北京赛德口腔门诊部.docx

1、北京赛德口腔门诊部价 格 表（2009.4.1）编号项目内容说明Description单位收费标准(元)折扣率0110初诊检查费examination第一次120.0095%0120120复诊咨询费(更换医生)Periodic oral examination每人次100.0095%0130急诊费Emergency oral examination每人次300.0095%0140专家会诊(外院)Consulting每人次1000.0095%X-片 Radiographs 编号项目内容说明Description单位收费标准(元)210全口牙片(数码)Intraoral-complete seri

2、es(digital)全口70095%271数码小牙片Digital small X-ray张6095%280咬颌片Bitewings张10095%330全景片Panoramic张24095%331断层片Section张24095%332头颅侧位片Cepholomatric张24095%332头颅正位片张24095%333颌关节片每侧张24095%334头颅侧位纵向断层片张30095%保健/预防 Preventive编号项目内容说明Description单位收费标准(元)1109洁治+抛光Scalin&polishing次360洁牙卡约定的有效次数内免费1115喷沙prophylaxis次24

3、01351窝沟封闭sealant每牙12095%1201氟化泡沫防龋全口Topical application of fluoride全口35095%95%1520儿童间隙保持器活动Space maintainer-removable个50095%1510儿童间隙保持器固定Space maintainer-fixed个80095%1521夜磨牙保持器Month guard全口50095%1522氟保护漆f-vainsh每牙6095%牙体/牙髓 Endodontics编号项目内容说明Description单位收费标准(元)3200安抚包括备洞Pulpal therapy(restorative

4、filling)每牙10095%1202预防充填Preventive restoration每牙20095%2330光固化复合树脂修复(单面洞)Resin-1s每牙30095%2331光固化复合树脂修复(双面洞)Resin-2s每牙40095%2332光固化复合树脂修复(三面洞)Resin-3s每牙50095%2334光固化复合树脂修复(四面洞/切端)Resin-4s/incisal每牙60095%2981美容修复（畸形牙改型；小间隙关闭）Cosmetic treatment（reshaping，closing gap）每牙100095%2390去除旧充填物Removal of previou

5、s filling material每牙10095%2391拆冠Removal of previous crown每单位20095% 根管治疗 Root Canal Therapy编号项目内容说明Description单位 收费标准（元）3310根管治疗(单根管)不包括永久充填RCT1 canal每牙80095%3320根管治疗(双双管)不包括永久充填RCT2 canal每牙120095%3330根管治疗(三根管)不包括永久充填RCT3 canal每牙160095%3340根管治疗(四根管)不包括永久充填RCT4canal每牙200095%3311儿童乳牙根管治疗(前牙)不包括永久充填Root

6、 canal therapy(child)-anterior每牙60095%3321儿童乳牙根管治疗(后牙)不包括永久充填Root canal therapy(child)-molar每牙100095%3998新材料使用镍钛旋转锉(加收)profile每根10095%3346根管再治疗(前单根管) 加收Retreatment RCT1 canal每牙20095%3347根管再治疗(双双管) 加收Retreatment RCT2 canal每牙30095%3348根管再治疗(三根管) 加收Retreatment RCT3 canal每牙40095%3348-X根管再治疗(四根管) 加收Retre

7、atment RCT4 canal每牙45095%3350显微镜根管治疗Microscope RCT每牙2000- 400095%3351显微镜根管治疗Microscope RCT每根120095%3360显微镜取异物Microscope RCT每根200095%3999活髓切断术 包括备洞 树脂充填pulpsectomy每牙80095%根尖诱导形成术Induce每牙180095%牙周 Periodontics编号项目内容说明Description单位 收费标准（元）4200牙周专科检查及治疗计划(初次)Periodontal examination and treatment plan（fi

