K. M. SHAH DENTAL COLLEGE & HOSPITAL Department Wise Treatment Charges

* Camp patients will be charged 25% less

* Full mouth Dentures are free for senior citizens

ORAL Medicine & Radiology

SR TREATMENT NAME charges 1 BIOPSY under L. A. 100

2 BITE - WING X - RAY 25

3 BLANK CD 15

4 Digital Cephalogram - With Digital Print 250

5 Digital Cephalogram - Without Digital Print - ONLY IMAGE 100

6 Digital OPG - W/O Print - ONLY IMAGE 100

7 Digital OPG - With Digital Print 200

8 Intra Oral Bitewing Rediograph 25

9 Intra Oral Photograph 50

10 IOPA (Intra Oral Periapical Radiograph) 25 11 Lat. Ceph (Lateral Cephalogram ) 200 12 Lateral Oblique view of mandible 70 13 Lateral Skull Extra Oral Radiograph 75

14 O.P.D. 0 15 Occlusal Radiograph 75 16 OPG (Orthopantomogram) 150 17 PA Mandible Extra Oral Radiograph 75

18 PA Skull Extra Oral Radiograph 75 19 PA Water view Extra Oral Radiograph 75 20 PNS (Digital Image) 100 21 PNS (Digital Print) 200

22 Radio visio graphy 25 23 Refund 0 24 Sialography with Pre & Post X-ray-One Gland 500 25 Sub-Mento Vertex Extra Oral Radiograph 75

26 TMJ Radiographs - Digital Image 100

27 TMJ Radiographs - Digital Print 200

28 Vitality Test with pulp tester (per tooth) 0

TOTAL TREATMENT ARE

ORAL & Maxillofacial Surgery SR TREATMENT NAME charges 1 Alveoplsty 50

2 Apicoectomy with R.C.T. 600 3 Bilataral Sagittal Split osteotomy 5000 4 BIOPSY under L. A. 100 5 Blepharoplasty 700

6 BRIDGE CERAMIC CAP 2000 7 Capsulorraphy 2000 8 cleft lip repiar 1000 9 cleft palate repair 1000

10 Crown - PFM 1000 11 Direct Synus lift Procedure 18000 12 Diskectomy 2000 13 eminectomy 1000

14 Extra oral FIXATION 1000 15 FIXATION with Bone plasting (S.S.) 750 16 FIXATION with Bone plasting (Titanium) 250 17 FIXATION with Krisner wire 750

18 Frenectomy 150 19 Frenotomy 150 20 gap arthoplasty for TMJ ankylosis 1500 21 Genioplasty 700

22 Grafting - Bone Depends on type of case 23 Hemisection 150 24 Implant with Cap 12000 25 Implantation - Dental 10000

26 Incision & drainage of space abscess G.A. 1000 27 Incision & drainage of space abscess L.A. 300 28 Indirect Sinus Lift with Grafting Depends on type of case 29 Intemaxillary FIXATION 500

30 Laser 500 31 Lefort 1 Oseteotomy 2000 32 Lefort 2 Oseteotomy 2000 33 Lip Reconstruction / Cheloplasty 1000

34 Malignancy 3500 35 Minor Surgery Cyst Eneuclation 700 36 O.P.D. 0 37 OSMF 1000

38 Other Major Surgical procedure under G.A. Depends on type of case 39 Otoplasty 700 40 Reduction of Nasal fracture 1000 41 Reduction of Zygormatic fracture 2500

42 Refund 0 43 Reimplantation of tooth with fixation 750

44 Reimplantation with RCT 700 45 Removal - Tumour 700 46 Removal of Plate 400 47 Rhinoplasty 700

48 Ridge Augmentation 700 49 Rivision of soft tisue trauma with Dressing and Suturing 200 50 S.S. Recontruction Plat 5000 51 Segmantal Resection of the part 1500

52 Sequestractomy 1000 53 Sequestractomy with decortication 1500 54 sialedenectomy 1500 55 Sialolithiotomy 750

56 Sialolithiotomy (Ccsmetic Surgery) 1000 57 Simple archbar FIXATION of single arch 1500 58 Simple extraction of mobile tooth (per tooth) 0 59 Skin Grafting 3000

60 Surgical Enucleation 300 61 Surgical exraction of / Removal of Rootpieces other than third molar with

suturing 50

62 Surgical exraction of impacted third canine - Exposure 250 63 Surgical exraction of impacted third molar 150 64 Surgical Lysis of Fibrus Bands 6000

65 surgical recontouring 1000 66 surgical removal of tumor 1000 67 Titanium Reconstruncion Plat 7500 68 Vestibuloplasty 700

Conservative Dentistry & Endodontics SR TREATMENT NAME charges 1 Apicoectomy with R.C.T. 600 2 Apicoectomy without R.C.T. 350

