPH - CEPHALOMETRIC R 289.40 R 289.40 R 289.40 R 289.40 - R 289.40 ### 8117 DIAGNOSTIC MODELS R 77.80 R 77.80 R 77.80 R 77.80 - R 77.80 - 8118 EXTRAORAL RADIOGRAPH - SKULL/FACIAL BONE R 289.40 R 289.40 R 289.40 R 289.40 - R 289.40 - 8119 DIAGNOSTIC MODELS MOUNTED R 195.60 R 195.60 R 195.60 R 195.60 - R 195.60 - 8121 R 77.80 R 77.80 R 77.80 R 77.80 - R 77.80 R 74.80 8123 R 80.80 - - - - - - 8124 PULP TESTS R 21.40 - - - - - - 8129 R 269.40 R 269.40 - R 269.40 - R 269.40 ### Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of f Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions an Trf Code HANDLING FEE - DIRECT MATERIALS (26% OF MATERIAL COST TO A MAXIMUM OF R26.00) (DIGITAL/CONVENTIONAL) CARIES SUSCEPTIBILITY TESTS (BY ARRANGEMENT) OFFICE/HOSPITAL VISIT – AFTER REGULARLY SCHEDULED HOURS

Transcript of €¦ · XLS file · Web view · 2014-12-15cost of prefabricated abutment cost of other implant...

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

8025 R 32.10 R 32.10 R 32.10 R 32.10 - R 32.10 - R 32.10 - 8101 ORAL EXAMINATION R 178.80 R 178.80 R 178.80 R 178.80 - R 178.80 R 93.10 R 178.80 R 178.80 8102 COMPREHENSIVE ORAL EXAMINATION R 288.90 R 288.90 R 288.90 R 288.90 - R 288.90 R 150.20 R 288.90 - 8104 LIMITED ORAL EXAMINATION R 86.70 R 86.70 R 86.70 R 86.70 - R 86.70 R 72.50 R 86.70 R 86.70 8106 SPECIAL REPORT R 183.60 R 183.60 R 183.60 R 183.60 - R 183.60 - - - 8107 INTRAORAL RADIOGRAPH - PERIAPICAL R 72.40 R 72.40 R 72.40 R 72.40 - R 72.40 R 69.80 R 72.40 R 72.40 8108 INTRAORAL RADIOGRAPHS - COMPLETE SERIES R 560.40 R 560.40 R 560.40 R 560.40 - R 560.40 R 560.00 R 560.40 R 560.40 8109 INFECTION CONTROL/BARRIER TECHNIQUES R 16.10 R 16.10 R 16.10 R 16.10 - R 16.10 R 16.10 R 16.10 R 16.10 8110 STERILIZED INSTRUMENTATION R 41.60 R 41.60 R 41.60 R 41.60 - R 41.60 R 41.50 R 41.60 R 41.60 8112 INTRAORAL RADIOGRAPH - BITEWING R 72.40 R 72.40 R 72.40 R 72.40 - R 72.40 R 69.80 R 72.40 R 72.40 8113 INTRAORAL RADIOGRAPH - OCCLUSAL R 124.70 R 124.70 R 124.70 R 124.70 - R 124.70 R 120.00 R 124.70 R 124.70 8114 EXTRAORAL RADIOGRAPH - HAND-WRIST R 289.40 R 289.40 R 289.40 R 289.40 - R 289.40 - R 289.40 R 289.40 8115 EXTRAORAL RADIOGRAPH - PANORAMIC R 289.40 R 289.40 R 289.40 R 289.40 - R 289.40 R 279.20 R 289.40 R 289.40 8116 EXTRAORAL RADIOGRAPH - CEPHALOMETRIC R 289.40 R 289.40 R 289.40 R 289.40 - R 289.40 R 279.20 R 289.40 R 289.40 8117 DIAGNOSTIC MODELS R 77.80 R 77.80 R 77.80 R 77.80 - R 77.80 - R 77.80 R 77.80

8118 EXTRAORAL RADIOGRAPH - SKULL/FACIAL BONE R 289.40 R 289.40 R 289.40 R 289.40 - R 289.40 - R 289.40 - 8119 DIAGNOSTIC MODELS MOUNTED R 195.60 R 195.60 R 195.60 R 195.60 - R 195.60 - R 195.60 - 8121 R 77.80 R 77.80 R 77.80 R 77.80 - R 77.80 R 74.80 R 77.80 R 77.80

8123 R 80.80 - - - - - - - - 8124 PULP TESTS R 21.40 - - - - - - - -

8129 R 269.40 R 269.40 - R 269.40 - R 269.40 R 223.30 R 269.40 -

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

HANDLING FEE - DIRECT MATERIALS (26% OF MATERIAL COST TO A MAXIMUM OF R26.00)

ORAL AND/OR FACIAL IMAGE (DIGITAL/CONVENTIONAL)

CARIES SUSCEPTIBILITY TESTS (BY ARRANGEMENT)

OFFICE/HOSPITAL VISIT – AFTER REGULARLY SCHEDULED HOURS

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

8131 EMERGENCY DENTAL TREATMENT R 109.80 R 109.80 R 109.80 R 109.80 - R 223.80 R 93.10 R 109.80 R 109.80 8132 PULP REMOVAL (PULPECTOMY) R 179.60 R 179.60 - - - - - R 179.60 - 8133 RECEMENT INLAY, ONLAY, CROWN OR VENEER R 109.80 R 109.80 - - - R 139.40 - R 109.80 - 8135 REMOVE INLAY, ONLAY OR CROWN R 218.50 R 218.50 - - - R 218.50 - R 218.50 -

8136 R 97.80 R 97.80 - R 97.80 - R 97.80 - R 97.80 - 8137 EMERGENCY CROWN (CHAIR-SIDE) R 376.60 R 376.60 - - - R 376.60 - R 376.60 - 8138 R 143.40 R 143.40 - - - R 143.40 - R 143.40 -

8140 HOUSE/EXTENDED CARE FACILITY/HOSPITAL CALL R 178.30 R 178.30 - R 178.30 - R 178.30 R 147.70 R 178.30 -

8141 R 80.50 R 80.50 - R 80.50 - R 80.50 - R 80.50 - 8143 R 41.60 R 41.60 - R 41.60 - R 41.60 - R 41.60 - 8144 INTRAVENOUS SEDATION R 48.20 R 48.20 - R 48.20 - R 48.20 - R 48.20 - 8145 LOCAL ANAESTHETIC - PER VISIT R 69.80 R 69.80 R 69.80 R 69.80 - R 69.80 R 15.80 R 69.80 R 69.80 8146 RESIN BONDING FOR RESTORATIONS R 1.23 R 1.24 R 1.24 R 1.24 - R 1.24 R 1.24 R 1.24 - 8147 R 171.60 R 171.60 - R 171.60 - R 171.60 - R 171.60 - 8151 ORAL HYGIENE INSTRUCTION R 109.80 - - R 219.80 - R 219.80 R 73.00 - R 109.80 8153 R 80.50 - - R 105.80 - R 105.80 R 53.50 - - 8155 POLISHING - COMPLETE DENTITION R 109.80 R 109.80 - R 151.40 - R 109.80 R 89.40 R 109.80 R 109.80

8157 R 109.80 - - - - - - - - 8158 ENAMEL MICROABRASION R 100.50 - - - - - - - - 8159 PROPHYLAXIS - COMPLETE DENTITION R 215.80 R 215.80 - R 304.30 - R 215.80 R 162.80 R 215.80 R 215.80 8160 REMOVAL OF GROSS CALCULUS - - - - - - - - -

ACCESS THROUGH A PROSTHETIC CROWN OR INLAY TO FACILITATE ROOT CANAL TREATMENT

REMOVE RETENTION POST (PREFABRICATED OR CAST)

INHALATION SEDATION - FIRST 15 MINUTES OR PART THEREOFINHALATION SEDATION - EACH ADDNL 15 MINUTES

MONITORING EQUIPMENT FOR INTRAVENOUS SEDATION

ORAL HYGIENE INSTRUCTION - EACH ADDITIONAL VISIT

RE-BURNISHING AND POLISHING OF RESTORATIONS - COMPLETE DENTITION

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

8161 TOPICAL APPLICATION OF FLUORIDE - CHILD R 109.80 R 109.80 - R 109.80 - R 109.80 R 89.40 R 109.80 R 109.80 8162 TOPICAL APPLICATION OF FLUORIDE - ADULT R 109.80 - - R 109.80 - R 109.80 R 89.40 - R 109.80 8163 DENTAL SEALANT R 72.40 R 72.40 - R 72.40 - R 72.40 R 66.10 R 72.40 R 72.40 8165 SEDATIVE FILLING R 109.80 R 109.80 - R 109.80 - R 109.80 R 93.10 R 109.80 R 109.80 8166 R 72.40 R 72.40 - R 72.40 - R 72.40 R 61.40 R 72.40 R 72.40 8167 R 84.50 R 84.50 - R 84.50 - R 84.50 R 71.60 R 84.50 R 84.50 8169 OCCLUSAL GUARD R 422.10 R 422.10 R 422.10 R 422.10 - R 422.10 - R 422.10 - 8171 MOUTH PROTECTOR R 127.80 R 127.80 R 127.80 R 127.80 - R 127.80 - R 127.80 R 127.80 8172 COST OF ORTHOTIC APPLIANCE * * * * - * - - - 8173 SPACE MAINTAINER - FIXED, PER ABUTMENT R 203.80 R 203.80 R 203.80 R 203.80 - R 203.80 - R 203.80 - 8175 SPACE MAINTAINER - REMOVABLE R 262.70 R 262.70 R 262.70 R 262.70 - R 262.70 - R 262.70 - 8176 PERIODONTAL SCREENING R 150.70 R 142.10 - R 150.70 - R 150.70 - R 150.70 R 150.70

8177 R 166.30 - - - - - - - -

8178 R 89.80 - - - - - - - -

8179 R 126.00 R 126.00 - R 126.00 - R 126.00 - R 126.00 R 126.00

8180 R 234.50 R 234.50 - R 234.50 - R 126.00 - R 234.50 R 234.50 8183 THERAPEUTIC DRUG INJECTION R 48.20 - - - - - - - - 8189 RE-EXAMINATION - EXISTING CONDITION R 86.70 - - - - - R 72.50 - -

8190 CONSULTATION - SECOND OPINION OR ADVICE R 178.80 R 178.80 R 178.80 R 178.80 - R 178.80 - R 178.80 -

APPLICATION OF DESENSITISING RESIN, PER TOOTHAPPLICATION OF DESENSITISING MEDICAMENT, PER VISIT

ORAL HYGIENE INSTRUCTION (PERIODONTALLY COMPROMISED PATIENT)

ORAL HYGIENE INSTRUCTION - EACH ADDITIONAL VISIT (PERIODONTALLY COMPROMISED PATIENT)

POLISHING - COMPLETE DENTITION (PERIODONTALLY COMPROMISED PATIENT)

PROPHYLAXIS - COMPLETE DENTITION (PERIODONTALLY COMPROMISED PATIENT)

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

8192 SUTURE - MINOR R 541.50 R 541.50 - R 541.50 - R 541.50 - R 541.50 -

8201 R 109.80 R 164.70 R 109.80 R 109.80 - R 109.80 R 104.20 R 109.80 -

8202 R 44.20 R 66.30 R 44.20 R 44.20 - R 44.20 R 40.20 R 44.20 -

8213 R 474.60 R 474.60 - R 474.60 - R 474.60 - R 474.60 -

8214 R 365.90 R 365.90 - R 365.90 - R 365.90 - R 365.90 - 8220 COST OF SUTURE MATERIAL R 172.20 R 172.20 - R 172.20 - R 172.20 R 172.20 R 172.20 - 8231 R 1,772.00 - - R 1,772.00 - R 3,699.50 - R 1,772.00 - 8232 R 1,092.40 - - R 1,092.40 - R 2,588.30 - R 1,092.40 - 8233 PARTIAL DENTURE - RESIN BASE - ONE TOOTH R 507.90 - - R 507.90 - R 507.90 - R 507.90 - 8234 PARTIAL DENTURE - RESIN BASE - TWO TEETH R 507.90 - - R 507.90 - R 507.90 - R 507.90 - 8235 PARTIAL DENTURE - RESIN BASE - THREE TEETH R 760.00 - - R 760.00 - R 760.00 - R 760.00 - 8236 PARTIAL DENTURE - RESIN BASE - FOUR TEETH R 760.00 - - R 760.00 - R 760.00 - R 760.00 - 8237 PARTIAL DENTURE - RESIN BASE - FIVE TEETH R 760.00 - - R 760.00 - R 760.00 - R 760.00 - 8238 PARTIAL DENTURE - RESIN BASE - SIX TEETH R 1,008.10 - - R 1,008.10 - R 1,008.10 - R 1,008.10 - 8239 PARTIAL DENTURE - RESIN BASE - SEVEN TEETH R 1,008.10 - - R 1,008.10 - R 1,008.10 - R 1,008.10 - 8240 PARTIAL DENTURE - RESIN BASE - EIGHT TEETH R 1,008.10 - - R 1,008.10 - R 1,008.10 - R 1,008.10 - 8241 R 1,008.10 - - R 1,008.10 - R 1,008.10 - R 1,008.10 - 8244 IMMEDIATE DENTURE - MAXILLARY R 1,092.40 - - R 1,092.40 - R 1,638.60 - R 1,092.40 - 8245 IMMEDIATE DENTURE - MANDIBULAR R 1,092.40 - - R 1,092.40 - R 1,638.60 - R 1,092.40 - 8251 CLASP OR REST - CAST GOLD R 100.50 - - - - - - - - 8253 CLASP OR REST - WROUGHT GOLD R 100.50 - - - - - - - -

EXTRACTION - TOOTH OR EXPOSED TOOTH ROOTS (FIRST PER QUADRANT)

