State Autonomous health institution

“Children's clinical dental polyclinic №2”

(SAHI "Children's clinical dental polyclinic N2")

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Treatment-and-prophylactic Department

Price list for outpatient dental services for children

Service code

Types of jobs

Price, rub.)

1. General types of work

В01.064.003

2001

Primary reception (examination, consultation) of a pediatric dentist

408.00

В01.064.004

2002

Reception (examination, consultation) of a pediatric dentist

306.00

В01.064.003

2003

Primary reception (examination, consultation) of a pediatric dentist. Professor's advice

612.00

В01.003.004.004

2005

Anesthesia application

126.48

А16.07.053

2009

Removal of an artificial crown (help with acute pain)

326.4

A17.07.003

2010

Diathermocoagulation of one gingival papilla, contents of one canal

204.00

A16.07.091

2011

Removing a filling

408.00

A16.07.092

2012

Trepanation of a tooth, an artificial crown

195.84

A05.07.001

2013

Electroodontometry of the tooth

171.36

А06.30.002

2015

Description and interpretation of radiographic images

102.00

А25.07.001

2016

Prescribing drugs for diseases of the oral cavity and teeth

102.00

А16.07.082

2017

Grinding hard tooth tissues

102.00

А03.07.001

2018

Fluorescent stomatoscopy

257.04

А16.07.025.001

2019

Selective tooth polishing

81.60

А16.07.051

2020

Overlay minidam, quickdam

204.00

A11.07.022

2022

Application of the drug to the oral mucosa

183.60

A12.07.003

2023

Determination of oral hygiene indices

248.88

A12.07.004

2024

Determination of periodontal indices

310.08

A16.07.019

2025

Temporary splinting for periodontal disease

807.84

А12.07.001

2026

Vital staining of dental hard tissues

142.80

A13.30.007

2027

Oral hygiene education

354.96

А16.07.051

2029

Professional oral and dental hygiene (one quadrant)

816.00

A11.07.022

2030

Application of the drug to the oral mucosa

102.00

A11.07.024

2031

Local application of remineralizing preparations in the area of ​​the tooth

285.60

A11.07.012

2032

Deep fluoridation of tooth enamel

40.80

2. Types of work at a therapeutic appointment

A16.07.057

2101

Sealing the fissure of a tooth with a sealant

204.00

A11.07.023

2102

Application of the tooth silvering method

359.04

A16.07.002.001

2104 .

Restoration of a tooth with a filling using dental cements for defects of I, V, VI class according to Black

408.00

A16.07.002.003

2105

Restoration of a tooth with a filling with a violation of the contact point made of cement with defects of II, III class according to Black

612.00

A16.07.002.005

2106

Restoration of a tooth with a cement filling for defects of class IV according to Black

816.00

А16..07.002.002

2109

Restoration of a tooth with a filling made of chemically cured composites: I, V, II, III. IV, V class according to Black

510.00

A16.07.002.011

2110

Restoration of a tooth with a filling from photopolymers: I, V, II, III. IV, V class according to Black

510.00

А16.07.030.003

2107

Temporary root canal filling

204.00

A11.07.027

2108

Application of devitalizing paste

12.24

A16.07.002.009

2114

Removing a temporary filling

102.00

A16.07.010

2115

Pulp extirpation

187.68

A16.07.002.009

2116

Placement of a temporary filling

510.00

А16.07.009

2117

Pulpotomy (amputation of the coronal pulp)

85.68

A16.07.030.001

2118

Instrumental and medical treatment of one well-permeable root canal

375.36

А16.07.030.002

2119

Instrumental and medical treatment of a poorly passable root canal

697.68

А16.07.082.001

2121

Root canal unsealing previously treated with paste (1 canal)

816.00

А16.07.082.002

2124

Root canal unsealing previously treated with phosphate cement, resorcinol-formalin method, thermophile (1 channel)

1448.40

А22.07.002

2126

Ultrasonic removal of supragingival and subgingival plaque in the area of ​​one tooth

70.6

A16.07.008.002

2127

Root canal filling with gutta-percha pins

600.10

A16.07.020.001

2128

Removal of supragingival and subgingival plaque in the area of ​​one tooth by manual method

113.00

A15.07.003

2136

The imposition of a medical bandage for diseases of the oral mucosa and periodontal disease in the area of ​​one jaw

353.00

А16.07.053

2137

Installation of a standard metal crown

1030.00

 

The code

Name of materials used

Price, rub.)

