| 1. |
Fluorida topikal(setiap arkus) |
Topical fluoride(per arch) |
15 |
10 |
Percuma |
5 |
| 2. |
Pengapan fisur(setiap gigi) |
Fissure sealant(per tooth) |
15 |
10 |
Percuma |
5 |
| 3. |
Penskaleran mulut penuh dan penggilapan |
Full mouth scaling and polishing |
110 |
80 |
Percuma |
2 |
| 4. |
Pencabutan sebatang gigi kekal/ supernumerari/ akar tertinggal |
Extraction permanent tooth/supernumerary/ retained root |
25 |
20 |
Percuma |
1 |
| 5. |
Pencabutan gigi desidus(setiap gigi) |
Extraction deciduous(per tooth) |
20 |
15 |
Percuma |
1 |
| 6. |
Pembuangan melalui pembedahan(setiap gigi/ gigi terimpak mudah/ akar tertinggal) |
Surgical removal(per tooth/simple impacted tooth/retained root) |
225 |
80 |
15 |
15 |
| 7. |
Pembuangan gigi terimpak melalui pembedahan(setiap gigi) (rumit) |
Surgical removal of impacted tooth(per tooth) (complex) |
1200 |
400 |
50 |
50 |
| 8. |
Kawalan pendarahan selepas pencabutan |
Control of post extraction haemorrhage |
40 |
30 |
Percuma |
5 |
| 9. |
Komplikasi selepas pencabutan |
Post-extraction complication |
15 |
10 |
Percuma |
5 |
| 10 |
Operkulektomi gingiva |
Gingival operculectomy |
20 |
15 |
Percuma |
5 |
| 11 |
Pendawaian gigi(setiap arkus) |
Dental wiring(per arch) |
40 |
30 |
Percuma |
15 |
| 12 |
Tampalan gigi kekal(satu permukaan) |
Restoration of permanent tooth(one surface) |
40 |
30 |
Percuma |
2 |
| 13 |
Tampalan gigi kekal(permukaan berganda/
dengan pin pegangan) |
Permanent tooth restoration (multiple surfaces/with pin retention) |
50 |
40 |
Percuma |
2 |
| 14 |
Tampalan gigi desidus |
Deciduous tooth restoration |
20 |
15 |
Percuma |
2 |
| 15 |
Tampalan sementara |
Temporary restoration |
20 |
15 |
Percuma |
2 |
| 16 |
Inlai (setiap gigi)(tidak termasuk harga logam) |
Inlay (per tooth)(not inclusive of metal charge) |
60 |
45 |
Percuma |
3 |
| 17 |
Korona (setiap gigi)(termasuk korona sementara, tetapi tidak termasuk caj logam) |
Crown (per tooth)(including temporary crown but not inclusive of metal charge) |
100 |
75 |
Percuma |
3 |
| 18 |
Jambatan(setiap gigi tupang termasuk tampalan sementara tetapi tidak termasuk caj bahan dan makmal) |
Bridge(per abutment teeth including provisional restoration but not inclusive of material and lab charges) |
100 |
75 |
Percuma |
50 |
| 19 |
Rawatan kanal akar(gigi anterior) |
Root canal treatment(anterior tooth) |
75 |
60 |
Percuma |
4 |
| 20 |
Rawatan kanal akar(gigi posterior) |
Root canal treatment(posterior tooth) |
150 |
115 |
Percuma |
4 |
| 21 |
Pengapeksan(setiap gigi) |
Apexification(per tooth) |
100 |
75 |
Percuma |
4 |
| 22 |
Pemberhentian resorpsi gigi(setiap gigi) |
Arrest of tooth resorption(per tooth) |
75 |
60 |
Percuma |
40 |
| 23 |
Pulpotomi korona(setiap gigi kekal) |
Coronal pulpotomy(per permanent tooth) |
75 |
60 |
Percuma |
4 |
| 24 |
Pulpotomi(setiap gigi desidus) |
Pulpotomy(per deciduous tooth) |
75 |
60 |
Percuma |
4 |
| 25 |
Pulpektomi(setiap gigi desidus) |
Pulpectomy(per deciduous tooth) |
100 |
75 |
Percuma |
4 |
| 26 |
Ekstirpasi pulpa(setiap gigi) |
Pulp extirpation(per tooth) |
25 |
20 |
Percuma |
4 |
| 27 |
Pelunturan gigi (eksternal)(setiap rahang) |
Tooth bleaching (external)(per arch) |
– |
– |
– |
500 |
| 28 |
Pelunturan gigi (internal)(setiap gigi) |
Tooth bleaching (internal)(per tooth) |
– |
– |
– |
50 |
| 29 |
Mikrolelasan(setiap gigi) |
Microabrasion(per tooth) |
– |
– |
– |
50 |
| 30 |
Penyahpekaan(setiap arkus) |
Desensitisation(per arch) |
– |
– |
– |
20 |
| 31 |
Pembentukan gigi palsu penuh tidak termasuk logam(setiap rahang) |
Full denture construction not inclusive of metal(per jaw) |
225 |
170 |
25 |
50 |
| 32 |
Pembentukan sebahagian gigi palsu tidak termasuk logam(setiap rahang) |
Partial denture construction not inclusive of metal(per jaw) |
100 |
75 |
5 |
10 |
| 33 |
Penambahan setiap gigi akrilik |
Addition of each acrylic tooth |
15 |
10 |
1 |
2 |
| 34 |
Pembaikan dentur tanpa mengganti plat landas |
Denture repair without changing the base plate |
35 |
30 |
1 |
2 |
| 35 |
Pembaikan dentur(penambahan setiap gigi akrilik) |
Denture repair(addition of each acrylic tooth) |
15 |
10 |
1 |
2 |
| 36 |
Lapikan semula/ landasan semula (setiap dentur) |
Relining/rebasing(per denture) |
60 |
45 |
Percuma |
30 |
| 37 |
Impresi bagi model kerja(setiap set) |
Impression for working model(per set) |
– |
– |
– |
40 |
| 38 |
Splin lembut |
Soft splint |
25 |
20 |
Percuma |
15 |
| 39 |
Splin keras |
Hard splint |
100 |
75 |
Percuma |
50 |
| 40 |
Splin lain |
Other splint |
25 |
20 |
Percuma |
10 |