EXTRACTION - EACH ADDITIONAL TOOTH OR EXPOSED TOOTH ROOTS

SURGICAL REMOVAL OF RESIDUAL ROOTS, FIRST TOOTH PER QUADRANT

SURGICAL REMOVAL OF RESIDUAL ROOTS, SECOND AND SUBSEQUENT TEETH''S ROOTS

COMPLETE DENTURES - MAXILLARY AND MANDIBULARCOMPLETE DENTURE - MAXILLARY OR MANDIBULAR

PARTIAL DENTURE - RESIN BASE - NINE OR MORE TEETH

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

8255 CLASP OR REST - STAINLESS STEEL R 105.80 - - - - - - - - 8257 BAR - LINGUAL OR PALATAL R 124.70 - - - - - - - - 8259 R 414.10 - - R 414.10 - R 597.80 - R 414.10 - 8261 REMODEL COMPLETE OR PARTIAL DENTURE R 664.90 - - R 664.90 - R 664.90 - R 664.90 - 8263 R 262.70 - - R 262.70 - R 328.30 - R 262.70 -

8265 R 171.60 R 171.60 - R 171.60 - R 219.80 - R 171.60 R 171.60 8267 R 604.60 - - R 604.60 - R 604.60 - R 604.60 - 8269 R 139.40 - - - - R 150.10 - - - 8270 ADD CLASP TO EXISTING PARTIAL DENTURE R 100.50 - - - - - - - - 8271 ADD TOOTH TO EXISTING PARTIAL DENTURE R 100.50 - - - - - - - -

8273 R 80.50 - - R 80.50 - R 80.50 - R 80.50 - 8275 ADJUST COMPLETE OR PARTIAL DENTURE R 80.50 - - R 80.50 - R 80.50 - R 80.50 - 8277 INLAY IN DENTURE R 333.70 - - - - R 658.10 - - - 8281 R 1,185.00 - - R 1,185.00 - R 1,185.00 - R 1,185.00 - 8301 PULP CAP - DIRECT R 146.00 - - - - - - - - 8303 PULP CAP - INDIRECT R 146.00 - - - - - R 132.10 - - 8304 RUBBER DAM PER ARCH R 85.80 R 85.80 - R 85.80 - R 85.80 - R 85.80 - 8306 COST OF MTA - - - - - - - - - 8307 PULP AMPUTATION (PULPOTOMY) R 143.40 R 143.40 - R 143.40 - R 143.40 - R 143.40 - 8310 SUPPLY OF BLEACHING MATERIALS - - - - - - - - - 8325 INTERNAL BLEACHING - PER TOOTH R 260.10 - - - - R 390.10 - - -

REBASE COMPLETE OR PARTIAL DENTURE (LABORATORY)

RELINE COMPLETE OR PARTIAL DENTURE (CHAIR-SIDE)

TISSUES CONDITIONING PER ARCH (INCLUDING SOFT SELF-CURE RELINE)RELINE COMPLETE OR PARTIAL DENTURE (LABORATORY)REPAIR DENTURE OR OTHER INTRA-ORAL APPLIANCE

IMPRESSION TO REPAIR OR MODIFY A DENTURE OR OTHER INTRA-ORAL APPLIANCE

PARTIAL DENTURE - CAST METAL FRAMEWORK ONLY

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

8327 INTERNAL BLEACHING - EACH ADDITIONAL VISIT R 124.70 - - - - R 187.10 - - -

8328 R 203.80 R 203.80 - - - - - R 203.80 -

8329 R 254.70 R 254.70 - - - - - R 254.70 - 8330 REMOVAL OF ROOT CANAL OBSTRUCTION R 143.40 R 143.40 - R 143.40 - R 143.40 - R 143.40 - 8332 R 109.80 R 109.80 - - - - - R 109.80 - 8333 R 154.10 R 154.10 - - - R 154.10 - R 154.10 -

8334 R 162.30 R 162.30 - R 162.30 - R 195.60 - R 162.30 -

8335 R 498.60 R 498.60 - - - - - R 498.60 - 8336 R 686.20 R 686.20 - - - - - R 686.20 -

8337 R 203.80 R 203.80 - - - - - R 203.80 -

8338 R 762.70 R 762.70 - - - - - R 762.70 - 8339 R 1,048.10 R 1,048.10 - - - - - R 1,048.10 -

8340 R 254.70 R 254.70 - - - - - R 254.70 - 8341 AMALGAM - ONE SURFACE R 218.50 R 218.50 - R 218.50 - R 218.50 R 190.70 R 218.50 - 8342 AMALGAM - TWO SURFACES R 269.40 R 269.40 - R 269.40 - R 269.40 R 235.10 R 269.40 - 8343 AMALGAM - THREE SURFACES R 328.30 R 328.30 - R 328.30 - R 328.30 R 286.50 R 328.30 - 8344 AMALGAM - FOUR OR MORE SURFACES R 365.90 R 365.90 - R 365.90 - R 365.90 R 319.20 R 365.90 -

ROOT CANAL OBTURATION - ANTERIORS AND PREMOLARS - EACH ADDITIONAL CANAL

ROOT CANAL THERAPY - ANTERIORS AND PREMOLARS - EACH ADDITIONAL CANAL

ROOT CANAL PREPARATORY VISIT - SINGLE CANAL TOOTHROOT CANAL PREPARATORY VISIT - MULTI CANAL TOOTH

RE-TREATMENT OF PREVIOUSLY COMPLETED ROOT CANAL THERAPY, PER CANAL

ROOT CANAL OBTURATION - ANTERIORS AND PREMOLARS - FIRST CANALROOT CANAL OBTURATION - POSTERIORS - FIRST CANAL

ROOT CANAL OBTURATION - POSTERIORS - EACH ADDITIONAL CANAL

ROOT CANAL THERAPY - ANTERIORS AND PREMOLARS - FIRST CANALROOT CANAL THERAPY - POSTERIORS - FIRST CANAL

ROOT CANAL THERAPY - POSTERIORS - EACH ADDITIONAL CANAL

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

8345 R 215.80 R 215.80 - R 215.80 - R 215.80 - R 215.80 -

8347 R 108.50 R 108.50 - R 108.50 - R 108.50 - R 108.50 -

8348 R 100.50 R 100.50 - R 100.50 - R 100.50 - R 100.50 -

8349 R 44.20 - - - - - - - - 8350 R 476.70 R 476.70 - R 476.70 - R 476.70 R 415.80 R 476.70 - 8351 RESIN - ONE SURFACE, ANTERIOR R 239.90 R 239.90 - R 239.90 - R 239.90 R 230.70 R 239.90 R 239.90 8352 RESIN - TWO SURFACES, ANTERIOR R 301.60 R 301.60 - R 301.60 - R 301.60 R 290.00 R 301.60 - 8353 RESIN - THREE SURFACES, ANTERIOR R 360.60 R 360.60 - R 360.60 - R 360.60 R 346.50 R 360.60 - 8354 RESIN - FOUR OR MORE SURFACES, ANTERIOR R 402.10 R 402.10 - R 402.10 - R 402.10 R 386.80 R 402.10 - 8355 VENEER - RESIN (CHAIR-SIDE) R 380.80 R 380.80 - R 380.80 - R 380.80 - R 380.80 - 8357 PREFABRICATED METAL CROWN R 223.80 R 223.80 - R 223.80 - R 223.80 - R 223.80 - 8361 INLAY - METAL - ONE SURFACE R 333.70 - - - - R 658.20 - - - 8362 INLAY/ONLAY - METAL - TWO SURFACES R 487.90 - - - - R 954.30 - - - 8363 INLAY/ONLAY - METAL - THREE SURFACES R 813.60 - - - - R 1,479.80 - - -

8364 R 983.90 - - - - R 1,479.80 - - -

8366 R 162.30 - - - - R 219.80 - - - 8367 RESIN - ONE SURFACE, POSTERIOR R 260.10 R 260.10 - R 260.10 - R 260.10 R 250.10 R 260.10 R 260.10 8368 RESIN - TWO SURFACES, POSTERIOR R 321.70 R 321.70 - R 321.70 - R 321.70 R 309.40 R 321.70 - 8369 RESIN - THREE SURFACES, POSTERIOR R 388.80 R 388.80 - R 388.80 - R 388.80 R 373.70 R 388.80 -

PREFABRICATED POST RETENTION, PER POST (IN ADDITION TO RESTORATION)

PIN RETENTION - FIRST PIN (IN ADDITION TO RESTORATION)

PIN RETENTION - EACH ADDITIONAL PIN (IN ADDITION TO RESTORATION)

CARVE RESTORATION TO ACCOMMODATE EXISTING REMOVABLE PROSTHESISRESIN CROWN - ANTERIOR PRIMARY TOOTH (DIRECT)

INLAY/ONLAY - METAL - FOUR OR MORE SURFACES

PIN RETENTION AS PART OF CAST RESTORATION (ANY NUMBER OF PINS)

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

8370 RESIN - FOUR OR MORE SURFACES, POSTERIOR R 418.10 R 418.10 - R 418.10 - R 418.10 R 402.00 R 418.10 - 8371 INLAY - PORCELAIN - ONE SURFACE R 402.10 - - - - R 794.90 - - - 8372 INLAY/ONLAY - PORCELAIN - TWO SURFACES R 593.70 - - - - R 1,144.80 - - - 8373 INLAY/ONLAY - PORCELAIN - THREE SURFACES R 978.50 - - - - R 1,778.80 - - - 8374 R 1,185.00 - - - - R 1,778.80 - - - 8375 PREFABRICATED RESIN CROWN R 223.80 R 223.80 - R 223.80 - R 223.80 - R 223.80 - 8376 CORE BUILD-UP WITH PREFABRICATED POSTS R 597.80 - - - - R 597.80 - R 597.80 - 8379 COST OF PREFABRICATED POSTS R 83.30 - - - - R 83.30 - R 83.30 - 8381 INLAY - RESIN - ONE SURFACE R 402.10 - - - - R 794.90 - - - 8382 INLAY/ONLAY - RESIN - TWO SURFACES R 593.70 - - - - R 1,144.80 - - - 8383 INLAY/ONLAY - RESIN - THREE SURFACES R 978.50 - - - - R 1,778.80 - - -

8384 R 1,185.00 - - - - R 1,778.80 - - - 8391 CAST CORE WITH SINGLE POST R 252.10 - - - - R 252.10 - R 252.10 - 8392 CAST POST (EACH ADDITIONAL) R 150.10 - - - - R 150.10 - R 150.10 -

8397 CAST CORE WITH PINS (ANY NUMBER OF PINS) R 402.10 - - - - R 522.80 - R 402.10 - 8398 CORE BUILD-UP WITH PINS R 487.90 - - - - R 487.90 - R 487.90 - 8401 CROWN - FULL CAST METAL R 1,254.60 - - - - R 1,847.00 - R 1,254.60 - 8403 CROWN - 3/4 CAST METAL R 1,254.60 - - - - R 1,847.00 - R 1,254.60 - 8404 CROWN - 3/4 PORCELAIN/CERAMIC R 1,184.80 - - - - R 1,778.80 - R 1,184.80 - 8405 CROWN - RESIN LABORATORY R 1,184.80 - - - - R 1,778.80 - R 1,184.80 - 8407 CROWN - RESIN WITH METAL R 1,254.60 - - - - R 1,847.00 - R 1,254.60 -

INLAY/ONLAY - PORCELAIN - FOUR OR MORE SURFACES

INLAY/ONLAY - RESIN - FOUR OR MORE SURFACES

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

8409 CROWN - PORCELAIN/CERAMIC R 1,254.60 - - - - R 1,847.00 - R 1,254.60 - 8410 PROVISIONAL CROWN R 243.90 R 0.01 - R 243.90 - R 365.90 - - - 8411 CROWN - PORCELAIN VENEERED TO METAL R 1,254.60 - - - - R 1,847.00 - R 1,254.60 -

8413 REPAIR CROWN (PERMANENT OR PROVISIONAL) R 243.90 R 243.90 - - - R 243.90 - R 243.90 -

8414 R 72.40 - - - - R 72.40 - R 72.40 - 8415 PONTIC - CERAMIC R 1,024.10 - - - - R 1,024.00 - R 1,024.10 - 8416 PONTIC - CAST METAL R 813.60 - - - - R 813.60 - R 813.60 - 8417 PONTIC - RESIN WITH METAL R 1,024.10 - - - - R 1,024.00 - R 1,024.10 - 8418 PONTIC - PORCELAIN VENEERED TO METAL R 1,024.10 - - - - R 1,024.00 - R 1,024.10 - 8419 PROVISIONAL PONTIC R 243.90 - - - - R 365.90 - - -

8432 R 487.90 - - - - R 954.30 - R 487.90 -

8433 R 813.60 - - - - R 1,479.80 - R 813.60 -

8434 R 983.90 - - - - R 1,479.80 - R 983.90 - 8436 R 593.70 - - - - R 1,144.80 - R 593.70 - 8437 R 978.50 - - - - R 1,778.80 - R 978.50 -

8438 R 1,185.00 - - - - R 1,778.80 - R 1,185.00 - 8441 CROWN RETAINER - FULL CAST METAL R 1,254.60 - - - - R 1,847.00 - R 1,254.60 - 8442 CROWN RETAINER - 3/4 CAST METAL R 1,254.60 - - - - R 1,847.00 - R 1,254.60 - 8443 CROWN RETAINER - CERAMIC R 1,254.60 - - - - R 1,847.00 - R 1,254.60 -

ADDITIONAL FEE FOR PROVISION OF CROWN WITHIN AN EXISTING CLASP OR REST

INLAY/ONLAY RETAINER - METAL - TWO SURFACES

INLAY/ONLAY RETAINER - METAL - THREE SURFACES

INLAY/ONLAY RETAINER - METAL - FOUR OR MORE SURFACESINLAY/ONLAY RETAINER - PORCELAIN - TWO SURFACESINLAY/ONLAY RETAINER - PORCELAIN - THREE SURFACES