3 Bleaching - At Home 400 4 Bleaching - At Office 450 5 Bleaching - Non Vital 400 6 Bleaching For Each Sitting 100

7 Cavity Restoration with S.F. (per tooth) 50 8 Composite Splinting 100 9 Crown - Ceramic (Metal free ceramic crown) 2000

10 Crown - Ni Cr 300

11 Crown - PFM 1000 12 Crown - PFM with Metal Backing(Ceramic facing) 600 13 Extraction Replantation + rct 150 14 Fixation with Retainer Depends on type of case

15 Hemisection 150 16 Home Bleeching with tray construction 1000

17 Implantation - Endodontics 1500 18 Inlays - Cast Restoration 300

19 Inlays - Ceramic 1000 20 Inlays - Composite 300 21 Inlays - Metal 400 22 Microabrasion 150

23 O.P.D. 0 24 Onlays - Cast Restoration 300 25 Onlays - Ceramic 1500 26 Onlays - Ni Cr 300

27 Onlays – Metal 400 28 Pit and Fissure Sealants 100 29 Post & Core - FRC Post 250 30 Pre Febricated - Esthetic 400

31 Pulp Capping - Direct 50 32 Pulp Capping - Indirect 50 33 Pulpotomy 100 34 Refund 0

35 Reimplantation with RCT 700 36 Restoration - Composite Resin 150 37 RESTORATION - Full Crown - Ceramic 1000 38 RESTORATION - Full Crown - Metal 300

39 Restoration - G.I.C. 75 40 Restoration-MTA(MineralTrayoxideAggreagate) 900 41 Restoration-Post & Core-Castable 300 42 Restoration-Post & Core-Prefabricated 1000

43 Restoration-Silver Amalgam 0 44 Restoration-Z.O.E. 0 45 Root Canal Tretment (R.C.T) 250 46 Root Canal Tretment (R.C.T) - Single Visit 450

47 Splinting - Composite 350 48 Surgical Endodonitcs - Transplantation 500 49 Surgical Endodontics - Apicoectomy 500 50 Surgical Endodontics - Hemisection 500

51 Surgical Endodontics - Replantation 500 52 Veneering - Ceramic (Porcelain) 1000 53 Veneering - Composite 500 54 Veneering - Composite - Indirect 700

TOTAL TREATMENT ARE 54

Prosthodontics and Crown & Bridge

SR TREATMENT NAME charge rate 1 Acrylic Partial Prosthesis Plate 50 2 Additional Payment 0

3 Apicoectomy without R.C.T. 350 4 Bleaching - At Home 400 5 Bleaching - At Office 450

6 Bleaching For Each Sitting 100 7 Bridges All Ceramic (1/unit) 1500

8 Bridges All Metal (1/unit) 300 9 Bridges Complete Acrylic (1/unit) 50

10 Bridges Fiber Reinforced Composite (1/unit) 1000 11 Bridges Metal with Acrylic (1/unit) 300

12 Bridges Metal with Ceramic (1/unit) 1000 13 Bridges Metal with Composite (1/unit) 1000 14 Cast Partial denture 850 15 Cast partial denture plate per tooth 2500

16 Cavity Restoration with S.F. (per tooth) 50 17 Complete Denture (Single arch) 400 18 Crown - Acrylic 50 19 Crown - Ceramic (Metal free ceramic crown) 2000

20 Crown - Metal 300 21 Crown - Metal with Acrylic 300 22 Crown - Metal with Ceramic 1000 23 Crown - Metal with Composite 1000

24 Crown - Ni Cr 300 25 Crown - PFM 1000 26 Custom Made - Cast metal 300 27 Custom Vaccum Tray 50

28 Custome Made - All ceramic 1000 29 Denture Rebasing 200 30 Denture Relining 150 31 Denture Repair 50

32 Extraction Replantation + rct 150 33 Full mouth complete denture H.Q. 1500 34 Full mouth complete denture L.Q. 750 35 Hemisection 150

36 Home Bleeching with tray construction 1000 37 Inlays - Cast Restoration 300 38 Inlays - Ceramic 1000 39 Inlays - Composite 300

40 Inlays - Metal 400 41 LAMINATES & VENEERS - PORCELAIN (1/ UNIT) 1000 42 MAXILLOFACIAL PROSTHETICS 750 43 O.P.D. 0

44 Onlays - Cast Restoration 300 45 Onlays - Ceramic 1500 46 Onlays – Metal 400 47 Pre Febricated - Brass 300

48 Pre Febricated - Carbon Fiber 800 49 Pre Febricated - Ceramic 1000 50 Pre Febricated - Glass Fiber 800 51 Pre Febricated - Stainless steel 200

52 Pre Febricated - Titanium 500 53 Pulp Capping - Direct 50

54 Pulp Capping - Indirect 50 55 Recementation 50

56 Refund 0 57 Removable Partial Prosthesis / Removable Space maintainers 750 58 Removable Partial Prosthesis Every Ad. Tooth 20 59 Removal of Prosthesis(Crown, Quack,FPD) per Tooth 50

