State Autonomous health institution

“Children's clinical dental polyclinic №2”

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Treatment-and-prophylactic Department

Price list for outpatient dental services for childre

Service code

Type of work

Price (RUB.)

1. General types of wor

В01.064.003

2001

Reception (examination, consultation) dentist children's (primary)

353,00

В01.064.004

2002

Reception (examination, consultation) of dentist children's(repeated)

264,75

В01.003.004.004

2005

Anesthesia, application

109,43

А16.07.053

2009

Removal of artificial crown (help with acute pain)

282,40

А17.07.003

2010

Diathermocoagulation of one gingival papilla, the contents of one channel

176,50

А16.07.091

2011

Removing the seal

353,00

А16.07.092

2012

Trepanation of the tooth, artificial crown

169,44

А05.07.001

2013

Electrogoniometry tooth

148,25

А06.30.002

2015

Description and interpretation of radiographic images

88,25

А25.07.001

2016

Appointment of drugs for diseases of the oral cavity and teeth

88,25

А16.07.082

2017

Grinding of hard tooth tissues

88,25

А03.07.001

2018

Fluorescent somatoscope

222,39

А16.07.025.001

2019

Selective polishing of the tooth

70,6

А16.07.051

2020

Overlay minigame, quicama

176,50

А11.07.022

2022

Application of the drug on the oral mucosa

158,85

А12.07.003

2023

The definition of the index of hygiene of an oral cavity

215,33

А12.07.004

2024

Definition of periodontal indices

268,28

А16.07.019

2025

Temporary splinting in periodontal diseases

698,95

А12.07.001

2026

Vital staining of the hard tissues of the tooth

123,55

А13.30.007

2027

Teaching oral hygiene

307,11

А16.07.051

2029

Professional hygiene of oral cavity and teeth(one quadrant)

706,00

А11.07.022

2030

 

Application of the drug on the oral mucosa

88,25

А11.07.024

2031

Local application of remineralizing agents in the tooth area

247,1

А11.07.012

2032

Deep fluoridation of the enamel of the tooth

35,3

2. Types of work at the therapeutic reception

А16.07.057

2101

Tooth fissure sealing by sealant

176,50

А11.07.023

2102

Application of method of silvering tooth

310,64

А16.07.002.001

2104 .

Restoration of the tooth with a seal using dental cements for defects I, V,VI class black

353,0

А16.07.002.003

2105

The restoration of the tooth seal with the violation of the point of contact of cement with defects of class II, class III in black

529,5

А16.07.002.005

2106

The restoration of tooth filling cement with defects of the IV class according to black

706,00

А16..07.002.002

2109

 

The restoration of tooth filling from composite materials of chemical curing: I, V, II, III. IV,V classes on Blake

441,25

А16.07.002.011

2110

Tooth restoration with photopolymer seal: I, V, II, III. UM,black class.

441,25

А16.07.030.003

2107

Temporary filling with root canal drug

176,50

А11.07.027

2108

Application of devitalizing paste

10,59

А16.07.002.009

2114

Removal of temporary seal

88,25

А16.07.010

2115

Extirpation of pulp

162,38

А16.07.002.009

2116

The imposition of a temporary filling

441,25

А16.07.009

2117

Pulpotomy (amputation of crown pulp)

74,13

А16.07.030.001

2118

Instrumental and medical treatment of one well-traversed root canal

324,76

А16.07.030.002

2119

Instrumental and drug treatment of a poorly-traveled root canal

603,63

А16.07.082.001

2121

Sealing of the root canal previously treated with paste (1 channel)

706,00

А16.07.082.002

2124

Breaking of the root canal previously treated with phosphate cement, resorcinol-formalin method, thermophile (1 channel)

1253,10

А22.07.002

2126

Ultrasonic removal of supragingival and subgingival dental deposits in the area of one tooth

70,6

А16.07.008.002

2127

Filling the root canal of the tooth with gutta-percha pins

600,10

А16.07.020.001

2128

Removal of supragingival and subgingival dental deposits in the area of one tooth by manual method

113,00

А15.07.003

2136

Imposition of medical dressings in diseases of the mucous membrane of the oral cavity and periodontium in the region of one jaw

353,00

А16.07.053

2137

Setting a metal standard crown

1030,00

 

 

 