INLAY/ONLAY RETAINER - PORCELAIN - FOUR OR MORE SURFACES

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

8444 CROWN RETAINER - 3/4 CERAMIC R 1,254.60 - - - - R 1,847.00 - R 1,254.60 - 8445 R 1,254.60 - - - - R 1,847.00 - R 1,254.60 - 8446 CROWN RETAINER - RESIN WITH METAL R 1,254.60 - - - - R 1,847.00 - R 1,254.60 - 8447 PROVISIONAL CROWN RETAINER R 243.90 - - - - R 365.90 - - - 8499 GENERAL ANAESTHETIC - - - - - - - - - 8501 CONSULTATION - PROSTHODONTIS - - - - - R 227.90 - - - 8503 OCCLUSION ANALYSIS MOUNTED R 243.90 - - - - R 365.90 - - - 8505 PANTOGRAPHIC RECORDING R 353.90 - - - - R 530.80 - - - 8506 DETAILED CONSULTATION - PROSTHODONTIST - - - - - R 596.40 - - - 8507 - - - - - R 365.90 - - - 8508 ELECTROGNATHOGRAPHIC RECORDING R 378.90 - - - - R 568.40 - - -

8509 R 629.00 - - - - R 943.60 - - - 8514 RECEMENT BRIDGE R 109.80 R 109.80 - - - R 139.40 - R 109.80 - 8516 REMOVE BRIDGE R 218.50 R 218.50 - - - R 218.50 - R 218.50 -

8517 R 253.80 R 253.80 - R 253.80 - R 380.80 - R 253.80 - 8518 REPAIR BRIDGE R 243.90 R 243.90 - - - R 243.90 - R 243.90 -

8533 R 1,969.40 - - - - R 2,954.20 - R 1,969.40 -

8534 R 1,575.50 - - - - R 2,363.30 - R 1,575.50 -

8536 R 1,628.50 - - - - R 2,154.00 - R 1,628.50 -

CROWN RETAINER - PORCELAIN VENEERED TO METAL

COMPREHENSIVE CONSULTATION - PROSTHODONTIST

ELECTROGNATHOGRAPHIC RECORDING WITH COMPUTER ANALYSIS

REIMPLANTATION OF AVULSED TOOTH (INCLUDE STABILISATION)

IMPLANT SUPPORTED REMOVABLE COMPLETE OVERDENTURE

IMPLANT SUPPORTED REMOVABLE PARTIAL OVERDENTURE

CROWN-IMPLANT/ABUTMENT SUPPORTED CROWN - PORCELAIN/CERAMIC

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

8537 R 1,628.50 R 1,536.10 - R 1,628.50 - R 2,154.00 - R 1,628.50 -

8538 R 1,628.50 - - - - R 2,154.00 - R 1,628.50 - 8546 R 1,628.50 - - - - R 2,154.00 - R 1,628.50 -

8547 R 1,628.50 - - - - R 2,154.00 - R 1,628.50 -

8548 R 1,628.50 - - - - R 2,154.00 - R 1,628.50 - 8551 OCCLUSAL ADJUSTMENT - MAJOR R 695.20 - R 1,042.80 - - R 1,042.80 - - - 8552 VENEER - PORCELAIN (LABORATORY) R 842.60 - - - - R 1,263.90 - - - 8553 OCCLUSAL ADJUSTMENT - MINOR R 242.50 R 332.30 R 332.30 R 332.30 - R 332.30 - R 228.80 - 8554 VENEER - RESIN (LABORATORY) R 842.60 - - - - R 1,263.90 - - - 8560 COST OF CERAMIC BLOCK R 492.80 - - - - R 492.80 - - - 8561 GOLD FOIL CLASS I OR IV R 636.30 - - - - R 954.30 - - - 8563 GOLD FOIL CLASS V R 744.40 - - - - R 1,116.60 - - - 8565 GOLD FOIL CLASS III R 936.40 - - - - R 1,404.70 - - -

8570 R 1,195.50 - - - - R 1,195.50 - - - 8578 PREFABRICATED ABUTMENT R 203.80 - - - - R 305.60 - R 203.80 - 8579 CUSTOM ABUTMENT R 929.30 - - - - R 1,394.00 - R 929.30 - 8580 CUSTOMISED PREFABRICATED ABUTMENT - - - - - - - - - 8581 CAST CORE WITH SINGLE POST - - - - - R 372.60 - - - 8582 CAST CORE WITH DOUBLE POST - - - - - R 530.80 - - - 8583 CAST CORE WITH TRIPLE POST - - - - - R 658.20 - - -

CROWN-IMPLANT/ABUTMENT SUPPORTED CROWN - PORCELAIN WITH METAL

CROWN-IMPLANT/ABUTMENT SUPPORTED CROWN - CAST METALIMPLANT SUPPORTED CROWN RETAINER - CERAMIC

IMPLANT SUPPORTED CROWN RETAINER - PORCELAIN VENEERED TO METAL

CROWN RETAINER - IMPLANT/ABUTMENT SUPPORTED - CAST METAL

FABRICATION OF COMPUTER GENERATED CERAMIC RESTORATION

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

8584 CONNECTOR BAR - IMPLANT SUPPORTED R 1,969.40 - - - - R 2,954.20 - - - 8585 CONNECTOR BAR R 1,969.40 - - - - R 2,954.20 - - - 8586 STRESS BREAKER R 734.60 - - - - R 1,101.90 - - - 8587 COPING METAL R 163.60 - - - - R 305.60 - R 163.60 - 8590 R 90.20 - - - - R 135.40 - - R 90.20 8592 CROWN - IMPLANT/ABUTMENT SUPPORTED R 1,628.30 - - - - R 2,154.00 - - - 8594 REPAIR OF IMPLANT SUPPORTED PROSTHESIS R 100.10 - - - - R 150.10 - R 100.10 - 8595 REPAIR OF IMPLANT ABUTMENT R 100.10 - - - - R 150.10 - R 100.10 - 8597 LOCKS AND MILLED RESTS R 100.10 - - - - R 150.10 - - -

8599 R 243.90 - - - - R 365.90 - - - 8611 PONTIC - SANITARY - - - - - R 1,116.60 - - - 8613 PONTIC - POSTERIOR - - - - - R 1,365.90 - - - 8615 PONTIC - ANTERIOR/PREMOLAR - - - - - R 1,475.80 - - - 8617 R 487.90 - - - - R 954.30 - R 487.90 -

8631 - - - - - R 1,294.80 - - -

8633 - - - - - R 325.70 - - -

8635 R 146.00 R 146.00 - R 146.00 - R 215.80 - R 146.00 - 8640 R 380.80 - - - - R 380.80 - - -

8643 - - - - - R 4,801.20 - - -

IMPLANT MAINTENANCE PROCEDURES - PER IMPLANT

PRECISION ATTACHMENT (REMOVABLE DENTURE)

RETAINER CAST METAL (MARYLAND TYPE RETAINER)

ROOT CANAL THERAPY - FIRST CANAL SPECIALIST PROSTHODONTIST

ROOT CANAL THERAPY - EACH ADDITIONAL CANAL SPECIALIST PROSTHODONTIST

APEXIFICATION/APEXOGENESIS/RECALCIFICATION – PER VISITREMOVAL OF FRACTURED ROOT CANAL INSTRUMENT

COMPLETE DENTURES - MAXILLARY AND MANDIBULAR. ONLY FOR PROSTHODONTISTS

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

8645 - - - - - R 5,905.80 - - -

8649 - - - - - R 2,954.20 - - -

8651 - - - - - R 3,322.80 - - - 8652 OVERDENTURE - COMPLETE R 1,969.40 - - - - R 2,954.20 - R 1,969.40 - 8653 OVERDENTURE - PARTIAL R 1,575.50 - - - - R 2,363.30 - R 1,575.50 -

8654 R 2,215.20 - - - - R 3,322.80 - R 2,215.20 -

8655 R 1,772.10 - - - - R 2,277.00 - R 1,772.10 - 8657 REPLACEMENT OF PRECISION ATTACHMENT R 139.40 - - - - R 150.10 - - - 8658 INTERIM COMPLETE DENTURE R 1,092.30 - - - - R 1,638.60 - R 1,092.30 - 8659 INTERIM PARTIAL DENTURE R 873.80 - - - - R 1,310.80 - R 873.80 -

8660 R 305.60 - - - - R 305.60 - R 305.60 -

8661 - - - - - R 2,954.20 - - - 8662 R 284.30 - - - - R 426.30 - - - 8663 METAL BASE TO COMPLETE DENTURE R 593.40 - - - - R 890.00 - - -

8664 REMOUNT CROWN OR BRIDGE FOR ADJUSTMENT R 284.30 - - - - R 445.40 - - - 8667 SOFT BASE TO DENTURE (HEAT CURED) R 593.40 - - - - R 890.00 - - -

8671 - - - - - R 2,954.20 - - -

COMPLETE DENTURES - MAXILLARY OR MANDIBULAR. ONLY FOR PROSTHODONTISTS

IMMEDIATE DENTURE - MAXILLARY. ONLY FOR PROSTHODONTIST

IMMEDIATE DENTURE - MANDIBULAR. ONLY FOR PROSTHODONTIST

IMPLANT SUPPORTED FIXED-DETACHABLE COMPLETE OVERDENTURE

IMPLANT SUPPORTED FIXED-DETACHABLE PARTIAL OVERDENTURE

ADDITIONAL FEE TO IMPLANT SUPPORTED FIXED-DETACHABLE DENTURE - PER IMPLANT

DIAGNOSTIC DENTURES (INCLUDING TISSUE CONDITIONING)ADJUST COMPLETE OR PARTIAL DENTURES (REMOUNTING)

PARTIAL DENTURE - CAST METAL FRAMEWORK WITH RESIN DENTURE BASE

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

8672 R 76.10 - - R 76.10 - R 114.00 - R 76.10 - 8674 ADDITIVE PARTIAL DENTURE R 893.70 - - - - R 1,340.40 - - - 8701 CONSULTATION - PERIODONTIST - - - R 227.90 - - - - - 8703 CONSULTATION - PERIODONTIST (DETAILED) - - - R 596.40 - - - - - 8705 RE-EXAMINATION - PERIODONTIST - - - R 178.30 - - - - - 8707 PERIODONTAL SCREENING - PERIODONTIST - - - R 178.30 - - - - -

8723 R 203.80 R 203.80 - R 305.60 - R 305.60 - R 203.80 R 203.80

8725 R 295.70 R 295.70 - R 443.70 - R 443.70 - R 295.70 R 295.70 8727 R 92.80 R 92.80 - R 139.40 - R 139.40 - R 92.80 -

8731 INCISION & DRAINAGE OF ABSCESS - INTRA-ORAL R 175.20 R 175.20 - R 262.70 - - - R 175.20 - 8737 R 439.70 - - R 596.40 - R 439.70 - R 439.70 R 439.70 8739 R 349.90 - - R 475.90 - R 349.80 - R 349.90 R 349.90

8741 R 573.70 - - R 786.90 - - - - -

8743 R 458.40 - - R 624.60 - - - - -

8749 R 1,191.10 - - R 1,786.80 - - - - -

8751 R 986.50 - - R 1,479.80 - - - - -

ALTERED CAST TECHNIQUE (IN ADDITION TO PARTIAL DENTURE)

PROVISIONAL SPLINTING - EXTRACORONAL (WIRE) - PER SEXTANT

PROVISIONAL SPLINTING - EXTRACORONAL (WIRE PLUS RESIN) - PER SEXTANTPROVISIONAL SPLINTING - INTRACORONAL - PER TOOTH

ROOT PLANING - FOUR OR MORE TEETH PER QUADRANTROOT PLANING - ONE TO THREE TEETH PER QUADRANT

GINGIVECTOMY/GINGIVOPLASTY - FOUR OR MORE TEETH PER QUADRANT

GINGIVECTOMY OR GINGIVOPLASTY - ONE TO THREE TEETH PER QUADRANT

FLAP PROCEDURE, ROOT PLANING AND ONE TO THREE SURGICAL SERVICES - PER QUADRANT

FLAP PROCEDURE, ROOT PLANING AND ONE TO THREE SURGICAL SERVICES - PER SEXTANT

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

8753 R 1,476.30 - - R 2,214.40 - - - - -

8755 R 1,196.40 - - R 1,794.80 - - - - - 8756 R 725.50 - - R 1,088.30 - - - R 725.50 -

8759 PEDICLE FLAPPED GRAFT (ISOLATED PROCEDURE) R 545.10 - - R 817.60 - - - - -

8761 R 592.40 R 888.70 - R 888.70 - - - - -

8762 R 890.00 R 1,335.10 - R 1,335.10 - - - - - 8763 WEDGE RESECTION (ISOLATED PROCEDURE) R 348.50 R 348.50 - R 522.80 - - - R 348.50 -

8765 R 479.00 - - R 718.40 - R 718.40 - - -

8766 R 285.00 - - R 427.70 - - - - -

8767 R 739.00 R 1,108.60 - R 1,108.60 - - - - - 8768 UNLISTED PERIODONTAL PROCEDURE R 348.50 - - R 522.80 - - - - -

8769 R 348.50 R 522.80 - R 522.80 - - - - -

8770 COST OF BONE REGENERATIVE/REPAIR MATERIAL - - - - - - - - -

8772 R 598.70 R 898.10 - R 898.10 - - - - - 8773 - - - - - - - - -

FLAP PROCEDURE, ROOT PLANING AND FOUR OR MORE SURGICAL SERVICES - PER QUADRANT

FLAP PROCEDURE, ROOT PLANING AND FOUR OR MORE SURGICAL SERVICES - PER SEXTANTCLINICAL CROWN LENGTHENING (ISOLATED PROCEDURE)

MASTICATORY MUCOSAL AUTOGRAFT - ONE TO FOUR TEETH (ISOLATED PROCEDURE)

MASTICATORY MUCOSAL AUTOGRAFT - FOUR OR MORE TEETH (ISOLATED PROCEDURE)

HEMISECTION OF A TOOTH, RESECTION OF A ROOT OR TUNNEL PREPARATION (ISOLATED PROCEDURE)

BONE REGENERATION/REPAIR PROCEDURE - AS PART OF A FLAP OPERATION

BONE REGENERATION/REPAIR PROCEDURE - AT A SINGLE SITE

MEMBRANE REMOVAL (USED FOR GUIDED TISSUE REGENERATION)

