CAJ PERGIGIAN
Bil.
|
Jenis rawatan
|
Type of treatment
|
Kelas Satu (RM)
|
Kelas Dua (RM)
|
Kelas Tiga (RM)
|
Pesakit Luar (RM)
|
1
|
Fluorida topikal (setiap arkus)
|
Topical fluoride (per arch)
|
15
|
10
|
Percuma
|
5
|
2 | Pengapan fisur (setiap gigi) | Fissure sealant (per tooth) | 15 | 10 | Percuma | 5 |
3 | Penskaleran mulut penuh dan penggilapan | Full mouth scaling and polishing | 110 | 80 | Percuma | 55 |
4 |
Pencabutan sebatang gigi kekal/ supernumerari/ akar tertinggal |
Extraction permanent tooth/supernumerary/ retained root | 25 | 20 | Percuma | 15 |
5 |
Pencabutan gigi desidus (setiap gigi) |
Extraction deciduous (per tooth) | 20 | 15 | Percuma | 10 |
6 |
Pembuangan melalui pembedahan (setiap gigi/ gigi terimpak mudah/ akar tertinggal) |
Surgical removal (per tooth/simple impacted tooth/retained root) | 225 | 80 | 15 | 40 |
7 |
Pembuangan gigi terimpak melalui pembedahan (setiap gigi) (rumit) |
Surgical removal of impacted tooth (per tooth) (complex) | 1200 | 400 | 50 | 200 |
8 | Kawalan pendarahan selepas pencabutan | Control of post extraction haemorrhage | 40 | 30 | Percuma | 20 |
9 | Komplikasi selepas pencabutan | Post-extraction complication | 15 | 10 | Percuma | 5 |
10 | Operkulektomi gingiva | Gingival operculectomy | 20 | 15 | Percuma | 10 |
11 | Pendawaian gigi (setiap arkus) | Dental wiring (per arch) | 40 | 30 | Percuma | 20 |
12 |
Tampalan gigi kekal (satu permukaan) |
Restoration of permanent tooth (one surface) | 40 | 30 | Percuma | 20 |
13 |
Tampalan gigi kekal (permukaan berganda/dengan pin pegangan) |
Permanent tooth restoration (multiple surfaces/with pin retention) | 50 | 40 | Percuma | 25 |
14 | Tampalan gigi desidus | Deciduous tooth restoration | 20 | 15 | Percuma | 10 |
15 | Tampalan sementara | Temporary restoration | 20 | 15 | Percuma | 10 |
16 | Inlai (setiap gigi)(tidak termasuk harga logam) | Inlay (per tooth) (not inclusive of metal charge) | 60 | 45 | Percuma | 30 |
17 |
Korona (setiap gigi)(termasuk korona
sementara, tetapi tidak
termasuk caj logam)
|
Crown (per tooth) (including temporary crown but not inclusive of metal charge) | 100 | 75 | Percuma | 50 |
18 | Jambatan (setiap gigi tupang termasuk tampalan sementara tetapi tidak termasuk caj bahan dan makmal) | Bridge (per abutment teeth including provisional restoration but not inclusive of material and lab charges) | 100 | 75 | Percuma | 50 |
19 |
Rawatan kanal akar
(gigi anterior)
|
Root canal treatment (anterior tooth) | 75 | 60 | Percuma | 40 |
20 |
Rawatan kanal akar
(gigi posterior)
|
Root canal treatment
(posterior tooth)
|
150 | 115 | Percuma | 75 |
21 | Pengapeksan (setiap gigi) | Apexification (per tooth) | 100 | 75 | Percuma | 50 |
22 | Pemberhentian resorpsi gigi (setiap gigi) | Arrest of tooth resorption (per tooth) | 75 | 60 | Percuma | 40 |
23 |
Pulpotomi korona
(setiap gigi kekal)
|
Coronal pulpotomy (per permanent tooth) | 75 | 60 | Percuma | 40 |
24 | Pulpotomi (setiap gigi desidus) | Pulpotomy (per deciduous tooth) | 75 | 60 | Percuma | 40 |
25 | Pulpektomi (setiap gigi desidus) | Pulpectomy (per deciduous tooth) | 100 | 75 | Percuma | 50 |
26 | Ekstirpasi pulpa (setiap gigi) | Pulp extirpation (per tooth) | 25 | 20 | Percuma | 15 |
27 |
Pelunturan gigi
(eksternal)(setiap rahang)
|
Tooth bleaching (external) (per arch) | - | - | Percuma | 500 |
28 |
Pelunturan gigi
(internal)(setiap gigi)
|
Tooth bleaching (internal) (per tooth) | - | - | - | 50 |
29 | Mikrolelasan (setiap gigi) | Microabrasion (per tooth) | - | - | - | 50 |
30 | Penyahpekaan (setiap arkus) | Desensitisation (per arch) | - | - | - | 25 |
31 |
Pembentukan gigi palsu penuh tidak termasuk
logam (setiap rahang)
|
Full denture construction not inclusive of metal (per jaw) | 225 | 170 | 25 | 110 |
