GOVERNMENT GAZETTE OF THE REPUBLIC OF NAMIBIA N$2.16 WINDHOEK - 1 January 1996 CONTENTS GOVERNMENT NOTICE No.5 Employees' Compensation Act, 1941: Tariff of Fees for Dental Services .. MINISTRY OF LABOUR AND HU AN RESOURCES DEVELOPM T No.5 EMPLOYEES' CO TARIFF OF FEE 1996 ENSATION ACT, 1941: OR DENTAL SERVICES Under section 79 of the Emplo ees' Compensation Act, 1941 (Act 30 of 1941) I hereby with effect from 1 Jan ary 1996 (a) prescribe the Tar' of Fees for Dental Services and the general rules and general modifi s applicable thereto, as set out in the Schedule; and repeal Gov nment Notice 67 of 1993. - (b) The fees as set ut in the Schedule are applicable in respect of payments authorized for services r dered on or after 1 January 1996. ADY. G. . HINDA CHA1RPERSON OF THE SOCIAL SECURITY COMMISSION . Windhoek, 7 December 1995 2 Government Gazette 1 January 1996 No. 1238 SCHEDULE SCALE OF FEES FOR DENTAL SERVICE GENERAL RULES GOVERNING THE SCALE OF FEES 001 A consultation shall include an examination and charting. No further consultation fee shall be chargeable until the treatment plan resulting from this initial consultation has been discharged. This rule applies only to tariff items 810] and 8103. 002 Except in those cases where the fee is detennined "by arrangement" the fee for the rendering of a service which is not listed in this scale of fees shall be based on the fee in respect of a comparable service that is listed herein. ]n the case of a prolonged or costly dental service or procedure, the dental practitioner shall ascertain beforehand from the Commission whether he will accept financial responsibility in respect of such treatment. In exceptional cases where the fee is disproportionately low in relation to the actual services rendered by a dental practitioner, such high fee as may be agreed upon between the dental practitioner and the Commission, Conversely, may be charged. if the fee is disproportionately high in relation to the actual services rendered, a lower fee 003 004 than that in the Scale of Fees shouldbe charged. 005 , Save in exceptional cases the services of a specialist shall be available only on the recommendation of the attending dental or medical practitioner. Referring practitioners shall indicate to the specialist that the patient is being treated under the Employees Compensation Act. "Normal consulting on Saturdays. hours" are between 08:00 and 17:00 on weekdays, and between 08:00 and 13:00 007 008 A dental practitioner shall submit his account for treatment under the Act to the employer of the employee concerned. Dentists in general practice shall be entitled to charge two thirds of the fees of specialists only for treatment that is not listed in the tariff of fees for dentists in general practice. Any specialist performing any treatment not listed in the tariff of fees for his speciality shall charge the same fee as that for dentists in general practice or, if such treatment does not appear in the tariff of fees for dentists in general practice either, then two-thirds of the fee listed in the appropriate specialist tariff of fees. Such treatment shall be indicated on the account against the code 8004. 009 010 Fees charged by dental technicians for their services (+L) shall be shown on the dentist's account against the code 8099. Such dentist's account shall be accompanied by the actual account of the dental technician (or a copy thereof) and the account of the dental technician shall bear the signature of the dentist (or the person aqthorised by himlher) as proof of that it has been compiled correctly. "L" comprises the fee charged by the dental technician for his services as well as the cost of teeth. For example, tariff item 8231 is specified as follows: 8231...................................... 8099 (8231) ........................... R X Y R(X + Y) 011 For the adjustment Of specific tariff items to certain circumstances, modifiers on the account: it is necessary to show the following - 8002 8003 8004 8005 8006 8007 8008 8009 The appropriate scheduled fee plus 50%. The appropriate scheduled fee plus 10%. Two-t)rirds of appropriate scheduled fee. The *propriate scheduled fee to a maximum 50% iof the appropriate scheduled fee. 15,*/ of the appropriate scheduled fee. Tht;l appropriate scheduled fee plus 25%. 