60 Restoration - Composite Resin 150 61 Restoration - G.I.C. 75 62 Restoration-MTA(MineralTrayoxideAggreagate) 900 63 Restoration-Post & Core-Castable 300

64 Restoration-Post & Core-Prefabricated 1000 65 Restoration-Silver Amalgam 0 66 Restoration-Z.O.E. 0 67 Root Canal Tretment (R.C.T) 250

68 Single All Acrylic Complete Denture 400 69 Single Metallic denture base with metal occlusal Complete Denture 850 70 Surgical Endodonitcs - Transplantation 500 71 Surgical Endodontics - Apicoectomy 500

72 Surgical Endodontics - Hemisection 500 73 Surgical Endodontics - Replantation 500 74 U/L Ivoclar Complete Denture 2000 75 U/L Conventional Complete Denture 750

76 U/L High Impact Complete Denture 1000 77 U/L Lucitone Complete Denture 1500 78 Veneering - Ceramic (Porcelain) 1000

Paedodontics & Preventive Dentistry

SR TREATMENT NAME charges 1 Acrylic Partial Prosthesis Plate 50

2 Bleaching - Non vital - Pedo 150 3 Bleaching - Vital - Pedo 150 4 Crown - Post & Core 250 5 Crown - Stainless Steel (S.S.) 200

6 Crown - Strip 100 7 Extraction of Deciduous Teeth 10 8 Fixed Space Maintainers 250 9 Grinding of Supernumery / Fused / Accessory cusp 20

10 IOPA (Intra Oral Periapical Radiograph) 25 11 Minor Surgeries 300 12 O.P.D. 0 13 O.P.D. Old 0

14 Pit and Fissure Sealants 100 15 Pulp Capping - Direct 50 16 Pulp Capping - Indirect 50 17 PULPECTOMY 150

18 Pulpotomy - Pedo 50 19 R.C.T. - B. M. P. 50

20 R.C.T. - Obturation 100 21 R.C.T. - R.C. (Access) Opening 100

22 Refund 0 23 Removable Orthodontics Appliance 200 24 Removable Partial Prosthesis Every Ad. Tooth 20 25 Restoration - Composite Resin 150

26 Restoration - G.I.C. 75 27 Restoration-Silver Amalgam-Pedo 50 28 Restoration-Z.O.E. 0 29 Root Canal Tretment (R.C.T) 250

30 Scaling - Ultrasonic(Pedo) 50 31 Treatment of Child under G.A. 1000 32 Veneering - Composite 500

Oral Pathology and Microbiology

SR TREATMENT NAME charges

1 BLOOD GROUP 20 2 BT-CT 10 3 DC 15

4 ESR 10 5 HB 10 6 RBC-COUNT 15 7 RBS-RUS (BLOOD SUGAR) 25

8 Refund 0 9 TC 15

Orthodontics & Dentofacial Orthopaedics

SR TREATMENT NAME charge 1 Additional Payment 0 2 Bracket Repair 0

3 Ceramic Brackets 9000 4 Extra 0 5 Extra oral head cap application & chin cup 1200 6 Lingual Orthodontics 9000

7 MBT Brackets 6000 8 Myfunctional appliances 1500 9 O.P.D. 0

10 Ortho Appliance - Fixed - Beggs technique 3000

11 Ortho Appliance - Fixed - Straight wire technique 6000 12 Ortho Appliance - Removable with Expansion Screw 1000 13 OrthoAppliance-Fixed-StraightWireTechnique-JasperJumper 2500 14 Orthodontic Appliance - Removable 750

15 Refund 0

Periodontics & Oral Implantology

SR TREATMENT NAME charge 1 Crown - Lentghening 150

2 Curettage 150 3 Depigmentation 150 4 Fibrotomy - Supracerstal 150 5 Flap Surgery 300

6 Flap Surgery - Coronally Repositioned 300 7 Flap Surgery - Lateral Pedicle 500 8 Flap Surgery - Modified Apically Repositioned 500 9 Flap Surgery - Modified Widman 300

10 Flap Surgery - Papilla Preservation 300 11 Flap Surgery - Periocoronal 150 12 Frenectomy 150 13 Frenotomy 150

14 Gingival Curettage P/S 150 15 Gingivectomy 150 16 Gingivoplasty 150 17 Grafting - Bone 500

18 Grafting - Connective tissue 500 19 GTR per defect 1000 20 Hemisection 150 21 Implantation - Dental 10000

22 Laser 500 23 O.P.D. 0 24 Open flap surgery P/S 100 25 Refund 0

26 Ridge Augmentation 700 27 Scaling - Hand 0 28 Scaling - Hand 0 29 Scaling - Ultrasonic(Perio) 75

30 Single segment Scaling ultrasonic scaler 75 31 Splinting 150 32 Splinting - Composite 350 33 Splinting - Fiber 500

34 Surgery with electric cautery unit P/S 100 35 Vestibuloplasty 700 36 Vestibulor Extention 150