8、rst visit）每次20095%4220刮治subScaling and root planning （SRP）象限120095%刮治subScaling and root planning每牙20095%4211牙周袋内上药（局部）application of antibiotic局部15095%牙周袋内上药（全口） application of antibiotic全口50095%4980牙周固定:高强纤维+树脂 前牙Periodontal splinting-anterior每牙30095%牙周固定:高强纤维+树脂 后牙Periodontal splinting-posterior每

9、牙60095%4240牙龈翻瓣术骨粉单收Periodontal flap procedure,including root plant每象限300095%4268牙龈切除术 (美容)Gingivectomy800/每牙或.1500- 2000/象限95%4249牙冠延长术Crown lengthening每牙（每增加一个牙）1800（+800-1000/牙）95%4985游离龈瓣移植术Free gingival graft procedure300095%4987种植体周围炎治疗Treatment for peri-implantitis95%4266引导性牙周组织再生术Guided Tiss

10、ue Regeneration GTR每牙300095%4263植骨Bone graft每牙200095%4260骨成形术Osseous surgery每牙50095%牙冠环行切开术每牙50095%4986脱敏antisenstivity每牙50-8095%美白 Whitening编号项目内容说明Description单位收费标准(元)2990牙齿美白(家庭补充装)Whitening,with home procedure次50095%2991牙齿冷光美白Whitening,with chairside procedure次280095%2991牙齿冷光美白（家庭装）Whitening,wit

11、h chairside procedure at home次120095%口腔外科 Oral surgery 编号项目内容说明Description单位 收费标准（元）7560埋伏牙开窗Maxillary sinusotomy for removal of tooth fragment每牙150095%7103恒牙龈下助萌术(去骨)每牙500(800)95%7110常规拔牙(包括松动牙)Tooth extraction 每牙200 40095%正畸减数磨牙60095%复杂牙拔除死髓劈裂牙100095%7111简单乳牙拔除每牙10095%7112完全萌出智齿拔除 上牙Wise tooth ext

12、raction-upper erupted tooth每牙60095%7113完全萌出智齿拔除 下牙Wise tooth extraction-lower erupted tooth每牙100095%阻生齿拔除1 软组织阻生Extraction impacted soft tissue 每牙120095%阻生齿拔除2部分骨阻生Extraction impacted partial bony每牙160095%阻生齿拔除3软组织+部分骨阻生Extraction impacted soft tissue and partial bony每牙180095%阻生齿拔除4完全骨阻生Extraction i

13、mpacted complete bony每牙200095%阻生齿拔除5深度完全骨阻生Extraction impacted complete deeply bony 每牙220095%7530龈瓣切除术Removal of tissue每区段20095%7690干槽症治疗Treatment of dry socket每牙/次20095%7910外伤缝合Suture of recent small wounds每次30095%7510口内脓肿切开Incision and drainage of abscess-intraoral soft tissue每次15095%7520口外脓肿切开Inc

14、ision and drainage of abscess-extraoral soft tissue每次25095%7291牙槽嵴增高术Alveoplasty-surgical preparation of ridge for denture每人次150095%7230人工骨植骨术骨粉费用另计每术区、次1000- 150095%7231口腔内取骨术每部位150095%7310齿槽突整形术Alveoplasty in conjunction with extractions-per quadrant每区段80095%7450软组织小肿物切除术送病理Removal of soft tissue每

15、次80095%7451舌系带延长术Ankylotomy每次1000-150095%7452唇系带延长术每次100095%7462根端囊肿摘除Removal of apical cyst每牙80095%7463根尖切除搔刮Root and resection 每牙100095%3410根尖切除术(前牙)每牙100095%3421根尖切除术(双尖牙)每牙150095%3425根尖切除术(后牙)每牙200095%7611冠周炎治疗Treatment of pericoronitis每次10095%9911颞下颌关节复位Reposition of dislocated TMJ每次20095%修复部分嵌