SUBMUCOSAL CONNECTIVE TISSUE AUTOGRAFT (ISOLATED PROCEDURE)COST OF INTRAPOCKET CHEMOTHERAPEUTIC AGENT

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

8781 CONSULTATION - ORAL MEDICINE (SIMPLE) - - - R 178.30 - - - - - 8782 CONSULTATION - ORAL MEDICINE (COMPLEX) - - - R 313.70 - - - - -

8783 CONSULTATION - ORAL MEDICINE (SUBSEQUENT) - - - R 132.70 - - - - - 8787 UNLISTED ORAL MEDICINE PROCEDURE R 125.10 - - R 187.60 - - - - - 8801 CONSULTATION - ORTHODONTIST - - R 227.90 - - - - - -

8803 - - R 132.70 - - - - - - 8811 TRACING AND ANALYSIS OF EXTRA-ORAL FILM R 33.60 R 33.60 R 33.60 R 33.60 - R 33.60 - R 33.60 R 33.60 8837 - - R 105.80 - - - - - - 8839 DIAGNOSTIC SETUP R 149.30 R 149.30 R 223.80 - - - - R 149.30 -

8840 R 514.60 R 772.00 R 772.00 - - - - - - 8841 * - * - - - - * -

8842 * - * - - - - * -

8843 * - * - - - - * -

8846 REPAIR ORTHODONTIC APPLIANCE - REMOVABLE R 100.90 - R 151.40 - - - - R 100.90 -

8847 R 348.50 - R 522.80 - - - - R 348.50 - 8848 REPAIR ORTHODONTIC APPLIANCE - FIXED R 149.30 - R 223.80 - - - - R 149.30 - 8849 RETAINER (ORTHODONTIC) R 348.50 - R 522.80 - - - - R 348.50 - 8850 TREATMENT OF MPDS - FIRST VISIT R 168.00 R 168.00 R 252.10 R 168.00 - R 252.10 - R 168.00 -

CONSULTATION - ORTHODONTIS (SUBSEQUENT, RETENTION AND POST TREATMENT)

DIAGNOSIS AND TREATMENT PLANNING - ORTHODONTIST

TREATMENT PLANNING FOR ORTHOGNATHIC SURGERY - ALLORTHO TX - FIXED LINGUAL APPLIANCE - ONE ARCH

ORTHO TX - FIXED LINGUAL APPLIANCE - ONE ARCH, MODEATE

ORTHO TX - FIXED LINGUAL APPLIANCE - ONE ARCH, SEVERE

REPLACE ORTHODONTIC APPLIANCE - REMOVABLE

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

8851 TREATMENT OF MPDS - SUBSEQUENT VISIT R 88.50 R 88.50 R 132.70 R 88.50 - R 132.70 - R 88.50 - 8852 OCCLUSAL ORTHOTIC APPLIANCE R 422.10 R 556.20 R 556.20 R 556.20 - R 556.20 - R 422.10 -

8855 R 203.80 - R 305.60 - - R 305.60 - - - 8856 CONSULTATION - CLEFT PALATE (SUBSEQUENT) R 100.10 - R 150.10 - - R 150.10 - - - 8857 CONSULTATION - CLEFT PALATE (MAXIMUM) R 696.10 - R 1,044.10 - - R 1,044.10 - - - 8858 ORTHO TX - FUNCTIONAL APPLIANCE * - * - - - - * -

8861 ORTHO TX - PARTIAL FIXED APPLIANCE - MINOR * - * - - - - * - 8862 ORTHO TX - REMOVABLE APPLIANCE * - * - - - - * - 8863 * - * - - - - * -

8865 * - * - - - - * - 8866 * - * - - - - * - 8867 ORTHO TX - FIXED APPLIANCE - ONE ARCH * - * - - - - * - 8868 * - * - - - - * -

8869 * - * - - - - * -

8873 * - * - - - - * -

8874 * - * - - - - * -

8875 * - * - - - - * -

8876 * - * - - - - * -

CONSULTATION - CLEFT PALATE THERAPY (HOUSE OR HOSPITAL)

ORTHO TX - EACH ADDITIONAL REMOVABLE APPLIANCE

ORTHO TX - PARTIAL FIXED APPLIANCE - ONE ARCHORTHO TX - PARTIAL FIXED APPLIANCE - BOTH ARCHES

ORTHO TX - FIXED APPLIANCE - ONE ARCH, MODEATE

ORTHO TX - FIXED APPLIANCE - ONE ARCH, SEVERE

ORTHO TX - FIXED APPLIANCE - BOTH ARCHES, CLASS 1 MILD

ORTHO TX - FIXED LINGUAL APPLIANCE - BOTH ARCHES, CLASS 1 MILD

ORTHO TX - FIXED APPLIANCE - BOTH ARCHES, CLASS 1 MODERATE

ORTHO TX - FIXED LINGUAL APPLIANCE - BOTH ARCHES, CLASS 1 MODERATE

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

8877 * - * - - - - * -

8878 * - * - - - - * -

8879 * - * - - - - * -

8880 * - * - - - - * -

8881 * - * - - - - * -

8882 * - * - - - - * -

8883 * - * - - - - * -

8884 * - * - - - - * -

8885 * - * - - - - * -

8886 * - * - - - - * -

8887 * - * - - - - * -

8888 * - * - - - - * - 8890 MONTHLY INSTALMENT ORTHO TX * - * - - - - * - 8891 ORTHODONTIC TRANSFER * - * - - - - - -

ORTHO TX - FIXED APPLIANCE - BOTH ARCHES, CLASS 1 SEVERE

ORTHO TX - FIXED LINGUAL APPLIANCE - BOTH ARCHES, CLASS 1 SEVERE

ORTHO TX - FIXED APPLIANCE - BOTH ARCHES, CLASS 1 SEVERE W/ COMPLICATIONS

ORTHO TX - FIXED LINGUAL APPLIANCE - BOTH ARCHES, CLASS 1 SEVERE W/ COMPLICATIONS

ORTHO TX - FIXED APPLIANCE - BOTH ARCHES, CLASS 2/3 MILD

ORTHO TX - FIXED LINGUAL APPLIANCE - BOTH ARCHES, CLASS 2/3 MILD

ORTHO TX - FIXED APPLIANCE - BOTH ARCHES, CLASS 2/3 MODERATE

ORTHO TX - FIXED LINGUAL APPLIANCE - BOTH ARCHES, CLASS 2/3 MODERATE

ORTHO TX - FIXED APPLIANCE - BOTH ARCHES, CLASS 2/3 SEVERE

ORTHO TX - FIXED LINGUAL APPLIANCE - BOTH ARCHES, CLASS 2/3 SEVERE

ORTHO TX - FIXED APPLIANCE - BOTH ARCHES, CLASS 2/3 SEVERE W/ COMPLICATIONS

ORTHO TX - FIXED LINGUAL APPLIANCE - BOTH ARCHES, CLASS 2/3 SEVERE W/ COMPLICATIONS

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

8892 ORTHODONTIC RE-TREATMENT * - * - - - - - - 8901 CONSULTATION - MFOS - R 227.90 - - - - - - - 8902 CONSULTATION - MFOS (DETAILED) - R 596.40 - - - - - - - 8903 - R 199.60 - - - - - - -

8904 - R 132.70 - - - - - - -

8905 - R 292.30 - - - - - - -

8907 - R 332.30 - - - - - - -

8908 R 1,451.20 R 2,176.90 - - - - - R 1,451.20 - 8909 ORAL ANTRAL FISTULA CLOSURE R 1,112.50 R 1,668.70 - - - - - R 1,112.50 - 8911 CALDWELL-LUC PROCEDURE R 435.30 R 652.90 - - - - - R 435.30 - 8917 BIOPSY OF ORAL TISSUE - SOFT R 277.40 R 369.90 - R 369.90 - - - R 277.40 - 8919 BIOPSY OF BONE - NEEDLE R 427.10 R 640.60 - - - - - R 427.10 - 8921 BIOPSY – EXTRA-ORAL BONE/SOFT TISSUE R 698.80 R 1,048.10 - - - - - R 698.80 - 8931 R 80.50 R 482.60 - R 80.50 - R 80.50 R 68.00 R 80.50 - 8933 R 1,112.50 R 1,668.70 - R 1,112.50 - R 1,112.50 - R 1,112.50 - 8935 TREATMENT OF SEPTIC SOCKET R 80.50 R 126.00 - R 80.50 - R 80.50 R 68.00 R 80.50 - 8937 SURGICAL REMOVAL OF TOOTH R 474.60 R 640.60 - R 474.60 - - - R 474.60 - 8941 R 786.90 R 1,034.80 - R 786.90 - - - R 786.90 -

8943 R 422.10 R 557.50 - R 422.10 - - - R 422.10 -

HOUSE/HOSP/NURSING HOME CONSULTATION - MFOS

HOUSE/HOSP/NURSING HOME CONSULTATION (SUBSEQUENT) - MFOS

AFTER REGULARLY HOURS CONSULTATION - MFOS

HOUSE/HOSP/NURSING HOME CONSULTATION (MAXIMUM PER WEEK) - MFOS

SURGICAL REMOVAL OF ROOTS FROM MAXILLARY ANTRUM

TREATMENT OF POST-EXTRACTION HAEMORRHAGETREATMENT OF HAEMORRHAGE (BLOOD DYSCRACIAS)

SURGICAL REMOVAL OF IMPACTED TOOTH - FIRST TOOTH

SURGICAL REMOVAL OF IMPACTED TOOTH - SECOND TOOTH

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

8945 R 239.90 R 316.30 - R 239.90 - - - R 239.90 -

8953 R 474.60 R 640.60 - R 640.60 - - - - -

8957 R 582.70 R 874.00 - R 582.70 - - - R 582.70 - 8958 EMERGENCY TRACHEOTOMY * * - - - - - - - 8959 PHARYNGOSTOMY * * - - - - - - - 8961 TOOTH TRANSPLANTATION R 955.20 R 1,432.90 - - - - - - - 8962 HARVEST ILIAC CREST GRAFT R 352.20 R 432.80 - - - - - - - 8963 HARVEST RIB GRAFT R 404.00 R 605.90 - - - - - - - 8964 HARVEST CRANIUM GRAFT R 316.30 R 474.60 - - - - - - - 8965 PERIPHERAL NEURECTOMY R 955.20 R 1,432.90 - - - - - - - 8966 REPAIR OF ORONASAL FISTULA (LOCAL FLAPS) * * - - - - - - -

8967 R 1,327.00 R 1,990.60 - - - - - R 1,327.00 -

8969 R 2,125.80 R 3,188.70 - - - - - - - 8971 EXCISION OF TUMOUR OF THE SOFT TISSUE R 427.10 R 640.60 - R 640.60 - - - - -

8973 SURGICAL EXCISION OF TUMOURS OF THE JAW R 2,125.80 R 3,188.70 - - - - - - - 8975 HEMIRESECTION OF JAW EXCLUDING CONDYL * * - - - - - - - 8977 R 2,231.40 R 3,347.00 - - - - - - - 8979 R 184.00 R 276.10 - R 276.10 - - - - -

SURGICAL REMOVAL OF IMPACTED TOOTH - THIRD AND SUBSEQUENT TEETH

SURGICAL REMOVAL OF RESIDUAL ROOTS, FIRST TOOTH - PER TOOTH

ALVEOLOTOMY OR ALVEOLECTOMY (INCLUDING EXTRACTIONS)

SURGICAL REMOVAL OF JAW CYST - INTRA-ORAL APPROACH

SURGICAL REMOVAL OF JAW CYST - EXTRA-ORAL APPROACH

SURGICAL REPAIR OF MAXILLA OR MANDIBLE - MAJORHARVESTING OF AUTOGENOUS GRAFTS (INTRA-ORAL)

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

8981 R 876.70 R 1,194.40 - R 1,194.40 - - - - - 8983 CORTICOTOMY - FIRST TOOTH R 634.40 R 951.60 - - - - - - - 8984 CORTICOTOMY - EACH ADDITIONAL TOOTH R 321.70 R 482.60 - - - - - - - 8985 FRENULECTOMY/FRENULOTOMY R 582.70 R 874.00 - R 874.00 - - - R 582.70 -

8987 REDUCTION OF MYLOHYOID RIDGES - PER SIDE R 955.20 R 1,432.90 - - - - - - - 8989 REMOVAL TORUS MANDIBULARIS R 955.20 R 1,432.90 - - - - - - - 8991 REMOVAL OF TORUS PALATINUS R 955.20 R 1,432.90 - - - - - - -

8993 R 427.10 R 640.60 - - - - - - - 8995 GINGIVECTOMY - PER JAW R 849.80 R 1,274.80 - - - - - - - 8997 SULCOPLASTY / VESTIBULOPLASTY R 2,190.20 R 3,285.40 - R 3,285.40 - - - - - 9003 R 1,327.00 R 1,990.60 - - - - - - - 9004 LATERALIZATION OF INFERIOR DENTAL NERVE R 2,138.40 R 3,207.60 - - - - - - -

9005 R 2,233.10 R 3,349.70 - R 3,349.70 - - - - -

9007 R 1,405.60 R 2,108.40 - - - - - - -

9008 R 434.50 R 794.90 - R 794.90 - - - - -

9009 R 965.90 R 1,448.90 - R 1,448.90 - - - - - 9010 SINUS LIFT PROCEDURE R 1,451.20 R 2,176.90 - R 2,176.90 - - - - -

9011 R 271.70 R 407.50 - - - - R 128.30 - -

SURGICAL EXPOSURE OF IMPACTED OR UNERUPTED TEETH TO AID ERUPTION

SURGICAL REDUCTION OF OSSEOUS TUBEROSITY - PER SIDE

REPOSITION MENTAL FORAMEN AND NERVE - PER SIDE

ALVEOLAR RIDGE AUGMENTATION - TOTAL (BY BONE GRAFT)

ALVEOLAR RIDGE AUGMENTATION - TOTAL (BY ALLOPLASTIC MATERIAL)

ALVEOLAR RIDGE AUGMENTATION - ONE TO TWO TOOTH SITES

ALVEOLAR RIDGE AUGMENTATION - THREE ACROSS 3 OR MORE TOOTH SITES

INCISION & DRAINAGE OF ABSCESS - INTRA-ORAL (PYOGENIC)

