Dental Price List

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ProceduresPrice
Examination / check-upRp 100.000
Filling
– CompositeStart from Rp. 400.000 / tooth
Teeth whiteningRp  2.300.000
– Laser whitening + cleaningRp  2.500.000
Extraction
– Adult extractionStart from Rp. 1.000.000 / tooth
– Child extractionStart from Rp.   500.000 / tooth
Denture
– 1st prosthetic toothRp  1.700.000
– Next prosthetic teethRp    200.000
– Full dentureRp  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-RayReferred to Siloam Hospital
Braces
– Regular metalRp  7.000.000
– Regular whiteRp 10.000.000
– Regular clearRp 12.000.000
– Self-ligating metalRp 12.000.000
-Self-ligating whiteRp. 14.000.000
Braces control per visitStart from Rp 100.000
Braces replacement
– Regular metalRp    100.000 / piece
– Regular whiteRp    200.000 / piece
– Regular clearRp    300.000 / piece
– Self-ligating metalRp    300.000 / piece
– Self-ligating whiteRp    500.000 / piece
Wire replacementRp    100.000 / jaw
Braces removalRp    500.000
Retainer for bracesRp    800.000 / jaw
Fake diamondRp    250.000 / treatment
Pola Teeth Whitening Home TreatmentRp.   300.000 / syringe
Rp 1.000.000 / 4 syringes
Rp   500.000 / impression
Bridge/Crown per tooth
– Porcelain fused metalRp  2.700.000
– E-maxRp  4.200.000
– ZirconiaRp  4.700.000
Veneer (per tooth)
– CompositeRp  1.300.000
– PorcelainRp  4.200.000