Dental Price List

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Procedure Price
Examination Rp   150.000
Filling Composite Rp   450.000/tooth
– Small Rp   600.000/tooth
– Medium Rp   800.000/tooth
– Large Rp 1.500.000/tooth
– Extra Large Rp  2.900.000
Teeth Whitening Rp  2.650.000
Teeth Whitening + Cleaning Rp  2.900.000
Extraction  
– Adult Extraction Start from Rp. 1.200.000 / tooth
– Child Extraction Start from Rp.   250.000 / tooth
Denture  
– 1st Prosthetic Tooth Start from Rp  2.000.000
– Next Prosthetic Tooth Rp   250.000
– Full Denture Rp  4.600.000 / jaw
Scaling by nurse Start from Rp 400.000
Aquacare by nurse Start from Rp 600.000
Scaling by dentist Start from Rp 800.000
Aquacare by dentist Start from Rp 1.200.000
Minor Surgery (operculectomy,gingivectomy, abscess incision,etc) Rp 1.200.000
Periapical X-Ray Rp    200.000
Braces  
– Regular Metal Rp  8.000.000
– Regular Clear Rp 12.000.000
– Self-Ligating Metal Rp 14.000.000
– Self-Ligating Clear Rp 18.000.000
– Self-Ligating Damon System Metal Rp 20.000.000 – Rp 25.000.000
– Self-Ligating Damon System Clear Rp 25.000.000 – Rp 30.000.000
– Clear Aligner Start from Rp 18.000.000
Braces Control per Visit Start from Rp 200.000
Braces Replacement  
– Regular Metal Rp    150.000 / piece
– Regular White Rp    250.000 / piece
– Regular Clear Rp    350.000 / piece
– Self-Ligating Metal Rp    350.000 / piece
– Self-Ligating White Rp    500.000 / piece
Wire Replacement Rp    850.000 / jaw
Braces Removal Rp    500.000
Retainer for Braces Rp   900.000 / jaw
Night Guard Rp    900.000
Fake Diamond Rp    300.000
Bridge/Crown (per Tooth)  
– Porcelain Fused Metal Rp  3.000.000
– E-Max Rp  5.000.000
– Zirconia Rp  5.500.000
Veneer (per Tooth)  
– Composite Rp  1.500.000
– Porcelain Rp  5.000.000
Mock Up Rp  600.000
Impression Clear RA/RB Rp  600.000
Implant
Dental Implant Start from Rp 15.000.000/tooth
Bone Graft Start from Rp   5.000.000/tooth
Apex Resection Start from Rp   5.000.000/tooth
Open Method Start from Rp   2.500.000/tooth
Odontectomy Start from Rp   2.500.000/tooth