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9013 * * - * - - - - -

9015 R 541.50 R 718.40 - R 718.40 - R 718.40 - R 541.50 -

9016 R 955.20 R 1,432.90 - R 1,432.90 - R 1,432.90 - R 955.20 - 9017 * * - - - - - - -

9019 R 427.10 R 640.60 - - - - - - -

9021 R 541.50 R 718.40 - - - - - R 541.50 -

9023 R 1,008.10 R 1,512.00 - - - - - R 1,008.10 - 9024 DENTO-ALVEOLAR FRACTURE - PER SEXTANT R 479.00 R 718.40 - - - - - - - 9025 MANDIBLE FRACTURE - CLOSED REDUCTION * * - - - - - - -

9027 * * - - - - - * - 9029 MANDIBLE FRACTURE - SPLINTS * * - - - - - * - 9031 MANDIBLE FRACTURE - OPEN REDUCTION * * - - - - - * -

9032 - R 5,290.30 - - - - - - - 9035 MAXILLA FRACTURE - LE FORT I OR GUERIN * * - - - - - - - 9037 * * - - - - - - -

9039 * * - - - - - - -

INCISION & DRAINAGE OF ABSCESS - EXTRA-ORAL (PYOGENIC)

APICECTOMY/PERIRADICULAR SURGERY - ANTERIORS (INCLUDING RETROGRADE FILLING)

APICECTOMY/PERIRADICULAR SURGERY - MOLARS (INCLUDING RETROGRADE FILLING)DECORTICATION, SAUCERISATION AND SEQUESTRECTOMY

SEQUESTRECTOMY - INTRA ORAL PER SEXTANT AND OR RAMUS

SUTURE - RECONSTRUCTION, MINOR (EXCLUDES CLOSURE OF SURGICAL INCISIONS)

SUTURE - RECONSTRUCTION, MAJOR (EXCLUDES CLOSURE OF SURGICAL INCISIONS)

MANDIBLE FRACTURE - COMPOUND, WITH EYELET WIRING

REDUCTION OF MASSETER MUSCLE AND BONE - EXTRA-ORAL APPROACH

MAXILLA FRACTURE - LE FORT II OR MIDDLE THIRD FACE

MAXILLA FRACTURE - LE FORT III OR CRANIOFACIAL DISJUNCTION

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9041 * * - - - - - - -

9043 ZYGOMATIC ARCH FRACTURE - OPEN REDUCTION * * - - - - - - -

9045 * * - - - - - - - 9046 * * - - - - - - - 9047 OSTEOTOMY - OPEN WITH STABILISATION * * * * - * - - -

9048 * * - * - - - * - 9049 * * * * - * - - - 9050 OSTEOTOMY - TOTAL SUBAPICAL * * * * - * - - - 9051 GENIOPLASTY * * * * - * - - - 9052 MIDFACIAL EXPOSURE * * * * - * - - - 9053 CORONOIDECTOMY (INTRA-ORAL APPROACH) * * * * - * - - - 9055 OSTEOTOMY - SEGMENTED, POSTERIOR * * * * - * - - - 9057 OSTEOTOMY - SEGMENTED, ANTERIOR * * * * - * - - -

9059 * * * * - * - - -

9060 * * * * - * - - - 9061 PALATAL OSTEOTOMY * * * * - * - - -

9062 * * * * - * - - -

ZYGOMATIC ARCH FRACTURE - CLOSED REDUCTION

ZYGOMATIC ARCH FRACTURE - OPEN REDUCTION (REQUIRING OSTEOSYNTHESIS AND/OR GRAFTING)PLACEMENT OF ZYGOMATICUS FIXTURE, PER FIXTURE

SURGICAL REMOVAL OF INTERNAL FIXATION DEVICES, PER SITEOSTEOTOMY - MANDIBLE BODY, ANTERIOR SEGMENTAL

RECONSTRUCT MAXILLA - LE FORT I OSTEOTOMY, ONE PIECE

RECONSTRUCT MAXILLA - LE FORT I OSTEOTOMY W/ REPOSITIONING AND GRAFT

RECONSTRUCT MAXILLA - LE FORT I OSTEOTOMY, MULTIPLE SEGMENTS

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9063 * * * * - * - - -

9065 * * * * - * - - - 9066 * * * * - * - - - 9069 GLOSSECTOMY - PARTIAL * * * * - * - - - 9071 GENIOHYOIDOTOMY * * * * - * - - -

9072 * * * * - * - - - 9074 TMJ ARTHROSCOPY DIAGNOSTIC R 1,055.40 R 1,582.90 - - - - - R 1,055.40 -

9075 CONDYLECTOMY, CORONOIDECTOMY OR BOTH * * * * - * - - - 9076 TMJ ARTROCENTESIS * * - - - - - * - 9077 TMJ INTRA-ARTICULAR INJECTION * * - - - - - - - 9079 TRIGGER POINT INJECTION R 124.10 R 186.30 - - - - - - - 9081 CONDYLECTOMY (WARD/KOSTECKA) * * * * - * - - - 9083 TMJ SRTHROPLASTY * * - - - - - - -

9085 REDUCTION OF TMJ DISLOC W/O ANAESTHETIC * * - - - - - * - 9087 REDUCTION OF TMJ DISLOC W/ ANAESTHETIC * * - - - - - * -

9089 * * - - - - - * - 9091 * * - - - - - - -

RECONSTRUCT MAXILLA - LE FORT 2 OSTEOTOMY (FACIAL AND POST-TRAUMATIC DEFORMITIES)

RECONSTRUCT MAXILLA - LE FORT 3 OSTEOTOMY (SEVERE CONGENITAL DEFORMITIES)SURGICAL EXPANSION - MAXILLIARY OR MANDIBULAR

CLOSE SECONDARY ORO-NASAL FISTULA W/ BONE GRAFTING (COMPLETE PROCEDURE)

REDUCTION OF TMJ DISLOC W/ ANAESTHETIC AND IMMOBOBILISATIONREDUCTION OF TMJ DISLOCATION - OPEN REDUCTION

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9092 JOINT RECONSTRUCTION * * - - - - - - -

9093 R 479.00 R 718.40 - - - - - R 479.00 - 9095 EXCISION OF SUBLINGLUAL SALIVARY GLAND * * - - - - - * - 9096 * * - - - - - - - 9099 * * * * - * * * -

9101 * - - - - * - - - 9102 * - - - - * - - -

9103 OBTURATOR PROSTHESIS, SURGICAL - SPLIT BASE * - - - - * - - -

9104 * - - - - * - - - 9105 * - - - - * - - -

9106 * - - - - * - - - 9107 * - - - - * - - - 9108 * - - - - * - - -

9109 * - - - - * - - -

9110 * - - - - * - - - 9111 GLOSSAL RESECTION PROSTHESIS - SIMPLE * - - - - * - - - 9112 GLOSSAL RESECTION PROSTHESIS - COMPLEX * - - - - * - - - 9113 RADIATION CARRIER - SIMPLE * - - - - * - - -

REMOVAL OF SALIVARY STONE (SIALOLITHOTOMY)

EXCISION OF SALIVARY GLAND - EXTRA ORAL APPROACHUNLISTED DENTAL PROCEDURE OR SERVICE (BY REPORT)

OBTURATOR PROSTHESIS, SURGICAL - MODIFIED DENTUREOBTURATOR PROSTHESIS, SURGICAL - CONTINUOUS BASE

OBTURATOR PROSTHESIS, INTERIM - ON EXISTING DENTUREOBTURATOR PROSTHESIS, INTERIM - ON NEW DENTURE

OBTURATOR PROSTHESIS, DEFINITIVE - OPEN/HOLLOW BOXOBTURATOR PROSTHESIS, DEFINITIVE - SILICONE GLOVEMANDIBULAR RESECTION PROSTHESIS W/ GUIDE FLANGE

MANDIBULAR RESECTION PROSTHESIS W/O GUIDE FLANGE

MANDIBULAR RESECTION PROSTHESIS, PALATAL AUGMENTATION

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9114 RADIATION CARRIER - COMPLEX * - - - - * - - - 9115 RADIATION SHIELD - SIMPLE * - - - - * - - - 9116 RADIATION SHIELD - COMPLEX * - - - - * - - - 9117 RADIATION CONE LOCATOR * - - - - * - - - 9118 CHEMOTHERAPEUTIC AGENT CARRIER * - - - - * - - - 9119 FEEDING AID PROSTHESIS, NEONATAL * - * - - * - - - 9120 * - * - - * - - -

9121 * - * - - * - - - 9122 * - * - - * - - -

9123 * - * - - * - - -

9125 * - - - - * - - -

9126 * - - - - * - - -

9127 * - - - - * - - - 9128 * - - - - * - - -

9129 SPEECH AID/OBTURATOR PROSTHESIS - SURGICAL * - - - - * - - - 9130 SPEECH AID APPLIANCE - PALATAL LIFT * - - - - * - - -

9131 SPEECH AID APPLIANCE - PALATAL STIMULATING * - - - - * - - - 9132 SPEECH AID APPLIANCE - BULB * - - - - * - - -

ORTHOPAEDIC APPLIANCE, ACTIVE PRESURGICAL - MINOR

ORTHOPAEDIC APPLIANCE, ACTIVE PRESURGICAL - MODERATEORTHOPAEDIC APPLIANCE, ACTIVE PRESURGICAL - SEVERE

ORTHOPAEDIC APPLIANCE, ACTIVE PRESURGICAL - MODIFICATION

SPEECH AID/OBTURATOR PROSTHESIS - PALATAL ALTERATION

SPEECH AID/OBTURATOR PROSTHESIS - VELAR ALTERATION

SPEECH AID/OBTURATOR PROSTHESIS - PHARYNGEAL ALTERATIONSPEECH AID/OBTURATOR PROSTHESIS - MODIFICATION

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9133 SPEECH AID APPLIANCE - MODIFICATION * - - - - * - - - 9134 UNSPECIFIED SPEECH AID APPLIANCE * - - - - * - - - 9135 AURICULAR PROSTHESIS - SIMPLE * - - - - * - - - 9136 AURICULAR PROSTHESIS - COMPLEX * - - - - * - - - 9137 NASAL PROSTHESIS - SIMPLE * - - - - * - - - 9138 NASAL PROSTHESIS - COMPLEX * - - - - * - - - 9139 OCULAR PROSTHESIS - INTERIM * - - - - * - - - 9140 * - - - - * - - - 9141 OCULAR PROSTHESIS - CUSTOM APPLIANCE * - - - - * - - - 9142 ORBITAL PROSTHESIS - SIMPLE * - - - - * - - - 9143 ORBITAL PROSTHESIS - COMPLEX * - - - - * - - - 9148 UNSPECIFIED BODY PROSTHESIS - SIMPLE * - - - - * - - - 9149 UNSPECIFIED BODY PROSTHESIS - COMPLEX * - - - - * - - - 9150 FACIAL PROSTHESIS, SURGICAL - SIMPLE * - - - - * - - - 9151 FACIAL PROSTHESIS, SURGICAL - COMPLEX * - - - - * - - - 9155 CRANIAL PROSTHESIS * - - - - * - - -

9156 CRANIAL IMPLANT PROSTHESIS, CUSTOM MADE * - - - - * - - - 9157 * - - - - * - - - 9158 * - - - - * - - -

9159 OCULAR IMPLANT PROSTHESIS, CUSTOM MADE * - - - - * - - - 9160 BODY IMPLANT PROSTHESIS - CUSTOM MADE * - - - - * - - - 9161 SURGICAL SPLINT - SIMPLE * - - - - * - - -

OCULAR PROSTHESIS - MODIFIED STOCK APPLIANCE

FACIAL IMPLANT PROSTHESIS, CUSTOM MADE - SIMPLEFACIAL IMPLANT PROSTHESIS, CUSTOM MADE - COMPLEX

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9162 SURGICAL SPLINT - COMPLEX * - - - - * - - - 9163 SURGICAL TEMPLATE - SIMPLE * - - - - * - - - 9164 SURGICAL TEMPLATE - COMPLEX * - - - - * - - - 9165 SURGICAL CONFORMER - SIMPLE * - - - - * - - - 9166 SURGICAL CONFORMER - COMPLEX * - - - - * - - - 9167 TRISMUS APPLIANCE (SIMPLE) * - - - - * - - - 9168 TRISMUS APPLIANCE (COMPLEX) * - - - - * - - - 9169 ORTHOSES APPLIANCE * - - - - * - - - 9170 FACIAL PALSY APPLIANCE * - - - - * - - - 9171 COMMISSURE SPLINT * - - - - * - - - 9172 ORAL RETRACTOR, DYNAMIC - PER ARM * - - - - * - - - 9174 UNSPECIFIED BURN APPLIANCE - - - - - - - - - 9175 R 329.70 - - - - R 494.60 - - -

9180 R 1,445.80 R 1,445.80 - - - - - - -

9181 R 1,445.80 R 1,445.80 - - - - - - - 9182 R 723.80 R 1,085.70 - R 1,085.70 - - - - -

9183 R 1,018.70 R 1,384.60 - R 1,384.60 - R 1,384.40 - - -

9184 R 762.70 R 1,038.80 - R 1,038.80 - R 1,038.50 - - -

9185 R 510.60 R 695.70 - R 695.70 - R 695.50 - - -

THEATRE ATTENDANCE (MAXFAC PROSTHOD) /HOUR

SURGICAL PLACEMENT OF SUB-PERIOSTEAL IMPLANT - PREPARATORY STAGE

SURGICAL PLACEMENT OF SUB-PERIOSTEAL IMPLANT - PLACEMENT STAGESURGICAL PLACEMENT OF ENDOSTEAL IMPLANT PLATE

SURGICAL PLACEMENT OF ENDOSSEUS IMPLANT - FIRST PER QUADRANT

SURGICAL PLACEMENT OF ENDOSSEUS IMPLANT - SECOND PER QUADRANT

SURGICAL PLACEMENT OF ENDOSSEUS IMPLANT - THIRD AND SUBSEQUENT PER QUADRANT

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9187 COST OF ENDOSTEAL IMPLANT BODY * * - * * * - - - 9188 COST OF PREFABRICATED ABUTMENT * * - * * * - - - 9189 COST OF OTHER IMPLANT COMPNTS * * - * * * - - -

