Sl.No.	TREATMENT TYPE	TREATMENT NAME
1	CONSULTATION
2	X-RAYS	INTRA ORAL PERIEPICAL (IOPA) (RVG)
		ORTHOPANTOMOGRAM (OPG) WITH CD.
		CEPHALOGRAM (CEPH)
		OCCLUSAL
		BITE WING RADIOGRAPH
		IOPA (FILM)
		TMJ TOMOGRAM (OPEN / CLOSED MOUTH VIEWS) ONLY RIGHT / LEFT
		PA CEPHALOGRAM
		SUB MENTO VERTEX VIEW
		SINUS VIEW
3	FILLINGS	OCCLUSAL GRINDING
		IRM FILLING
		GLASS IONOMER FILLING
		GLASS IONOMER LINING (CERVICAL ABRATION)
		COMPOSITE FILLING (SMALL)
		COMPOSITE FILLING (MEDIUM)
		COMPOSITE FILLING (LARGE)
		COMPOSITE FILLING (CLASS - V)
		CORE BUILD UP
		AESTHETIC BUILD UP (EACH TOOTH)
		VENEERS PORCELAIN (EACH TOOTH)
		COMPOSITE PORCELAIN (EACH TOOTH)
4	RCT (including entrance fillings)	ANY TOOTH
5	PERIODONTICS	SCALING & POLISHING
		SCALING
		POLISHING ONLY
		DEEP SCALING (UNDER LA)
		CURETTAGE/FLAP/GINGIVECTOMY (Per Quadrant)
		FULL MOUTH
		CURETTAGE (ONE TOOTH)
		BLEACHING
		UPPER BLEACHING
		LOWER BLEACHING
		SPLINTING PER SEGMENT
		COMPOSITE SPLINTING (6 UNITS)
		C. SPLINTING (MORE THAN 6 UNITS)
		BONE GRAFTING (PER QUAD, excludig graft material)
		LOCAL PROPHY
		SALINE IRRIGATION
		STAIN REMOVAL
6	EXTRACTION	REGULAR
		TRANS ALVEOLAR / DIFFICULT EXTRACTION
		IMPACTION UNDER L.A (LOWER)
		IMPACTION UNDER L.A (UPPER)
		SURGIGICAL EXPOSURE OF A TOOTH
		HORIZONTAL IMPACTION
7	MINOR ORAL SURGERY	APISECTOMY + EACH ADDITIONAL TOOTH
		BIOPSY
		ALCOHOL INJECTION
		OPERCULECTOMY
		FRENECTOMY
		ALVEOLOPLASTY (FULL MOUTH)
		ALVEOLOPLASTY (ONE ARCH)
		ALVEOLOPLASTY (LOCALISED)
		GINGIVECTOMY / GINGIVOPLASTY
8	CROWNS & BRIDGES (PER UNIT)	ACRYLIC CROWN (JC)
		FULL METAL (Ni-Cr)
		METAL WITH CERAMIC FACING
		METAL WITH ACRYLIC FACING
		PROCELAIN/CERAMIC (PFM)
		FULL CERAMIC CROWN
		DAVIS POST
		CAST POST
		FIBRE POST or LC POST
		COMPOSITE VENEER (EACH)
		PROCELAIN VENEER
		PROCERA CROWN
		UNITI
9	IMPLANT (CROWN /BRIDGE COST EXTRA)	ITI STRAUMAN M IMPLANT
		BICORTICAL SREW IMPLANT
		LIFE CARE
		BRANE MARK (NOBEL BIOCARE)
		SINUS LIFT SURGERY
		MEMBRANE / GRAFTING CHARGES
10	DENTURES	COMPLETE DENTURE (INDIAN)
		COMPLETE DENTURE (IMPORTED)
		COMPLETE DENTURE (LUCITONE)
		UPPER CD (INDIAN)
		UPPER CD (IMPORTED)
		UPPER CD (LUCITONE)
		LOWER CD (INDIAN)
		LOWER CD (IMPORTED)
		LOWER CD (LUCITONE)
		PARTIAL DENTURE (Minimum 1 Unit)
		EVERY ADDITIONAL UNITS
		CAST PARTIAL DENTURE (CAST PD) (Minimum 2 Units)
		EVERY ADDITIONAL UNITS
		RELINING & REBASE (PER DENTURES RS.2500/-)
		SOFT RELINING – UPPER
		SOFT RELINING – LOWER
		DENTURE WITH METALLIC BASE (UPPER)
		DENTURE WITH METALLIC BASE (LOWER)
11	ORTHODONTICS	FIXED APPLIANCE (FA)
		CERAMIC APPLIANCE
		STUDY MODELS
		BROKEN ARCH WIRE
		NEW BRACKETS
		REFIXING BRACKETS (UP TO 2 BRACKETS FREE OF COST) EVERY BRACKETS RS.
		CAP SPLINT (SOFT / HARD)
		BITE RAISING APPLIANCE
12	REMOVABLE APPLIANCE	UPPER HAWLEYS APPLIANCE (UHA)
		LOWER HAWLEYS APPLIANCE (LHA)
		FIXED RETAINERS (UPPER)
		FIXED RETAINERS (LOWER)
		SOFT SPLINT
13	FUNCTIONAL APPLIANCE	ANY FUNCTIONAL APPLIANCE (PER ARCH)
		CHIN CUP / REVERSE HEAD GEAR / FACE MASK
14	SMILE DESIGNING	SMILE DESIGNING
15	PEDODONTICS	STAINLESS STEEL CROWN
		PULPOTOMY
		SPACE MAINTAINER (UNILATERAL)
		SPACE MAINTAINER (BILATERAL)
		STRIP CROWN
		INCLINED PLANE
		FLUORIDE (EACH TOOTH)
		FILLING ANY TOOTH
		SCALING
		RCT ANY TOOTH
		HABIT BREAKING APPLIANCE
		REMOVABLE SPACE MAINTAINER
		AESTHETIC BUILD UP
		EXTRACTION
		PIT & FISSURE SEALANT
16	TRAUMA	COMPOSITE SPLINTING