7'30/0of the appropriate scheduled fee. of N$123-60. . '. No. 1238 Government Gazette 1 January 1996 3 012 In case where treatment is not listed in the dental tariff of fees for dentists in general practice or specialists then the appropriate fee listed in the medical tariff of fees shall be charged. Cost of material: This item provides for a charge for material where specially indicated against the atcost 013 relative Code Items by the words (see rule 013). Material to be charged for in these instances plus 35%. 014 015 Cost of prostheses . - cost price + 20% with a maximum of N$642-50. /1 / I I Payment shall only be made for services required as a direct result of the accident. N!liability would e.g. be accepted for gold fillings in broken dentures for cosmetic purposes only. / Where a general anaesthetic is administered by a dental practitioner, the fee ch~ed item 8499.. 016 / shall be set out in / 017 8279 and 8281 Metal Base to FulI and partial Dentures: The fees for these' ems refer to the metal base only. An additional fee is then charged for the partial or full denture w ch is fitted to the base. Payment of a fee in respect of treatment not listed in the Scale of F s but for which the Commission 018 has agreed to accept liability, and of any fee reflected in respect of service listed in the Scale of Fees, shall tie in full and final settlement for the treatment or pro dure given to the employee as is contemplated under section 76 of the Act in respect of medica practitione". 019 Unless timely steps are taken to cancel an appointment shall be payable by the employee. for consultation the relevant consultation fee Explanations: 8132 Emergency Root Canal Treatment An emergency other endontic ) / Dent,lires / I ;" root treatment (8132) can not be/ollowed fee items be charged at the saml visit. by a completed root treatment nor may any 8279 and 8281 Metal Base to Full and Partial / The fees for these items refer to the met;tf base only. An additional or full denture which is fitted to the b~. i fee is then charged to the partial GENERA¥, DENTAL PRACTITIONERS Code No. Consultations Procedure N$ / ..................................... i 8101 8103 8104 Consultation at surge1. Consultation at hom~ or hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f Consultation for a/specific problem not requiring full mouth examination, charting and trealnent planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diagnostic pr'*edures f 8107 8108 8lI3 8115 Intra-oral rafOgraPhS' per film Maximum ...... Occlusal adiographs ....................................... Extra-o I radiograph, per film (i.e. panoramic, / .............................................. cephalometric P-A handwrist etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Maxi urn for the treatment plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 881I . I\, Tr ing and analysisof extra-oralfilm . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Government Gazette 1 January 1996 No. 1238 Code No. 8117 8119 8121 Study models Procedure N$ 25-90 + L 66-70 + L 25-90 - unmounted . . . . . . . . . . . . . . . . . . . . . . . .! . . . . . . . . . . j Study models - mounted on adjustable articulator /........... j Diagnostic photographs - per photograph . . . . . . . . . /. . . . . . . . . . . . . . Treatment procedures / 86-10 35-60 57-50 8129 8] 31 Additional fee for emergency treatment rendered ou ide normal working hours including emergency treatment carried out hospital ........... Emergency treatment for relief of pain where no other tariff item is applicable . . . . . . . . . . . . . . . . . . . . . . . .. 8132 8133 8135 ..................... Emergency root canal treatment ............................... Re-cementing of inlays, crowns or bridges - per abutm~nt Removal of inlays and crowns (per unit) and bridges (per abutment) .... as an 35-60+ L 69-90 27-80 emergencyprocedure . . . . . . . . . . .. 