9190 R 377.90 R 511.90 - R 511.90 - R 511.90 - - -

9191 R 284.10 R 384.80 - R 384.80 - R 384.80 - - -

9192 R 190.30 R 258.70 - R 258.70 - R 258.70 - - - 9198 SURGICAL REMOVAL OF IMPLANT R 470.90 R 706.40 - R 706.40 - R 471.00 - R 470.90 - 9201 CONSULTATION - ORAL PATHOLOGIST - - - - - - - - -

9203 - - - - - - - - - 9205 - - - - - - - - - 9207 AFTER HOURS VISIT - ORAL PATHOLOGIST - - - - - - - - - 9220 REPAIR CLEFT HARD PALATE - UNILATERAL * * - - - - - - -

9222 * * - - - - - - -

9224 * * - - - - - - -

9226 * * - - - - - - -

9228 * * - - - - - - -

9230 * * - - - - - - -

SURGICAL EXPOSURE OF ENDOSSEUS IMPLANT - FIRST PER QUADRANT

SURGICAL EXPOSURE OF ENDOSSEUS IMPLANT - SECOND PER QUADRANT

SURGICAL EXPOSURE OF ENDOSSEUS IMPLANT - THIRD AND SUBSEQUENT PER QUADRANT

HOUSE/HOSP/NURSING HOME CONSULTATION - ORAL PATHOLOGISTCONSULTATION - ORAL PATHOLOGIST (SUBSEQUENT)

REPAIR CLEFT HARD PALATE - BILATERAL (ONE PROCEDURE)

REPAIR CLEFT HARD PALATE - BILATERAL (TWO PROCEDURES)

REPAIR CLEFT SOFT PALATE - W/O MUSCLE RECONSTRUCTION

REPAIR CLEFT SOFT PALATE - W/ MUSCLE RECONSTRUCTION

REPAIR SUBMUCOSAL CLEFT AND/OR BIFID UVULA - W/ MUSCLE RECONSTRUCTION

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9232 * * - - - - - - - 9234 * * - - - - - - - 9238 REPAIR ORONASAL FISTULA (ONE PROCEDURE) * * - - - - - - -

9240 REPAIR ORONASAL FISTULA (TWO PROCEDURES) * * - - - - - - - 9246 SECONDARY PERIOSTEAL FLAPS * * - - - - - - - 9248 LIPADHESION * * - - - - - * -

9250 * * - - - - - - -

9252 * * - - - - - - -

9254 * * - - - - - - -

9256 * * - - - - - - - 9258 REPAIR ANTERIOR NASAL FLOOR * * - - - - - - - 9260 * * - - - - - - -

9262 * * - - - - - - - 9264 ABBE-FLAP - TWO STAGES * * - - - - - - - 9266 RECONSTRUCT COLUMELLA * * - - - - - - - 9268 * * - - - - - - -

9270 * * - - - - - - - 9272 * * - - - - - - -

VELOPHARYNGEAL RECONSTRUCTION - UNCOMPLICATEDVELOPHARYNGEAL RECONSTRUCTION - COMPLICATED

REPAIR CLEFT LIP - UNILATERAL W/O MUSCLE RECONSTRUCTION

REPAIR CLEFT LIP - UNILATERAL W/ MUSCLE RECONSTRUCTION

REPAIR CLEFT LIP - BILATERAL W/O MUSCLE RECONSTRUCTION

REPAIR CLEFT LIP - BILATERAL W/ MUSCLE RECONSTRUCTION

REVISION OF SECONDARY CLEFT LIP DEFORMITY - PARTIAL

REVISION OF SECONDARY CLEFT LIP DEFORMITY - TOTAL W/ MUSCLE RECONSTRUCTION

RECONSTRUCT NOSE DUE TO CLEFT DEFORMITY - PARTIAL

RECONSTRUCT NOSE DUE TO CLEFT DEFORMITY - COMPLETEPARANASAL AUGMENTATION FOR NASAL BASE DEVIATION

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9274 - * - - - - - - -

9276 - * - - - - - - -

9278 - * - - - - - - - 9280 - * - - - - - - -

9282 - * - - - - - - - 9284 MUSCULOFASCIAL FLAP - * - - - - - - - 9286 MUSCULOCRANIAL FLAP - * - - - - - - - 9288 BUCCAL FAT PAD (MAJOR REPAIR) - * - - - - - - - 9290 MAXILLECTOMY - ALVEOLUS ONLY, LEVEL I - * - - - - - - -

9292 - * - - - - - - -

9294 - * - - - - - - -

9296 - * - - - - - - -

9298 - * - - - - - - -

9300 - * - - - - - - -

REPAIR ANTERIOR TABLE, FRONTAL SINUS AND/OR SUPRAORBITAL RIM

REPAIR ANTERIOR AND POSTERIOR WALL W/ OBTURATION AND/OR CRANIALISATION OF FRONTAL SINUS

REPAIR MEDIAL CANTHAL LIGAMENT (CANTHOPEXY), PER SIDEOPEN REDUCTION AND FIXATION OF NASAL FRACTURES

MANIPULATION AND IMMOBILISATION OF NASAL FRACTURE

MAXILLECTOMY - ALVEOLUS AND SINUS OR NASAL FLOOR, LEVEL II

MAXILLECTOMY - ALVEOLUS, SINUS, NASAL FLOOR AND ZYGOMA EXCLUDING ORBITAL RIM LEVEL III

MAXILLECTOMY - ALVEOLUS, SINUS, NASAL FLOOR AND ZYGOMA INCLUDING ORBITAL RIM LEVEL IVMAXILLECTOMY - ALVEOLUS, SINUS, NASAL FLOOR, ZYGOMA, ORBITAL RIM AND PTERYGOID PLATES LEVEL V

HEMIRESECTION OF JAW INCLUDING CONDYLE AND CORONOID PROCESS

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9301 R 31.30 R 31.30 R 31.30 R 31.30 R 31.30 R 31.30 - R 31.30 -

9303 R 44.50 R 44.50 R 44.50 R 44.50 R 44.50 R 44.50 - R 44.50 - 9305 R 82.30 R 82.30 R 82.30 R 82.30 R 82.30 R 82.30 - R 82.30 -

9307 R 107.00 R 107.00 R 107.00 R 107.00 R 107.00 R 107.00 - R 107.00 - 9309 R 37.90 R 37.90 R 37.90 R 37.90 R 37.90 R 37.90 - R 37.90 - 9311 TRIMMING OF SUPPLIED MODEL, PER MODEL R 23.10 R 23.10 R 23.10 R 23.10 R 23.10 R 23.10 - R 23.10 - 9312 GINGIVAL TISSUE MASK PER IMPLANT R 177.90 R 177.90 R 177.90 R 177.90 R 177.90 R 177.90 - - - 9313 DUPLICATING MODEL, PER MODEL R 95.50 R 95.50 R 95.50 R 95.50 R 95.50 R 95.50 - - - 9314 REFRACTORY MODEL, PER UNIT R 93.90 R 93.90 R 93.90 R 93.90 R 93.90 R 93.90 - - -

9315 R 130.10 - - R 130.10 R 130.10 R 130.10 - R 130.10 -

9317 R 115.30 - - - R 115.30 R 115.30 - - -

9319 R 29.60 - - R 29.60 R 29.60 R 29.60 - R 29.60 -

9320 R 29.60 - - - R 29.60 R 29.60 - - - 9321 OCCLUSION BLOCK, PER BLOCK R 113.60 R 113.60 - - R 113.60 R 113.60 - R 113.60 - 9323 OCCLUSION BLOCK ON BASEPLATE, PER BLOCK R 143.30 - - - R 143.30 R 143.30 - - -

CASTING AND TRIMMING OF MODEL IN PLASTER (YELLOW/WHITE), PER MODEL

CASTING AND TRIMMING OF MODEL IN SUPER-HARD STONE (DIE-STONE) PER MODELCASTING AND TRIMMING OF STUDY MODEL, PER MODEL

CASTING AND TRIMMING OF GNATHOSTATIC MODEL, PER MODEL.NEW TRIMMED BASE TO SUPPLIED MODEL, PER MODEL

MODELS AND DUPLICATE MODELS (VIRGIN MODEL) FOR CROWN AND BRIDGE, WORK INCLUSIVE OF ONE REMOVABLE DIE

SECTIONAL MODELS FOR CROWN AND BRIDGE, WORK INCLUSIVE OF ONE REMOVABLE DIE

EACH ADDITIONAL REMOVABLE DIE FOR ITEMS 9315 AND 9317 PER DIE

INDEXED OR MODEL TRAY PER DIE (NOT MORE THAN 9319)

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9327 R 21.40 R 21.40 R 21.40 R 21.40 R 21.40 R 21.40 - R 21.40 - 9329 FIT AND SUPPLY OF DISPOSABLE ARTICULATOR R 56.00 - R 56.00 - R 56.00 R 56.00 - - -

9330 - - - - - - - - - 9331 FULL UPPER AND LOWER DENTURES R 1,528.30 R 1,528.30 - - R 1,528.30 R 1,528.30 - - - 9333 FULL UPPER OR LOWER DENTURE R 894.20 - - - R 894.20 R 894.20 - R 894.20 -

9335 R 527.00 - - - R 527.00 R 527.00 - - - 9337 R 352.40 - - - R 352.40 R 352.40 - - -

9339 R 937.10 - - - R 937.10 R 937.10 - - -

9341 R 523.70 - - - R 523.70 R 523.70 - - -

9343 R 1,492.10 - - - R 1,492.10 R 1,492.10 - - -

9345 R 21.40 - - - R 21.40 R 21.40 - - -

9346 R 11.50 - - R 11.50 R 11.50 R 11.50 - - -

9347 R 339.30 - - - R 339.30 R 339.30 - - - 9351 SET-UP AND FINISH OF ONE-TOOTH DENTURE R 410.10 - - R 410.10 R 410.10 R 410.10 - - -

INFECTION CONTROL PER IMPRESSION, DENTURE (WAX OR ACRYLIC) OR ANY ITEM IN CONTACT WITH BODY FLUIDS

DELIVERY / COLLECTION FEE PER COMPLETED PROCEDURE (MAXIMUM 4)

SET-UP AND WAXING OF FULL UPPER AND LOWER DENTURESSET-UP AND WAXING OF FULL UPPER OR LOWER DENTURE

WAXING AND FINISHING OF FULL UPPER AND LOWER DENTURES

WAXING AND FINISHING OF FULL UPPER OR LOWER DENTUREADDITIONAL FEE FOR DENTURES ON FULLY ADJUSTABLE ARTICULATOR AT REQUEST OF DENTIST

ADDITIONAL FEE FOR IMMEDIATE DENTURES, OR TOOTH SOCKETED

ADDITIONAL FEE FOR IMMEDIATE DENTURES, PER TOOTH NOT SOCKETED.

ADDITIONAL FEE FOR EACH RETRY FROM THE THIRD AND UPWARDS AT AN AGREED QUANTUM OF TIME TO BE CALCULATED AT HOURLY RATE

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9352 SET-UP AND FINISH OF TWO-TOOTH DENTURE R 436.40 - - R 436.40 R 436.40 R 436.40 - - -

9353 SET-UP AND FINISH OF THREE-TOOTH DENTURE R 467.70 - - R 467.70 R 467.70 R 467.70 - - -

9354 SET-UP AND FINISH OF FOUR-TOOTH DENTURE R 494.10 - - R 494.10 R 494.10 R 494.10 - - - 9355 SET-UP AND FINISH OF FIVE-TOOTH DENTURE R 533.60 - - R 533.60 R 533.60 R 533.60 - - - 9356 SET-UP AND FINISH OF SIX-TOOTH DENTURE R 637.30 - - R 637.30 R 637.30 R 637.30 - - -

9357 SET-UP AND FINISH OF SEVEN-TOOTH DENTURE R 757.60 - - R 757.60 R 757.60 R 757.60 - - -

9358 SET-UP AND FINISH OF EIGHT-TOOTH DENTURE R 803.70 - - R 803.70 R 803.70 R 803.70 - - - 9359 R 823.40 - - R 823.40 R 823.40 R 823.40 - - -

9361 SET-UP AND WAXING OF ONE-TOOTH DENTURE R 116.90 - - R 116.90 R 116.90 R 116.90 - - -

9362 SET-UP AND WAXING OF TWO-TOOTH DENTURE R 141.60 - - R 141.60 R 141.60 R 141.60 - - -

9363 SET-UP AND WAXING OF THREE-TOOTH DENTURE R 161.40 - - R 161.40 R 161.40 R 161.40 - - -

9364 SET-UP AND WAXING OF FOUR-TOOTH DENTURE R 187.70 - - R 187.70 R 187.70 R 187.70 - - -

9365 SET-UP AND WAXING OF FIVE-TOOTH DENTURE R 207.50 - - R 207.50 R 207.50 R 207.50 - - - 9366 SET-UP AND WAXING OF SIX-TOOTH DENTURE R 245.40 - - R 245.40 R 245.40 R 245.40 - - -

9367 R 270.10 - - R 270.10 R 270.10 R 270.10 - - -

SET-UP AND FINISH NINE OR MORE TOOTH DENTURE

SET-UP AND WAXING OF SEVEN-TOOTH DENTURE

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9368 SET-UP AND WAXING OF EIGHT-TOOTH DENTURE R 289.80 - - R 289.80 R 289.80 R 289.80 - - - 9369 R 309.60 - - R 309.60 R 309.60 R 309.60 - - - 9371 R 321.10 - - R 321.10 R 321.10 R 321.10 - - - 9372 R 327.70 - - R 327.70 R 327.70 R 327.70 - - - 9373 R 332.70 - - R 332.70 R 332.70 R 332.70 - - - 9374 R 339.30 - - R 339.30 R 339.30 R 339.30 - - - 9375 R 352.40 - - R 352.40 R 352.40 R 352.40 - - -