Materials for prevention

3038

Application of the drug "Fluocal" on 1 milk tooth

39r.00k

3039

Application of the drug "Fluocal" on 1 permanent tooth

78r.00k.

3003

Application of "Bifluoride" varnish on 1 tooth

173r.00k.

3004

Sealing with "Fissurit R" 1 tooth

646r.00k.

3005

Sealing with “Fissurit R” material for 1 tooth with stitching

850r.00k.

3006

Sealing with AHfilLC material (PHOTO) of one tooth

506r.00k.

3007

Sealing with AHfilLC material (PHOTO) of one tooth with jointing

710r.00k.

3008

Sealing with AHfil+ on one tooth

459r.00k.

3009

Sealing with «AHfil+» material of one tooth with jointing

663r.00k.

3012

Sealing with Filtek Ultimate 1 tooth

549r.00k.

3013

Sealing with Filtek Ultimate 1 tooth with expansion

689r.00k.

3021

Sealing with “X-flow” material of 1 tooth with jointing

575r.00k.

3022

The use of the material "SDR" for sealing one fissure

545r.00k.

3027

Sealing with Vetrimer material for 1 tooth with stitching

1134r.00k.

3028

Sealing with Fuji IX 1 tooth

517r.00k.

3029

Sealing with "Fuji IX" material 1 tooth with stitching

721r.00k.

3030

The use of the drug "Ikon"

3590r.00k.

3031

Treatment of one tooth using the Pro-zone device

492r.00k.

3032

Sealing with "VertiseFlowRefill"

601r.00 k.

3033

Sealing with "VertiseFlowRefill" with stitching

794r.00k.

3035

Application of the drug "Dyurafat" on 1 permanent tooth

62r.00k.

3036

Application of the drug "Dyurafat" on 1 milk tooth

56r.00k.

3037

Using the apparatus "ProfidentKaVo" (2 jaws) for professional oral hygiene

1363r.00k.

 

Sealing with Brightlight Flow material

474.00

 

Sealing with Brightlight Flow material with stitching

540.00

Materials for root canal treatment

3101

Filling of 1 canal with Endomethasone paste

518r.00k.

3109

Filling of 1 root canal with Endofill paste

472r.00k.

3110

Filling of 1 root canal with Calasept paste

4311r.00k.

3111

Filling of 1 root canal with Forfenan paste

114r.00k.

3102

The use of the material "Metapex" for filling one canal

445r.00k.

3103

Filling of 1 root canal with "Metapasta" paste

310r.00k.

Gasket materials

3010

Insulation with AHfilLC material (PHOTO)

225r.00k.

3011

Insulation with AHfil+ material

165r.00k.

3040

Insulation with Vertise Flow Refill

590r.00k.

3201

Insulation with Fuji cement IX

238r.00k.

3202

Estelight Sigma Quick Flow

468r.00k.

3204

Coating with "Dykal" material

227r.00k.

3209

Coating with Pulpotek material (baby tooth)

313r.00k.

3217

Coating with Pulpotek material (permanent tooth)

385r.00k.

3211

Insulation material "Ionosit"

380r.00k.

3213

Isolation with X-flow 1 tooth

537r.00k.

3214

Insulation with Vetrimer material

522r.00k.

3210

Insulation with SDR 1 tooth

488r.00k.

3215

Coating with Pro Root MTA

878r.00k.

3216

Insulation with Filtek Ultimeyt 1 tooth

485r.00k.

 

Insulation material "Brightlight Flow"

336r00k.

Anesthetics

3301

The introduction of the anesthetic "Ultracain" (AERS)

307r.00k.

3303

The introduction of the anesthetic "Ultracain"

283r.00k.

Other materials

3403

Application of anchor pin

359r.00k.

3420

The use of the pin "Unimetric"

444r.00k.

3402

Application of "Fiberglass Pin"

438r.00k.