8136 8137 .......................... Access through a prostheric crown or nlay to facilitate root canal treadtent Emergency crown (not applicable t temporary crowns (not applicable to temporary crowns replaced during outine crown and bridge preparations) .. " 119-50 + L 72-80 8138 8139 Pre-formed metal crown emergen y procedure ..................... Additional fee for treatment und r general anaesthetic hospital treatment, per case .. ................................ or domiciliary or 57-50 Note: Thi~ item refers additional treatment carried out as a result of the consultati n referred to under items 8101 and 8103. Miscellaneous services 8141 8143 Inhalation sedation - first quarter-ho r or part thereof , . 24-80 ]3-40 Per additional Note: No additio I fee to be charged for gases used in the case of items 8141 and 8143. 8]44 8145 8110 Intravenous sedation Local anaesthetic, ................ . ]6-50 5-90 . 14-70 E. 1. The fee for mo than one operation or procedure performed through the same incision shall be calculated as, th fee for the major operation plus the tariff fee for the subsidiary operation to a maximum of N$ 6-20 for each subsidiary operation or procedure (8005). than one operation or procedure performed under the same anaesthetic shall be calculated on the tariff fee for the major operation plus75 5 0 2. but through - 0 for the second procedure/operation (8009) for the third procedure/operation (8006) the fee for the If, within fo r months, a second operation for the same condition or injury is performed, second ope ation shall be half of that for the first operation. The tariff fee for an operation shall, unless otherwise tated, include normal post-operative care for a period not exceeding four months. If a practition r does not him self complete the post -operative care, he shall arrange for it to be completed without tra charge provided that in the case of post-operative treatment of a prolonged or special . ''0 '_J'h roo m., $ .. '" """" 'poo.. ",o;ti_ ood eo"""';oo-, '" "'_. No. 1238 Government Gazette 1 January 1996 5 3. The fee payable to a general practitioner assistant shall be calculated as 15% of the fee of the practitioner perfonning the operation, with a minimum of N$51-80 (8007). The patient must be informed beforehand that another dentist will be assisting at the operation and that a fee will be payable to the assistant. The assistant's name must appear on the account rendered to the Commission. Code No. 8192 Treatment Implants: Procedure of soft tissue injury . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (prior pennission must be obtained from the Commission) 8193 8194 8195 8196 8197 Osseointegrated abutment, per abutment . . . . . . . . . . . . . . . . . . . . . . . . . . . . Placement of a single osseointegrated implant per jaw . . . . . . . . . . . . . . . . . . 560-30 360-30 269-70 Placement of a second osseointegrated implant in the same jaw ......... Placement of a third and subsequent osseo integrated implant in the same ja per implant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cost 'of implants (see rule 014) Exposure element of a single osseo integrated implant and placement of a tran ucosal ..~..... 180-00 0 8198 8199 133-60 100-10 66-80 Exposure of a second osseointegrated implant and placement of a ransmucosal element in the same jaw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exposure implant of a third and subsequent osseo integrated implant i . 8200 Note: For items 8194 to 8200 tbe full fee may be above will not apply. Extractions during a single visit < 8201 8202 8203 8204 8205 8206 One tooth in a quadrant .................. Two teeth in same quadrant Three teeth in same quadrant Four teeth in same quadrant Fi ve teeth in same quadrant 35-60 49-90 63-40 78-70 92-80 106-10 120-60 ....... ........ . ............... . .......................... Six teeth in same quadrant ..................................... Seven teeth in same quadrant Eight teeth in same quadrant .0 8207 8208 ............................. ..... . 135-80 Note: Item 8201 to 8208 ca be charged for a further three quadrants. 