9376 WAXING AND FINISHING OF SIX-TOOTH DENTURE R 365.60 - - R 365.60 R 365.60 R 365.60 - - - 9377 R 456.20 - - R 456.20 R 456.20 R 456.20 - - - 9378 R 474.30 - - R 474.30 R 474.30 R 474.30 - - -

9379 R 500.60 - - R 500.60 R 500.60 R 500.60 - - -

9383 R 79.00 - - R 79.00 R 79.00 R 79.00 - - -

9385 R 149.90 - - R 149.90 R 149.90 R 149.90 - - -

9391 R 260.20 - R 260.20 R 260.20 R 260.20 R 260.20 - R 260.20 -

9393 R 80.70 - R 80.70 R 80.70 R 80.70 R 80.70 - - -

9395 R 92.20 - R 92.20 R 92.20 R 92.20 R 92.20 - - - 9397 R 98.80 - R 98.80 R 98.80 R 98.80 R 98.80 - - -

SET-UP AND WAXING OF NINE OR MORE TOOTH DENTUREWAXING AND FINISHING OF ONE-TOOTH DENTUREWAXING AND FINISHING OF TWO-TOOTH DENTUREWAXING AND FINISHING OF THREE-TOOTH DENTUREWAXING AND FINISHING OF FOUR-TOOTH DENTUREWAXING AND FINISHING OF FIVE-TOOTH DENTURE

WAXING AND FINISHING OF SEVEN-TOOTH DENTUREWAXING AND FINISHING OF EIGHTH-TOOTH DENTURE

WAXING AND FINISHING OF NINE OR MORE TOOTH DENTURE

ADDITIONAL FEE FOR FINISHING DENTURE IN TOOTH COLOUR MATERIAL, PER TOOTH

ADDITIONAL FEE FOR SUPPLYING FINISHED DENTURE ON DUPLICATE MODEL

BASIC CHARGE WHICH INCLUDES REPAIR OF ONE FRACTURE, OR ADDITION OF ONE TOOTH, OR ADDITION OF ONE CLASP

ADDITIONAL CHARGE FOR EACH ADDITIONAL FRACTURE, OR TOOTH, OR CLASP

ADDITIONAL FEE FOR USING WIRE STRENGTHENERADDITIONAL FEE FOR USING PRE-FORMED STRENGTHENER

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9398 R 156.40 - - R 156.40 R 156.40 R 156.40 - - - 9401 CLEAR BASE - - - - - - - - -

9403 R 146.60 - - R 146.60 R 146.60 R 146.60 - - -

9405 - - - - - - - - -

9406 - - - - - - - - - 9407 R 345.80 - - R 345.80 R 345.80 R 345.80 - - - 9409 FREGO FRAME R 149.90 - - R 149.90 R 149.90 R 149.90 - - - 9410 BLEACHING TRAY - - - - - - - - - 9411 TEMPLATE PER UPPER OR LOWER DENTURE R 413.40 - - R 413.40 R 413.40 R 413.40 - - - 9413 RELINE/REBASE OF SINGLE DENTURE R 520.40 - - R 520.40 R 520.40 R 520.40 - - - 9415 REMODEL OF SINGLE DENTURE R 800.40 - - R 800.40 R 800.40 R 800.40 - - - 9417 SOFT BASE RELINE PER DENTURE R 1,314.20 - - R 1,314.20 R 1,314.20 R 1,314.20 - - - 9419 SOFT BASE TO NEW DENTURE, PER DENTURE R 1,314.20 - - R 1,314.20 R 1,314.20 R 1,314.20 - - - 9421 GUM TINTING PER DENTURE - - - - - - - - - 9423 LINGUAL OR PALATAL BAR R 196.00 - R 196.00 R 196.00 R 196.00 R 196.00 - - -

9425 R 159.70 - - R 159.70 R 159.70 R 159.70 - - - 9427 MESH STRENGTHENER R 136.70 - - R 136.70 R 136.70 R 136.70 - - -

9429 R 339.30 R 339.30 - R 339.30 R 339.30 R 339.30 - - - 9431 SPECIAL TRAY, ACRYLIC, EACH R 128.50 - - R 128.50 R 128.50 R 128.50 - - -

ADDITIONAL FEE FOR USING MESH STRENGTHENER IN REPAIR PROCEDURE

DOX GRINDING OF UPPER AND LOWER DENTURES

INLAY TO ARTIFICIAL TOOTH, ONE SURFACE ONLY, PER INLAY

INLAY TO ARTIFICIAL TOOTH, MULTI-SURFACES E.G. HORSESHOE OR L-TYPE INLAY, PER INLAYHEKA BASE TECHNIQUE PER UPPER OR LOWER DENTURE

CLEANING AND POLISHING OF EXISTING DENTURE, PER DENTURE

THEATRE/ CONSULTATION OUT OF LABORATORY PER HOUR OR PART THEREOF

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9432 SPECIAL TRAY LIGHT CURE, EACH R 140.00 - - R 140.00 R 140.00 R 140.00 - - - 9433 SPECIAL TRAY IN BASE PLATE MATERIAL, EACH R 131.80 - - R 131.80 R 131.80 R 131.80 - - - 9435 R 67.50 - - R 67.50 R 67.50 R 67.50 - - - 9437 R 116.90 - - R 116.90 R 116.90 R 116.90 - - -

9439 R 151.50 - - R 151.50 R 151.50 R 151.50 - - -

9441 R 204.20 - - R 204.20 R 204.20 R 204.20 - - -

9443 R 87.30 - - R 87.30 R 87.30 R 87.30 - - -

9445 PROVISION OF REST ONLY TO PARTIAL DENTURE R 87.30 - - R 87.30 R 87.30 R 87.30 - - - 9447 CAST CLASP R 306.30 - - R 306.30 R 306.30 R 306.30 - - -

9448 R 56.00 - - R 56.00 R 56.00 R 56.00 - - -

9450 R 116.90 R 116.90 R 116.90 R 116.90 R 116.90 R 116.90 - - -

9451 - - - - - - - - -

9453 R 917.30 - - - R 917.30 R 917.30 - - -

9455 ADDITIONAL CHARGE FOR EACH ONE ARM CLASP R 37.90 - - - R 37.90 R 37.90 - - - 9457 ADDITIONAL CHARGE FOR EACH ROACH CLASP R 64.20 - - - R 64.20 R 64.20 - - -

PROVISION OF SINGLE ARM CLASP, TO PARTIAL DENTUREPROVISION OF DOUBLE ARM CLASP, TO PARTIAL DENTURE

PROVISION OF SINGLE ARM CLASP WITH REST, TO PARTIAL DENTURE

PROVISION OF DOUBLE ARM CLASP WITH REST, TO PARTIAL DENTURE

PROVISION OF PREFORMED ROACH CLASP, TO PARTIAL DENTURE

CASTING AND TRIMMING OF MODEL FROM IMPRESSION INSIDE OCCLUSION BLOCK OR WAX TRY IN

FINISHING OF ACRYLIC WORK ON ANY CHROME COBALT OR GOLD PROSTHESIS

METAL BASE FOR FULL UPPER OR FULL LOWER DENTURE EACH

BASIC CHARGE - WHICH EXCLUDES MODELS AND ANY SPECIAL TRAYS WHICH MAY BE REQUIRED BY THE DENTIST, BUT INCLUDES REFRACTORY MODEL

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9459 ADDITIONAL CHARGE FOR EACH REST R 34.60 - - - R 34.60 R 34.60 - - -

9461 R 37.90 - - - R 37.90 R 37.90 - - -

9463 R 88.90 - - - R 88.90 R 88.90 - - - 9465 ADDITIONAL CHARGE FOR PALATAL BAR R 141.60 - - - R 141.60 R 141.60 - - - 9467 ADDITIONAL CHARGE FOR ONLAY - - - - - - - - -

9469 R 62.60 - - - R 62.60 R 62.60 - - -

9471 R 36.20 - - - R 36.20 R 36.20 - - -

9473 R 62.60 - - - R 62.60 R 62.60 - - -

9475 R 42.80 - - - R 42.80 R 42.80 - - -

9479 R 126.80 - - - R 126.80 R 126.80 - - - 9480 R 110.30 - - - R 110.30 R 110.30 - - -

9481 R 154.80 - - - R 154.80 R 154.80 - - -

9483 R 187.70 - - - R 187.70 R 187.70 - - -

9485 R 57.60 - - - R 57.60 R 57.60 - - -

9487 ADDITIONAL CHARGE FOR EACH WELDING JOINT R 189.40 - - - R 189.40 R 189.40 - - -

ADDITIONAL CHARGE FOR CONTINUOUS CLASP, PER TOOTH

ADDITIONAL CHARGE FOR LINGUAL BAR, PER TOOTH PASSED

ADDITIONAL CHARGE FOR SADDLE WITH FINISHING LINE, PER TOOTH

ADDITIONAL CHARGE FOR SADDLE WITHOUT FINISHING LINE, PER TOOTH

ADDITIONAL CHARGE FOR HORSESHOE SADDLE, PER TOOTH

ADDITIONAL CHARGE FOR FITTING OF TOOTH TO METAL BACKING, PER TOOTH

ADDITIONAL CHARGE FOR FITTING ONE DISTAL-EXTENSION HINGEADDITIONAL CHARGE PER MILLED EDGE PER TOOTH

ADDITIONAL CHARGE FOR EACH SOLDERING JOINT

ADDITIONAL CHARGE FOR SOLDERING RETENTION

ADDITIONAL CHARGE FOR EACH ADDITIONAL RETENTION SOLDERING JOINT

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9489 ADDITIONAL CHARGE FOR FITTING SWING LOCK R 154.80 - - - R 154.80 R 154.80 - - -

9491 ADDITIONAL CHARGE FOR EACH BACKING CAST R 151.50 - - - R 151.50 R 151.50 - - -

9493 R 164.70 - - - R 164.70 R 164.70 - - -

9495 R 238.80 - - - R 238.80 R 238.80 - - -

9497 R 271.70 - - - R 271.70 R 271.70 - - - 9501 R 1,042.50 - - - R 1,042.50 R 1,042.50 - - - 9502 CERAMIC METAL SUBSTITUTE COPING R 841.50 - - - R 841.50 R 841.50 - - - 9505 CERAMIC BONDED CROWN OR PONTIC R 1,376.80 - - R 1,299.00 R 1,376.80 R 1,376.80 - R 1,376.80 - 9507 POST-SOLDER INVESTED JOINT, PER JOINT R 281.60 - - - R 281.60 R 281.60 - - - 9511 INLAY IN PORCELAIN VENEER CROWN R 454.50 - - - R 454.50 R 454.50 - - - 9512 CERAMIC, INLAY/ONLAY, BRIDGE RETAINER R 1,068.80 - - - R 1,068.80 R 1,068.80 - - -

9515 R 92.20 - - R 92.20 R 92.20 R 92.20 - - -

9520 R 44.50 - - - R 44.50 R 44.50 - - - 9521 R 851.40 - - - R 851.40 R 851.40 - - - 9524 INDIRECT COMPOSITE RESIN INLAY - - - - - - - - -

ADDITIONAL CHARGE FOR EACH STEELS BACKING OR PONTIC CAST (PLASTIC WORK TO BE CHARGED IN ADDITION)

BASIC FEE FOR THE REPAIRING OF OR ADDITION TO ANY APPLIANCE NECESSITATING THE CASTING OF A MODEL (9301)

BASIC FEE IF A NEW SECTION IS TO BE FABRICATED AND WHERE ITEM 9495 DOES NOT APPLY (9301)CERAMIC JACKET CROWN/CEROMER CROWN OR PONTIC

PORCELAIN SHOULDER PER UNIT (NOT APPLICABLE TO PONTICS)

ADDITIONAL FEE FOR CROWN- & BRIDGE WORK PERFORMED ON A MOVABLE CONDYLE ARTICULATOR PER UNITFULL METAL CROWN, MOD, THREE-QUARTER CROWN

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9525 CLASS IV, MO, DO, CERVICAL/OCCLUSAL INLAY R 701.60 - - - R 701.60 R 701.60 - - -

9526 R 214.10 - - - R 214.10 R 214.10 - - - 9531 PIN-LEDGE INLAY - - - - - - - - - 9533 FULL METAL PONTIC R 629.10 - - - R 629.10 R 629.10 - - - 9535 ABUTMENT THIMBLE CAST R 589.60 - - - R 589.60 R 589.60 - - - 9537 PRECISION LOCK AND REST CAST - - - - - - - - - 9538 LOCK AND REST CAST - - - - - - - - - 9539 CASTING OF REST ONLY R 238.80 - - - - - - - - 9541 METAL INLAY OR POST, CAST DIRECT - - - - - - - - - 9543 GOLD/PRE-SOLDER INVESTED JOINT - - - - - - - - - 9545 CAST POST WITH THIMBLE, INDIRECT R 420.00 - - - R 420.00 R 420.00 - - - 9546 MULTIPLE POST R 695.00 - - - R 695.00 R 695.00 - - -

9547 R 548.40 - - - R 548.40 R 548.40 - - - 9549 C.S.P. ATTACHMENT (STEIGER) R 1,851.10 - - - R 1,851.10 R 1,851.10 - - - 9550 MILLING MILLED EDGE PER UNIT R 589.60 - - - R 589.60 R 589.60 - - - 9551 TELESCOPE CROWN R 1,452.50 - - - R 1,452.50 R 1,452.50 - - - 9553 R 1,161.00 - - - R 1,161.00 R 1,161.00 - - -

9557 COMPOSITE/ACRYLIC JACKET CROWN, INDIRECT R 820.10 - - - R 820.10 R 820.10 - - - 9559 COMPOSITE/ACRYLIC VENEER POST CROWN R 1,147.90 - - - R 1,147.90 R 1,147.90 - - - 9560 INDIRECT COMPOSITE RESIN VENEER R 485.80 - - - R 485.80 R 485.80 - - - 9561 COMPOSITE/ACRYLIC JACKET CROWN, DIRECT R 559.90 - - - R 559.90 R 559.90 - - -