3405

Applying paste "Polish" on 1 tooth.

47r.00k.

3407

Applying Detatrin paste on 1 tooth

72r.00k.

01205DS

Applying Mira paste on 1 tooth

47r.00k.

3423

Application of the Cofferdam system for isolation of one tooth

313r.00k.

3424

The use of the RubberdamOptraGate system for the isolation of one tooth

185r.00k.

3426

Photoactivated disinfection of one tooth "Photosan"

270r.00k.

3427

Application of mechanical and chemical expansion agents for one root canal

706r.00k.

3421

The use of GlasSpan material for splinting and the manufacture of bridges in the area of ​​the anterior teeth

6880r.00k

3422

The use of GlasSpan material for splinting and the manufacture of bridges in the area of ​​chewing teeth

8820r.00k

Filling of cavities I, V class

3501

Sealing with Estelight Sigma Quick I and V class according to Black

1498r00k.

3502

Filling with Filtek Z250 material

1288r.00k.

3504

Filling with Dyrect XP material

1419r.00k.

3507

The use of filling material "Vitrimer" I and V class according to Black

1044r.00k.

3512

The use of filling material "Filtek flow ultimate" Class I and V according to Black

1051r.00k.

3513

Filling with Compolight plus material

528r.00k.

3515

Filling with Fuji IX material

500r.00k.

3516

Filling with Fuji II material

384r.00k.

3518

Filling of class I and V cavities with "VertiseFlowRefill" material

1138r.00k.

3519

Filling with Ceram X Sphere TEC, Duo

1214r.00k.

3520

The use of filling material "X-flow" I and V class according to Black

983r.00k.

3522

Filling with Gradia Direct material

1183r.00k.

3526

Filling with G-aenial PA material

1060r.00k.

3529

Filling with material "Es Com 250"

1147r.00k.

3530

Filling with AHfilLC material (PHOTO)

482r.00k.

3531

Filling with «AHfil+» material

396r.00k.

3508

Filling with material "Spectrum TRN3"

833r.00k

3523

Sealing with the material "Estelight Asteria"

1028r.00k

3517

Filling with SDR material

749r.00k

 

Filling with material "Es Com 100"

1146r.00k.

 

Filling with "Prisma" material

558r.00k.

3064DS

Sealing with the material "Karisma Classic Combi Kit"

1161r.00k.

Filling of cavities II, III class

3601

Sealing with Estelight Sigma Quick II and III class according to Black

1906r.00k.

3602

Filling with Filtek Z250 material

1696r.00k.

3603

Filling with material "Es Com 250"

1555r.00k.

3604

Filling with Dyrect XP material

1827r.00k..

3605

Filling with AHfilLC material (PHOTO)

759r.00k.

3606

Filling with «AHfil+» material

589r.00k.

3607

The use of filling material "Vitrimer" II and III class according to Black

917r.00k.

3610

Filling with Cerama X Sphere TEC Duo

1622r.00k.

3613

Filling with Compolight plus material

732r.00k.

3615

Filling with Fuji IX material

797r.00k.

3616

Sealing with material "Fuji II LS" (III class)

384r.00k.

3625

Filling with Gradia Direct material

1591r.00k.

3627

Filling with G-aenial PA material

1397r.00k.

3608

Filling with material "Spectrum TRN3"

1241r.00k.

3623

Sealing with the material "Estelight Asteria"

1470r.00k.

 

Filling with material "Es Com 100"

1554r.00k.

 

Filling with "Prisma" material

762r.00k.

3065DS

Sealing with the material "Karisma Classic Combi Kit"

1569r.00k.

Cavity filling class IV

3701

Sealing with Estelight Sigma Quick IV class according to Black

2518r.00k.

3702

Filling with Filtek Z250 material

2098r.00k.

3703

Filling with material "Es Com 250"

2167r.00k.

3704

Filling with Dyrect XP material

2439r.00k.

3706

Filling with Ceram X Sphere TEC Duo

2234r.00k.

3713

Filling with Compolight plus material

1038r.00k.

3718

Filling with Gradia Direct material

2203r.00k.

3721

Filling with G-aenial PA material

1926r.00k.

3708

Filling with material "Spectrum TRN3"

1853r.00k.