8209 Surgical removal of a tooth, i.e. aising of mucoperiosteal and suturing .................................. Unerupted or impacted teeth flap, removal of bone II 0-50 8210 8211 8212 First tooth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Second tooth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . h, per tooth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Removal of roots 258-60 138-70 79-10 - 8213 8214 Surgical removal of r sidual roots of first tooth . . . . . . . . . . . . . . . . . . . . . . . Surgical removal of esidual roots of each subsequent tooth (see Notes 1 and 2 above). 159-40 '\' . 6 Government Gazette 1 January 1996 No. 1238 Code No. Para-Orthodontic Procedure SUTgkal Procedures teeth for orthodontic reasons N$ 8215 8216 8220 8221 Surgical exposure of impacted or unerupted 298-70 218-70 19-20 Frenectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Use of suture provided by practitioner (see Rule 013) .................. Local treatment of post-extractiolVhaemorrhage (excluding treatment of bleeding in the case of blood dyscrasia, ej&.haemophilia) . . . . . . . . . . . . . . . . . . . . . . Each additional visit .................................. 25-10 17-60 25-10 17-60 102-20 178-90 8223 8225 8227 8228 8229 Treatment of septic socket . ................................... Each additional visit ......................................... Incision and drainage of p ogenic abscess (intra-oral approach) ........... Apicectomy including ret ograde filling where necessary-incisors and canines Prosthetics 8231 8232 8233 8234 8235 8236 8237 8238 8239 8240 8241 , . . Full upper and lower d ntures. (See footnote below 8267) .. .'............ 566-30 + L 348-90 + L Full upper or lower d tures. (See footnote below 8267) ................ . . 162-00 + L 162-00 + L 242-30 + L 242-30 + L 242-30 + L 322-90 + L 322-90 + L 322-90 + L 322-90 + L 49-90 + L 33-50 + L 40-30 + L . . Partial denture nine or more teeth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Additional fe where a soft base is incorporated with items 8231-8241 ...... Stainless stee clasp or rest per clasp or rest . . . . . . . . . . . . . . . . . . . . . . . . . Lingual bar r palatal bar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Note: here items 8281 or 8269 are applied, ot be charged. items 8255 or 8257 may 8243 8255 8257 8259 8261 8263 8265 8267 Re-base, r denture ......................................... Re-model,per denture ........................................ Re-line - elf-curring hard conditioner acrylic. per denture . . . . . . . . . . . . . . . ditioner and soft self-cure interim reline. per denture ........... Soft bas reline per denture (heat cured) ........................... Note: Not applicable concurrently. when items 8231 to 8241 are carried out 133-20 + L 217-00 + L 83-30 + L 55-30 + L 192-30 + L - 8269 8273 Repair of denture or other intra-oral appliance . 46-50 + L 24-80 + L Additi nal fee where impression is required for 8269 .................. . ''0 No. 1238 Government Gazette 1 January 1996 7 Code No. 8279 8281 Procedure N$ 173-40 + L 431-10 + L Metal base to full denture. per denture . . .. . .. . . . . . . . . . . . . . . . .. . . .. . Metal base to partial denture, per denture . . . . . . . . . . . . . . . . . Note: 1. The fees for items 8279 and 8281 refer to the metal base only. An additional fee is then charged for the partial or full denture which is fitted to the base. Where item 8281 is applied, charged. dentistry items 8255 and 8257 cannot be 2. Conservative Note: 1. The SAMDC has ruled that. with the exception of Diagnosti Intraoral Regiographs, fees for only three further intra-oral Radiographs may be charged for each completed Root C al Therapy on a single-canal tooth; or a further five Intra-oral Radio raplJ for each completed Root Canal Therapy on a multi-canal t oth. 2. Where Rubber Dam is used for the Endodontics and procedures, Code 8304 may be applied. Endodontics 8132 Emergency root canal treatment . . . . . . . . .. I 57-50 Note: If any emergency root canal treatment is followed y the completed root treatment at the same visit item 8132 cannot be c arged. I 8301 8303 Direct pulp capping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Indirect pulp capping where permanent filling is not completed at same visit 16-50 46-00 Note: Where Rubber Dam is applied for the en item 8304 may be applied. 