ADDITIONAL FEE FOR ONE PIECE CASTING OF CROWN OR INLAY ON POST

MANUFACTURE CAST POST AND CORE TO EXISTING CROWN

COMPOSITE/ACRYLIC VENEER CROWN/PONTIC, INDIRECT

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9563 R 400.20 - - - R 400.20 R 400.20 - - -

9564 - - - - - - - - - 9565 COMPOSITE/ACRYLIC-FACING REPLACED R 466.10 - - - R 466.10 R 466.10 - - - 9566 PORCELAIN/ CEROMER FACING REPLACED R 844.80 - - - R 844.80 R 844.80 - - - 9569 WAXING OF CROWN TO EXISTING DENTURE R 329.40 - - - R 329.40 R 329.40 - - -

9570 R 339.30 - - - R 339.30 R 339.30 - - -

9571 BASIC CHARGE WHICH INCLUDES ACRYLIC BASE R 416.70 R 416.70 R 416.70 R 416.70 R 416.70 R 416.70 - - - 9572 BASIC CHARGE NON ACRYLIC BASE R 200.90 - R 200.90 - R 200.90 - - - -

9573 R 79.00 - R 79.00 - R 79.00 - - - -

9575 R 67.50 - R 67.50 - R 67.50 - - - -

9576 ADDITIONAL FEE FOR FULL ACLUSAL BITE PLATE R 233.90 R 233.90 R 233.90 R 233.90 R 233.90 R 233.90 - - - 9577 ADDITIONAL FEE FOR BITE PLATE ANTERIOR R 79.00 R 79.00 R 79.00 - R 79.00 R 79.00 - - - 9578 ADDITIONAL FEE FOR BITE PLATE POSTERIOR R 79.00 R 79.00 R 79.00 - R 79.00 R 79.00 - - - 9579 ADDITIONAL FEE FOR FITTING TONGUE GUARD R 98.80 - R 98.80 - R 98.80 - - - -

9581 ADDITIONAL FEE FOR FLAT OR INCLINED PLANE R 60.90 - R 60.90 - R 60.90 - - - - 9583 ADDITIONAL FEE FOR ADAMS CRIB R 72.50 - R 72.50 - R 72.50 - - - - 9585 ADDITIONAL FEE FOR JACKSON CRIB R 75.80 - R 75.80 - R 75.80 - - - - 9587 ADDITIONAL FEE FOR BALL CLASP R 85.60 R 85.60 R 85.60 R 85.60 R 85.60 - - - -

TEMPORARY ACRYLIC/COMPOSITE CROWN PER UNITHEAT FORMED TEMPLATE SUPPLIED TO DENTIST FOR THE MANUFACTURE OF TEMPORARY RESTORATIONS

ADDITIONAL FEE FOR EACH REMAKE AT AN AGREED QUANTUM OF TIME TO BE CALCULATED AT AN HOURLY RATE

ADDITIONAL CHARGE FOR FITTING FIRST EXPANSION SCREW

ADDITIONAL FEE FOR FITTING SUBSEQUENT EXPANSION SCREWS

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9589 ADDITIONAL FEE FOR SINGLE ARM CLASP R 65.90 - R 65.90 - R 65.90 - - - - 9591 ADDITIONAL FEE FOR DOUBLE ARM CLASP R 115.30 - R 115.30 - R 115.30 - - - -

9593 R 54.30 - R 54.30 - R 54.30 - - - -

9595 R 64.20 - R 64.20 - R 64.20 - - - -

9597 R 47.80 - R 47.80 - R 47.80 - - - - 9599 ADDITIONAL FEE FOR FITTING APRON SPRING R 123.50 - R 123.50 - R 123.50 - - - - 9603 ADDITIONAL FEE FOR FITTING COFFIN SPRING R 118.60 - R 118.60 - R 118.60 - - - - 9605 ADDITIONAL FEE FOR FITTING QUAD HELIX R 131.80 - R 131.80 - R 131.80 - - - - 9607 R 98.80 - R 98.80 - R 98.80 - - - -

9609 R 110.30 - R 110.30 - R 110.30 - - - - 9611 ADDITIONAL FEE FOR FITTING LABIAL ARCH R 62.60 - R 62.60 - R 62.60 - - - - 9613 ADDITIONAL FEE FOR FITTING BUCCAL ARCH R 74.10 - R 74.10 - R 74.10 - - - - 9615 R 138.30 - R 138.30 - R 138.30 - - - - 9617 INVISIBLE RETAINER - - - - R 182.80 - - - -

9619 R 172.90 - R 172.90 - R 172.90 - - - - 9620 ADDITIONAL FEE LIP BUMPER R 72.50 - R 72.50 - R 72.50 - - - -

9621 ADDITIONAL FEE FOR FITTING EXTRA-ORAL ARCH R 164.70 - R 164.70 - R 164.70 - - - - 9622 R 72.50 - R 72.50 - R 72.50 - - - -

ADDITIONAL FEE FOR FITTING SINGLE LOOP FINGER SPRING

ADDITIONAL FEE FOR FITTING DOUBLE LOOP FINGER SPRING

ADDITIONAL FEE FOR FITTING BUCCAL RETRACTION SPRING

ADDITIONAL FEE FOR FITTING FLAPPER OR “T”-SPRING

ADDITIONAL FEE FOR FITTING ALL SPRINGS WITH TUBING, EACH

ADDITIONAL FEE FOR FITTING ROBERTS RETRACTOR

ADDITIONAL FEE FOR FITTING TWIN WIRE ARCH EXTRA-ORAL ARCH

ADDITIONAL FEE FOR FITTING SPACE MAINTAINER ARCH

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9623 R 32.90 - R 32.90 - R 32.90 - - - - 9625 ADDITIONAL FEE FOR EACH SOLDERING JOINT R 52.70 - R 52.70 - R 52.70 - - - - 9627 R 146.60 - R 146.60 - R 146.60 - - - - 9629 R 47.80 - R 47.80 - R 47.80 - - - - 9631 MOUTH PROTECTOR (GUM GUARD) - - - - R 309.60 - - - - 9633 ORAL SCREEN R 380.40 R 380.40 R 380.40 R 380.40 R 380.40 R 380.40 - - - 9635 ANDRESEN OR NORWEGIAN APPLIANCE R 680.20 R 680.20 R 680.20 R 680.20 R 680.20 R 680.20 - - - 9637 TOOTH POSITIONER R 783.90 - R 783.90 R 783.90 R 783.90 R 783.90 - - - 9639 GUNNING SPLINT R 1,044.10 R 1,044.10 R 1,044.10 R 1,044.10 R 1,044.10 R 1,044.10 - - - 9641 FRANKEL APPLIANCE R 1,007.90 - R 1,007.90 - R 1,007.90 - - - - 9643 CHIN CAP R 334.30 - R 334.30 - R 334.30 - - - - 9645 BIONATOR R 681.80 - R 681.80 - R 681.80 - - - - 9646 DIAGNOSTIC SET-UP - - - - R 655.40 - - - - 9647 SNORING APPLIANCE - - - - R 619.20 - - - -

9651 R 200.90 - R 200.90 - R 200.90 - - - -

9653 R 263.50 - R 263.50 - R 263.50 - - - -

9662 - - - - R 339.30 - - - - 9700 DIATORICS 1 X 6/8 R 164.80 R 164.80 - R 164.80 R 164.80 R 164.80 - R 164.80 - 9702 DIATORICS, ODDS, ANTERIOR R 56.00 - - R 56.00 R 56.00 R 56.00 - - -

ADDITIONAL FEE FOR EACH SPOT-WELDING JOINT

ADDITIONAL FEE FOR EACH INVESTED SOLDERING JOINTADDITIONAL FEE FOR EACH HOOK FOR ELASTIC TRACTION

PINCHED OR SWAGED BAND WITH WELDED ATTACHMENT (EXCLUDING COST OF ATTACHMENT)

PINCHED OR SWAGED BAND WITH SOLDERED ATTACHMENT

ADDITIONAL FEE FOR EACH REMAKE AT AN AGREED QUANTUM OF TIME TO BE CALCULATED AT AN HOURLY RATE

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9704 DIATORICS, ODDS, POSTERIOR R 56.00 - - R 56.00 R 56.00 R 56.00 - R 56.00 - 9706 COST OF BLEACHING TRAY MATERIAL - - - - - - - - - 9720 SOFT BASE MATERIAL PER DENTURE R 596.10 - - R 596.10 R 596.10 R 596.10 - R 596.10 - 9722 ACRYLIC PER DENTURE R 67.40 R 67.40 R 67.40 R 67.40 R 67.40 R 67.40 - - - 9724 - - - - - - - - - 9726 PREFORMED BALL OR ROACH CLASP R 11.60 R 11.60 R 11.60 R 11.60 R 11.60 R 11.60 - - - 9728 COST OF LINGUAL / PALATAL BAR R 135.00 - - - R 135.00 R 135.00 - - - 9729 COST OF MESH STRENGTHENER R 70.80 - - - R 70.80 R 70.80 - - -

9730 R 70.10 - - - R 70.10 R 70.10 - - -

9732 - - - - - - - - - 9734 - - - - - - - - - 9736 COST OF IMPLANT COMPONENTS - - - - - - - - - 9738 COST OF PREFORMED STRENGTHENER R 70.80 - - - R 70.80 R 70.80 - - - 9739 ADDITIONAL CHARGE GOLD PLATING - - - - - - - - - 9740 COST OF GOLD WIRE, PER GRAM - - - - - - - - - 9741 COST OF COBALT CHROME CASTING ALLOY R 112.00 - - - R 112.00 R 112.00 - - -

9742 R 1.24 - - - - - - - - 9744 COST OF PRECIOUS CASTING ALLOY - - - - - - - - - 9746 COST OF SEMI-PRECIOUS CASTING ALLOY - - - - - - - - - 9748 COST OF NON-PRECIOUS CASTING ALLOY R 126.90 - - R 126.90 R 126.90 R 126.90 - R 126.90 - 9752 COST OF PLATINUM FOIL - - - - - - - - -

COST OF PRECISION ATTACHMENT, PER ATTACHMENT

COST OF PRE-FABRICATED BURN-OUT COMPONENT, PER COMPONENT

COST OF OTHER ATTACHMENT COMPONENTS E.G. NYLON CAPS, SLEEVES ETCCOST OF DOLDER BAR AND CLIPS, PER GRAM OR PER CLIP

COST OF SPECIALISED COBALT CHROME CASTING METAL E G VITALLIUM, TITANIUM

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9754 COST OF GOLD SOLDER, PER GRAM - - - - - - - - - 9755 ETCHING FOR BONDING (METAL OR CERAMIC) - - - - - - - - - 9756 COST OF SILVER SOLDER, PER GRAM R 41.30 - - - R 41.30 R 41.30 - - - 9757 CEROMER MATERIAL - PER UNIT R 841.60 - - - R 841.50 R 841.60 - - - 9758 FIBER RE-ENFORCED MATERIAL PER UNIT R 277.30 - R 277.30 R 277.30 R 277.30 R 277.30 - - - 9760 COMPOSITE RESTORATION MATERIAL - - - - - - - - - 9761 CERAMIC MATERIAL R 1.24 - - - - - - - -

9762 R 24.60 - R 24.60 - R 24.60 - - - - 9763 ORTHODONTIC MATERIAL R 24.60 R 24.60 R 24.60 - R 24.60 - - - -

9764 R 24.60 - R 24.60 - R 24.60 - - - - 9765 PREFORMED COMPONENTS R 13.20 - R 13.20 - R 13.20 R 13.20 - - - 9766 COST OF EXPANSION SCREW, PER SCREW R 28.00 - R 28.00 - R 28.00 - - - - 9767 SOLDERING MATERIAL R 6.57 - R 6.57 - R 6.57 R 6.57 - - -

9768 - - - - - - - - - 9770 COST OF J-HOOK, PER HOOK R 26.30 - R 26.30 - R 26.30 - - - - 9772 COST OF LINGUAL BUTTONS, PER BUTTON R 26.30 - R 26.30 - R 26.30 R 26.30 - - - 9774 COST OF INVISIBLE RETAINER MATERIAL - - - - - - - - - 9775 R/A CASE - - - - - - - - - 9776 COST OF MOUTH PROTECTOR MATERIAL R 1.24 - - - - - - - - 9778 COST OF ARCH WIRE R 6.57 - R 6.57 - R 6.57 - - - - 9779 DUAL LAMINATE MATERIAL R 1.24 R 1.24 R 1.24 - - - - - -

COST OF ANTERIOR ORTHODONTIC ATTACHMENT, PER ATTACHMENT

COST OF POSTERIOR ORTHODONTIC ATTACHMENT, PER ATTACHMENT

COST OF BUCCAL TUBE/TRANSFER TUBE, PER TUBE

* Pre-authorisation is required for the dental code to attract benefit- No tariff amount is available

Denis Rates

TariffDescription 54 62 64 92 93 94 95 96 113

Denis shall be entitled to update the tariff schedule from time to time. The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

Trf Code

9780 - - - - R 518.80 - - - -

9782 - - - - R 433.10 - - - - 9783 IMPLANT STENT PER UNIT - - - - R 400.20 - - - - 9784 ALIGNMENT OF DOLDER BAR AND CLIPS - - - - R 546.80 - - - -

9786 R 235.50 - - R 235.50 R 235.50 R 235.50 - - -

9787 R 459.50 - - - R 459.50 R 459.50 - - -

9788 - - - - R 2,511.50 - - - -

9789 R 917.30 - - - R 917.30 R 917.30 - - -

POSITIONING AND FINISHING OF COMPLETE (MALE AND FEMALE) PRE FABRICATED BURN-OUT ATTACHMENT

POSITIONING AND SOLDERING OF COMPLETE (MALE AND FEMALE) PRECISION ATTACHMENT

TRIMMING, WAXING AND FINISHING OF IMPLANT ABUTMENT - CROWN AND BRIDGE WORK ONLY, PER ABUTMENT

WAXING, MILLING AND FINISHING OF A CUSTOM ABUTMENT

IMPLANT SUPERSTRUCTURE (EDENTULOUS CASES) INCLUDING PLACING OF PREFORMED PARTS, PER SECTION CAST

FINISHING OF PROSTHESIS ON IMPLANT STRUCTURE PER ARCH