Dental Price List
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| Procedures | Price |
|---|---|
| Examination / check-up | Rp 100.000 |
| Filling | |
| - Composite | Start from Rp. 400.000 / tooth |
| Teeth whitening | Rp 2.300.000 |
| - Laser whitening + cleaning | Rp 2.500.000 |
| Extraction | |
| - Adult extraction | Start from Rp. 500.000 / tooth |
| - Child extraction | Start from Rp 200.000 / tooth |
| Denture | |
| - 1st prosthetic tooth | Rp 1.700.000 |
| - Next prosthetic teeth | Rp 200.000 |
| - Full denture | Rp 4.500.000 / jaw |
| Scaling (teeth cleaning) | Start from Rp 350.000 |
| Scaling (teeth cleaning + Aqua care) | Start from Rp 850.000 |
| Minor surgery (operculectomy,gingivectomy, abscess incision,etc) | Start from Rp 500.000 |
| X-Ray | Referred to Siloam Hospital |
| Braces | |
| - Regular metal | Rp 7.000.000 |
| - Regular white | Rp 10.000.000 |
| - Regular clear | Rp 12.000.000 |
| - Self-ligating metal | Rp 12.000.000 |
| -Self-ligating white | Rp. 14.000.000 |
| Braces control per visit | Start from Rp 100.000 |
| Braces replacement | |
| - Regular metal | Rp 100.000 / piece |
| - Regular white | Rp 200.000 / piece |
| - Regular clear | Rp 300.000 / piece |
| - Self-ligating metal | Rp 300.000 / piece |
| - Self-ligating white | Rp 500.000 / piece |
| Wire replacement | Rp 100.000 / jaw |
| Braces removal | Rp 500.000 |
| Retainer for braces | Rp 800.000 / jaw |
| Fake diamond | Rp 250.000 / treatment |
| Pola Teeth Whitening Home Treatment | Rp. 300.000 / syringe |
| Rp 1.000.000 / 4 syringes | |
| Rp 500.000 / impression | |
| Bridge/Crown per tooth | |
| - Porcelain fused metal | Rp 2.700.000 |
| - E-max | Rp 4.200.000 |
| - Zirconia | Rp 4.700.000 |
| Veneer (per tooth) | |
| - Composite | Rp 1.300.000 |
| - Porcelain | Rp 4.200.000 |