8304 8307 8330 dontics procedures listed below, Application of Rubber Dam, per arch (i spective of number teeth treated), when items 8133, 8307, 8330, 8334, 83 6, 8351, 8354 are carried out. Amputation of pulp (pulpotomy) . .. ............................. Removal of fractural post or instru entlbypassing fractured endodontics instrument. . . . . . . . .. . .. . .. . .. . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . Preparatory Visits (obturation n done at same visit) 8332 Single canal tooth, per visit .................................... Maximum for 8332 .......................................... 8333 Multi-canaltooth, per visit ................................. Maximum for 8333 .......................................... 8334 Re-preparation of prevo usly obturated canal, per canal ................. Obturation of root c al completed at a second or subsequent visit 8335 8336 8337 Additional canal , per canal (applicable to all teeth) ................... Preparation an obturation of root canals completed at a single visit , . '\0 . 8 Government Gazette 1 January 1996 No. 1238 N$ 8338 8339 8340 First canal - excluding molars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 253-20 347-90 First canal - molars ................................... . Plastic restorations 84-90 8341 8342 8343 8344 8345 One surface . . . . . . . . ,.. . ........................................ 38-30 52-70 69-90 86-10 51-70 35-60 Two surfaces . . . . Three surfaces " . . . .. . . . .. . . . . . . . .. . .. . .. . .. . . . . .. .. . . . . . . . . .. Four or more surfa Preformed post rein orcement per post . . . ........................... ,..... . 8347 Pin retention for re toration, per pin Maximum for 834 , (using acid etch technique) boor Dam per arch (irrespective 71-20 Plastic restoratio 8304 8351 8352 8353 8354 8367 8368 8369 8370 8355 8356 Application for of number of teeth treated) . 27-80 44-00 One surface on Two surfaces 0 terior tooth ................................... , . 58-50 74-70 90-20 56-60 76-40 97-80 118-60 116-70 168-10 + L Three surfaces n anterior tooth ................................. Four or more urfaces on anterior tooth ............................ premolar or molar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Two surfaces on premolar or molar Three surfa s on premolar or molar . . .. . .. . .. . .. . .. . . . . .. . . . . . . . . . . .. . . . . . . ,. . . . .. . .. . .. . . . . . . . . Four or mo e surfaces on premolar or molar . . . . . . . . . . . . . . . . . . . . . . . . . Composite eneers (Direct) .................................... ,........................................ . . .. . . . . . . . .. . .. . . .. .. . . . . . . . . . . Bridge pe abutment Per ponti (see 8420, 8422, 8424) metal crown 8357 Pre forme . 76-80 8361 8362 8363 8364 8365 8366 110-90 + L 162-00 + L Three urfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Four urfaces .............................................. 270-50 + L 326-90 + L 326-90 + L 56-60 - Five surfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pin etention as part of cast restoration, mic/Resin Bonded Inlays irrespective of number of pins 8371 8372 8373 surface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110-90 + L 162-00 + L 270-50 + L o surfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . '" No. 1238 Government Gazette 1 January 1996 9 Code No. 8374 8375 Four surfaces Procedure N$ . 326-90 +;L Five surfaces. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Note: 1. In some of the above cases (e.g. Direct Hybrid not necessarily apply. Inlays) +L may / 2. Preformed In cases where the direct hybrid inlays are used and +L does not apply, Modifier 8008 may be used. Post and Core 8376 8377 8378 Single post and core Double post and core Tripple post and core Note: , . .... 90-20 142-60 194-30 r 8391 8393 8395 8396 8397 8398 Above items are inclusive Post with thimble or coping of pins Single post Binary post ., . 83-30 + L ,... . 133-20 + L Triple post . . . . . . . . . . . . . . . . . . , . . . . . . . . . . , . Coping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cast core, with pins ...................... Plastic core for crown (built up in amalgam. reinforcing irrespective of number of pins glass-' . . ................. 