32 |
Pembentukan sebahagian gigi palsu
tidak termasuk logam
(setiap rahang)
|
Partial denture construction not inclusive of metal (per jaw) | 100 | 75 | 25 | 110 |
33 |
Penambahan setiap gigi akrilik
|
Addition of each acrylic tooth | 15 | 10 | 1 | 5 |
34 |
Pembaikan dentur tanpa mengganti platlandas
|
Denture repair without changing the base plate | 35 | 30 | 1 | 20 |
35 |
Pembaikan dentur(penambahan setiap gigi akrilik)
|
Denture repair (addition of each acrylic tooth) | 15 | 10 | 1 | 5 |
36 |
Lapikan semula/landasan semula (setiap dentur)
|
Relining/rebasing (per denture) | 60 | 45 | Percuma | 30 |
37 | Impresi bagi model kerja (setiap set) |
Impression for working model
(per set)
|
- | - | - | 40 |
38 | Splin lembut | Soft splint | 25 | 20 | Percuma | 15 |
39 | Splin keras | Hard splint | 100 | 75 | Percuma | 50 |
40 | Splin lain | Other splint | 25 | 20 | Percuma | 10 |
41 | Aplians atau obturator: | Dental appliances or obturators | ||||
42 | Kecil | Small | 115 | 30 | 15 | 15 |
43 | Sederhana | Medium | 150 | 40 | 20 | 20 |
44 | Besar | Large | 190 | 50 | 25 | 25 |
45 | Aplians tetap (setiap arkus) | Fixed appliance (per arch) | - | - | - | 500 |
46 | Aplians sebahagian tetap (setiap arkus) | Partial fixed appliance (per arch) | - | - | - | 300 |
47 |
Aplians boleh tanggal
(pasif)(setiap arkus)
|
Removable appliance
(passive)(per arch)
|
- | - | - | 100 |
48 |
Aplians boleh tanggal
(aktif)(setiap arkus)
|
Removable appliance
(active)(per arch)
|
- | - | - | 200 |
49 | Aplians fungsi tetap | Fixed functional appliance | - | - | - | 1000 |
50 | Aplians fungsi boleh tanggal | Removable functional appliance | - | - | - | 40 |
51 |
Penggantian komponen aplians tetap (setiap
komponen)
|
Fixed appliance components replacement (per component) | - | - | - | 25 |
52 | Pembaikan komponen aplians boleh tanggal | Repair of removable appliance component | - | - | - | 25 |
53 |
Pembaikan aplians patah (semua jenis
aplians boleh tanggal/
obturator)
|
Repair of broken appliance (all types of removable appliances/obturator) | - | - | - | 10 |
54 |
Pembaikan aplians fungsi boleh tanggal
|
Removable functional appliance (repair) | - | - | - | 50 |
55 |
Auksiliari ortodontik
|
Orthodontic auxiliary | - | - | - | 100 |
56 |
Arkus transpalatal
|
Transpalatal arch | - | - | - | 100 |
57 |
Arkus lingual
|
Lingual arch | - | - | - | 100 |
58 |
Arkus transpalatal(setiap pembaikan)
|
Transpalatal arch (each repair) | - | - | - | 50 |
59 |
Arkus lingual (setiap pembaikan)
|
Lingual arch (each repair) | - | - | - | 50 |
60 |
Arkus transpalatal (setiap penyimenan semula)
|
Transpalatal arch (each re- cementation) | - | - | - | 50 |
61 |
Arkus lingual (setiap penyimenan semula)
|
Lingual arch (each re- cementation) | - | - | - | 50 |
62 |
Penyenggara ruang boleh tanggal (setiap arkus)
|
Removable space maintainer
(per arch)
|
- | - | - | 100 |
63 |
Retainer tetap (setiap arkus)
|
Fixed retainer (per arch)
|
- | - | - | 100 |
64 |
Retainer Essix
|
Essix retainer
|
- | - | - | 100 |
65 |
Retainer tetap(pembaikan setiap gigi)
|
Fixed retainer (repair per tooth)
|
- | - | - | 50 |
66 |
Retainer tetap (nyahlekat setiap arkus)
|
Fixed retainer (debond per arch)
|
- | - | - | 100 |
67 |
Peralatan pengangkoran sementara (setiap alat)
|
Temporary anchorage devices(per device)
|
- | - | - | 150 |
68 |
Rantai emas untuk gigi terimpak
|
Gold chain for impacted tooth
|
- | - | - | 400 |
69 |
Rantai traksi untuk pergerakan gigi minor(setiap gigi)
|
Traction chain for minor tooth movement (per tooth)
|
- | - | - | 50 |
70 |
Rawatan pengembang palatal
|
Palatal expander treatment
|
- | - | - | 100 |
71 |
Rawatan alat kepala
|
Headgear treatment
|
- | - | - | 100 |