3723

Sealing with the material "Estelight Asteria"

2082r.00k.

 

Filling with material "Es Com 100"

2166r.00k.

3066DS

Sealing with the material "Karisma Classic Combi Kit"

2181r.00k.

Absence of hard tissues up to 1/2 crown

3801

Filling with Estelight Sigma Quick no hard tissue ½ crown

3711r.00k.

3802

Filling with Filtek Z250 material

2987r.00k.

3804

Sealing with Dyrect XP material

3480r.00k.

3807

The use of filling material "Vitrimer" absence of hard tissues ½ crown

2076r.00k.

3813

Filling with Compolight plus material

1553r.00k.

3815

Filling with Fuji IX material

1088r.00k.

3817

Filling with Gradia Direct material

3005r.00k.

3821

Filling with G-aenial PA material

2705r.00k.

3808

Filling with material "Spectrum TRN3"

2379r.00k.

3823

Sealing with the material "Estelight Asteria"

2732r.00k.

 

Filling with material "Es Com 100"

2769r.00k.

3858

Filling with material "Es Com 250"

2797r.00k.

3859

Filling with AHfilLC material (PHOTO)

1062r.00k.

3860

Filling with «AHfil+» material

942r.00k.

3067DS

Sealing with the material "Karisma Classic Combi Kit"

2628r.00k.

Restoration of dentition (trema, diastema)

3901

Filling with Estelight Sigma Quick material restoration of dentition (trema, diastema)

2722r.00k.

3902

Filling with Filtek Z250 material

2512r.00k.

3904

Sealing with material "Dyrekt"

2286r.00k.

3914

Filling with Gradia Direct material

2407r.00k.

3917

Filling with G-aenial PA material

2103r.00k.

3908

Filling with material "Spectrum TRN3"

2057r.00k.

3923

Sealing with the material "Estelight Asteria"

2286r.00k.

3068DS

Sealing with the material "Karisma Classic Combi Kit"

2385r.00k.

Complete absence of a crown

4001

Filling with Estelight Sigma Quick without crown completely

4017r.00k.

4002

Filling with Filtek Z250 material

3293r.00k.

4003

Filling with material "Es Com 250"

3103r.00k.

4016

Filling with Gradia Direct material

4127r.00k.

4019

Filling with G-aenial PA material

3676r.00k.

4004

Filling with material "Spectrum TRN3"

2685r.00k.

4023

Sealing with the material "Estelight Asteria"

3038r.00k.

 

Filling with material "Es Com 100"

3075r.00k.

3069DS

Sealing with the material "Karisma Classic Combi Kit"

4158r.00k.

Veneer making

4301

Sealing with Estelight Sigma Quick veneer

2518r.00k.

4302

Filling with Filtek Z250 material

2098r.00k.

4314

Filling with Gradia Direct material

2203r.00k.

4317

Filling with G-aenial PA material

1926r.00k.

4304

Filling with material "Spectrum TRN3"

1853r.00k.

4323

Sealing with the material "Estelight Asteria"

2082r.00k.

3070DS

Sealing with the material "Karisma Classic Combi Kit"

2181r.00k.

Filling of carious cavities in milk teeth

4101

Sealing with material "Fuji-cement II LS"

384r.00k.

4102

Filling with Fuji cement IX

372r.00k.

     

4102

Filling with Fuji cement II

442r.00k.

     

4103

Filling with Twinkie Star material

532r.00k.

4106

Filling with Compolight plus material

526r.00k.

4108

The use of filling material "Vitrimer" on a milk tooth

885r.00k.

4109

Filling with material "Es Com 250"

892r.00k.

4110

Filling with AHfilLC material (PHOTO)

429r.00k.

4111

Filling with «AHfil+» material

369r.00k.

4114

Filling with Filtek Z250 material

838.00k.

4115

Filling with Dyrect XP material

1383r.00k.

4104

Filling with material "Spectrum TRN3"

813r.00k.

4105

Filling with SDR material

749r.00k.

2137

Installation of a standard metal crown

1030r.00k.

 

Filling with material "Es Com 100"

895r.00k.

 

Filling with "Prisma" material

552r.00k.

 

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