192-00 + L 54-20 + L 133.20 + L 133.20 Note: Where no pins or posts are used' construction of a core, the appropriate restoration code ap ies. Crowns 8401 8403 Cast full crown ........................... 388-40 + L 388-40 + L 331-40 + L 414-50 + L Cast three-quarter crown . . . . . . . . .. ............................ 0 8405 8407 8409 8411 8413 8414 Acrylic jacket crown ........................................ Acrylic veneered crown Porcelain jacket crown . . . . . . . Porcelain veneered crown . . . . ......................... . ... ... ............... .. ..... ..... 414-50 + L 414-50 + L 81-30 + L Facing replacement .......................................... Additional fee for provision f crown within an existing clasp or rest .. . . . . . 25-90 + L Resin bonded retainers . , . 8420 8422 8424 Sanitary pontic Posterior pontic ... , , , . 202-40 + L 270-50 + L 338-60 + L , . I~ Anterior pontic incl ding premolars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Government Gazette 1 January 1996 No. 1238 Code No. General anaesthetics 8499 Procedure N$ The relevant items in the tariff of fees for mgdical services as published in Government Gazette No. 16120 of 23 DeceJi1ber 1994 shall apply to all general anaesthetics in dental procedures. " III. See Rule 009 Code No. N$ 8501 8107 8108 8113 8115 Consultation ............................. Intal-oral radiographs, per fil .. . .. . .. . . . . . . . . . . 67.30 23.30 187.60 36.30 .J...... Maximum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Occlusalradiographs Extra-oral radiograph pe film (i.e. panoramic, cephalometric, etc.) . . . . . . . . . . . .. ....................................... ,............ P-A, hand wrist, 96.00 240.20 8811 8117 8119 8121 8503 8505 8507 8508 8509 Tracing and analysis f extra-oral film ............................ 11-70 26-20 +L 67-30 +L 26-30 137-70 +L 200-92 Studymodels unmo nted ......................... Study models mou ed on adjustable articulator ...................... Diagnostic photog aphs, per photograph . . . . . . . . . . . . . . . . . . . . . . . . . . . . Occlusal analysis on adjustable articulator .......................... .. . . . . . . .. . .. . .. . .. . . . . Pantographic re rding........................................ Examination, Electrognatho d' gnosis and treatment planning aphic recording 137-70 215-20 358-20 . . .. . .. . . . . . . .. .. .. . .. . . .. . .. . .. .. , . 8511 8513 8515 8517 Emergenc eatment for relief of pain (where no other tariff item ) . .......... ..... ......... ...................... crown (not applicable to temporary crowns placed during routine 81-30 133-20 51-70 138-00 +L crown an bridge preparations) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I ation of inlay, crown or bridge per abutment . . . . . . . . . . . . . . . . . ' tation of an avulsed tooth, including fixation as required ......... - 8521 8523 8527 Provisi nal splinting-extracoronal wire plus resin, per sextant . . . . . . . . . . . . . Provisi nal splinting-extracoronal wire per sextant .................... Provis' resin. nal splinting-intracoronal wire or pins or cast bar, plus amalgam or r dental unit included in the splint . . . . . . . . . . . . . . . . . . . . . , . . . . 111-00 162-00 51-70 +L ''0 . No. 1238 Government Gazette 1 January 1996 11 Code No. 8529 8530 Procedure N$ Provisional crown, which is not placed during routine crown preparation . . . . . Preformed metal crown 133-20 +L 113-00 . / ' Occlusal adjustment 8551 Major occlusal adjustment . Note: This procedure cannot be carried out without study models mounted on an adjustable articulator. 8553 Minor occlusal adjustment ..................................... Ceramic/Resin Bonded Inlays 119-60 8555 8556 One surface . . . . . . . . . . . . . . . . . . . . 501-10 +L Two~urfaces. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Three surfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Four surfaces Five surfaces ..... ..~.... 723-50 +L I 120-50 +L I 12-050 +L I 120-50 +L ,.... 8557 8558 8559 ......... Note: In some of the above cases (e.g. Direct Hybrid not apply. Gold restorations 8571 8572 8573 8574 8575 8577 One surface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . .......... . . 