Code

Name of used materials

Price (RUB.)
Materials for prevention
3038 Application of the drug "Floxal" on 1 milk tooth 23р.00к
3039 Application of the drug "Floxal" on 1 permanent tooth 45р.00к.
3003 Application of varnish "Bifluoride" on 1 tooth 90р.00к.
3004 Sealing material "Fissurit R" 1 tooth 567р.00к.
3005 Sealing material "Fissurit R" 1 tooth Russianism 744р.00к.
3012 Sealing material "Filtek ultimate" 1 tooth 479р.00к.
3013 Sealing material "Filtek ultimate" 1 tooth with embroidery 604р.00к.
3021 Sealing material "X-flow" 1 tooth with embroidery 533р.00к.
3027 Sealing material "Vitremer" 1 tooth with embroidery 852р.00к.
3028 Sealing material "Fuji IX" 1 tooth 409р.00к.
3029 Sealing material "Fuji IX" 1 tooth with embroidery 586р.00к.
3030 Use of the drug "icon» 2433р.00к.
3031 Treatment of one tooth using the device "Prozone» 492р.00
3035 The application of the drug "Duraphat" 1 permanent tooth 42р.00к.
3036 The application of the drug "Duraphat" on 1 tooth 40р.00к.
3037 Using the apparatus "ПрофидентKaVo" (2 jaw) professional hygiene of the oral cavity 1835р.00к.
Materials for root canal treatment
3101 Filling 1 canal with paste "Endomethasone" 425р.00к.
3109 Filling 1 root canal paste "Indofil» 465р.00к.
3110 Filling 1 root canal paste "Calasept" 375р.00к.
Gasket materials
3201 Insulation material "Fuji–cement IX" 158р.00к.
3202 Estelite Sigma Quick Flow 468р.00к.
3204 Coating material "Dical" 193р.00к.
3209 Coating material "Polotek" (milk tooth) 289р.00к.
3217 Coating material "Polotek" (permanent tooth) 365р.00к.
3211 Insulation material "Ionic" 241р.00к.
3213 Insulation material "H-flow" on 1 tooth 537р.00к.
3214 Insulation material "Vitremer" 322р.00к.
3210 Insulation material "SDR" on 1 tooth 477р.00к.
3215 Coating material "Pro rut MTA" 447р.00к.
3216 Insulation material "Filtek ultimate" on 1 tooth 428р.00к.
 Anesthetics
3301 The introduction of the anesthetic "Ultrakain" (AERS) 280р.00к.
3303 The introduction of the anesthetic "Ultrakain" 254р.00к.
Other materials
3403 The use of the pin anchor 359р.00к.
3420 The use of pin "of Animetric" 389р.00к.
3405 Applying paste "Polish" on 1 tooth. 41р.00к.
3407 Application of "Detartrin" paste on 1 tooth 47р.00к.
3423 The application of the system "Dam" to isolate one tooth 313р.00к.
3424 The application of the system "Rabber ladies Optra gate" to isolate one tooth 161р.00к.
3426 Photoactivatable disinfection one tooth "Fotosan» 270р.00к.
3427 Application of mechanical and chemical expansion means for one root canal 706р.00к.
3421 The application of the material "GlasSpan" for splinting and construction of bridge dentures in the region of the front teeth 6268р.00к
3422 The application of the material "GlasSpan" for splinting and construction of bridge prostheses in the posterior region 8004р.00к
Filling cavities I, V classes
3501 Filling with material Estelite Sigma Quick I and V class Black 971р.00к.
3502 Filtek Z250 material sealing 1000р.00к.
3504 Filling material "Direct" 1009р.00к.
3507 Application of filling material "Vitrimer" I and V class according to Black 703р.00к.
3512 Application of filling material “Filtek Flow Ultimate” I and V class according to Black 915р.00к.
3513 Filling material "Compolite plus" 462р.00к.
3515 Filling with material "Fuji IX" 365р.00к.
3516 Filling with material "Fuji II" 397р.00
3520 Application of filling material “X-flow” I and V class according to Black 886р.00к.
3522 Sealing material "Gradia Direct» 1009р.00к.
3526 Sealing with "G-aenial PA" material 1060р.00к.
Sealing of cavities of II, III class
3601 Filling with material Estelite Sigma Quick II and III class Black 1324р.00к.
3602 Filtek Z250 material sealing 1353р.00к.
3604 Filling material "Direct XP" 1362р.00к.
3607 Application of filling material "Vitrimer" II and III class according to Black 967р.00к.
3613 Filling material "Compolite plus" 638р.00к.
3615 Filling with material "Fuji IX" 553р.00к.
3625 Sealing material "Gradia Direct" 1362р.00к.
3627 Sealing with "G-aenial PA" material 1397р.00к.
Sealing of class IV cavities
3701 Filling with material Estelite Sigma Quick IV class Black 1853р.00к.
3702 Filtek Z250 material sealing 1883р.00к.
3704 Filling material "Direct XP" 1891р.00к.
3713 Filling material "Compolite plus" 903р.00к.
3718 Sealing material "Gradia Direct" 1891р.00к.
3721 Sealing with "G-aenial PA" material 1926р.00к.
The lack of solid tissues to 1/2 of the crown
3801 Filling with material Estelite Sigma Quick lack of hard tissue ½ crown 2455р.00к.
3802 Filtek Z250 material sealing 2391р.00к.
3804 Filling material "Direct XP" 2617р.00к.
3807 The use of filling material "Vitrimer" lack of hard tissue ½ crown 1496р.00к.
3813 Filling material "Compolite plus" 1349р.00к.
3815 Filling with material "Fuji IX" 846р.00к.
3817 Sealing material "Gradia Direct" 2568р.00к.
3821 Sealing with "G-aenial PA" material 2705р.00к.
Restoration of dentition (Trema, diastema)
3901 Filling with material Estelite Sigma Quick restoration of dentition (tremas, diastema) 2030р.00к.
3902 Filtek Z250 material sealing 2059р.00к.
3904 Filling material "Direct" 2068р.00к.
3914 Sealing material "Gradia Direct" 2068р.00к.
3917 Sealing with "G-aenial PA" material 2103р.00к.
No crown completely
4001 Filling with material Estelite Sigma Quick lack of a crown completely 2720р.00к.
4002 Filtek Z250 material sealing 2656р.00к.
4016 Sealing material "Gradia Direct" 3538р.00к.
4019 Sealing with "G-aenial PA" material 3676р.00к.
Production of veneer
4301 Filling with material Estelite Sigma Quick making veneer 1853р.00к.
4302 Filtek Z250 material sealing 1883р.00к.
4314 Sealing material "Gradia Direct" 1891р.00к.
4317 Sealing with "G-aenial PA" material 1926р.00к.
Filling of carious cavities in milk teeth
4102 Filling with material "Fuji-cement IX" 335р.00к.
4102 Filling with material "Fuji-cement II" 397р.00к.
4103 Sealing material "Twinkie star" 532р.00к.
4106 Filling material "Compolite plus" 459р.00к.
4108 Application of filling material "Vitrimer" on a milk tooth 572р.00к.
4114 Filtek Z250 material sealing 777р.00к.
4115 Filling material "Direct XP" 962р.00к.

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