240-60 +L 347-80 +L 538-50 +L 538-50 +L 538-50 +L 80-30 +L Two surfaces . . . . . . . . . . . . . . . . . . . . . . . . .. Three surfaces . . . . . . . . . . . . . . . . . . . . . . . . Four surfaces ......................... ...... . Five surfaces . . . . . . . . . . . . . . . . . . . .. Pin retention . . .. . . . . . . . . . . . . ................... ................... Post and copings 0 8581 8582 8583 8587 8589 8591 Single post ................................................ Double post ............................... 133-50 +L 192-30 +L 240-60 +L 111-00 +L 189-70 +L 133-20 Triple post ................................................ Copings Cast core with pins .................................. ................................... Plastic core on pin reinforc' g irrespective of number of pins . . . . . . . . . . . . . Implants (Prior permissio must be obtained from the Commissioner) ...... 8592 8600 Osseo-integrated abutm nt, per abutment ........................... . 839-80 +L 8597 8599 54-70 +L 133-20 +L . 'I. 12 Government Gazette 1 January 1996 No. 1238 Code No. Crowns 8601 Cast three-quarter Procedure N$ crown . . . . . . . . . . 538-50 +L 538-50 +L 672-50 +L 8607 8609 Porcelain jacket crown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Porcelain veneered metal crown . Bridges Note: Retainers as above 8611 8613 8615 Sanitary pontic Posterior Anterior pontic pontic ....................... . 406-30 +L 500-90 +L 538-50 +L . Resin bonded retainers 8617 Per abutment . .. . . .. . . . . . . . .. . .. . . . . .. . . .. . .. . .. .. . .. . . j' . .. 165-70 +L Per pontic (see 8611, 8613, 8615). Conservative treatment for temporo-mandibular joint dys-functions 8625 8621 8623 Bite plate therapy for TMJ dysfunction ............................ First visit for treatment of TMJ dY3function ......................... Follow-up visit for adjustment of bite plates/treatment of TMJ dysfunction 209-40 +L 57-20 42.60 Note: The num~r of visits and charge relation between the practitioner problems iinvolved in the case. Endodontics procedJres, etc. therefore depends on the and the patient, and the 8631 8633 8636 , Root canai therapY'llfirstcanal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Each additional c1a1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Re-preperation of reviously obturated canal, per canal ................. Note: The a ove endodontics fees include all X-rays and repeat visits. 471-30 117-80 79-70 8635 Apexification of oof anal, per visit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78-70 Note: er 8002 is applicable to items 8325 to 8329 inclusive 8637 8638 9015 9016 8640 Apicectomy, Apicectomy tooth or resection of root . . . . . . . . . . . . . . . . . . . . . . . 189-70 112-00 nage of pyogenic abscess, intraorai approach ............ in luding retrograde in uding retrograde root filling where necessary filling where necessary from tooth canal - anterior tooth .... . 260-90 389-60 138-00 - posterior tooth Removal of fra tured pot or instrument ................ 8641 8643 8645 8647 Complete upp and lower dentures without primary complications . . . . . . . . . I 373-30 +L I 747-00 +L 2 148-90 +L Complete upp r and lower dentures without major complications .......... Complete upp r and lower dentures with major complications ............ Complete up r and lower dentures without primary complications . . .. .. . . . . ',," 960-80 +L No. 1238 Government Gazette 1 January 1996 13 Code No. 8649 8651 8661 8662 8663 8664 8665 8667 8668 8669 8671 ~8672 8674 8679 8273 Complete Procedure upper and lower dentures without major complications . N$ 1/,697-70 +L I 234-50 +L I 075-80 +L Complete upper and lower dentures with major complications ............ Diagnostic dentures (inclusive of tissue-conditioning treatment) ........... Remounting and occlusal adjustment of dentures ...................... 155-00 +L 324-00 +L Chrome cobalt base for full denture (extra charge) .................... Remount of crown or bridge for extensive prosthetics Re-base, per denture ......................................... ...... ... 160-00 217-00 +L 324-00 80-30 Soft base, per denture (heat cured) Tissue conditioner, per denture .................................. Intra