16、体 Inlay restorations编号项目内容说明Description单位收费标准（元）2540金合金嵌体内嵌Inlay-nobel metal每牙260095%2541金合金嵌体高嵌Onlay-nobel metal每牙320095%2610瓷嵌体内嵌Inlay-porcelain/ceramic每牙250095%2640瓷嵌体高嵌Onlay-porcelain/ceramic每牙300095%2650树脂嵌体内嵌Inlay-composite/resin每牙150095%2660树脂嵌体高嵌Onlay-composite/resin每牙180095%牙冠 Crowns编号项目单位收

17、费标准（元）2792金合金金属全冠Crown-full cast nobel metal每牙320095%2740镍铬合金烤瓷冠Crown-porcelain fused to metal每牙160095%2750金合金烤瓷冠(前牙)Crown-porcelain fused to nobel metal(anterior)每牙280095%2751金合金烤瓷冠(后牙)Crown-porcelain fused to nobel metal(molar)每牙320095%2971金沉积烤瓷冠每牙380095%2760铸瓷冠Crown-full porcelain/ceramic每牙380095

18、%2972瓷沉积冠/ Incerm全瓷冠 （AL2O3）每牙450095%2900CAD/CAM 二氧化锆ceron每牙580095%2970临时冠Temporary crown每牙20095%2973预成冠Prefabricaled crown每牙80095%2974精品加工Special requirement for lab 每牙加收100095%2975加急费Additional fee for emergency另加30%95%其他修复 Other restorative编号项目内容说明Description单位 收费标准（元）2391拆冠Removal of previous cr

19、own每单位20095%拆桩Removal of previous post and core每单位200-40095%2910粘嵌体Recement inlay每牙20095%2920粘冠Recement crown每牙20095%2951铸造普通金属桩核Core buildup,including pins每牙1200-150095%2955纤维桩核Cast post and core-fibre每牙1500-180095%2956金合金桩核Cast post and core-nobel metal每牙2000-280095%2957铸瓷桩Cast post and core-porce

20、lain每牙200095%2960树脂贴面 直接Labial veneer(composite)-chairside每牙150095%2961树脂贴面 间接Labial veneer(composite)-lab每牙2000-230095%2962全瓷贴面Labial veneer(composite)-lab每牙350095%瓷贴面-CAD/CAMLabial veneer(porcelain)- CAD/CAM每牙400095%活动全口修复 Prosthodontcs(removable)编号项目内容说明Description单位收费标准（元）5110全口义齿(普通胶铸)Complete

21、denture-full付4000-700095%5121半口义齿(普通胶铸)Complete denture-(upper or lower)件3000-500095%5111全口钴铬支架半口Co-Cr framework另加1500/件95%5112全口钛支架半口Ti tramework另加3500/件95%5113全口义齿加强力网(钴铬)半口Inforcement framework(half mouth)另加1000/件95%5115全口义齿加强力网(钛)半口Ti alloy frame work(half mouth)另加3000/件95%5131即可义齿(普通)Immediate

22、denture-(upper or lower)单颌450095%局部修复 Partial denture编号 项目内容说明Description单位 收费标准（元）5211胶连复局/局义简单 不过中线simple partial-resin base件80095%胶连复局/局义复杂 件2400-300095%5213铸造钴铬支架简单 不过中线Partial-metal base件120095%铸造钴铬支架复杂件380095%5215单颗铸造支架颗900/300095%5216钛支架Partial-titanium base单颌6000-800095%5861套筒冠含桩每单位550095%58

23、62精密附着体Precision attachment每单位500095%5863磁性附着体每对500095%5864弹性义齿每牙85095%5865精品美容修复另收Special consultation每牙500-100095% 正畸 Orthodontics编号项目内容说明Description单位 收费标准(元)8660正畸咨询Orthodontics consultation次50095%取记存模型上下口40095%面颌像30095%8691儿童（金属矫正器）Comprehensive orthodontic threatment-child（mental）人12000- 25000

24、95%8692成人（金属矫正器）Comprehensive orthodontic threatment-adult（mental）人12000-3000095%8693隐形矫治器Invisalign人40000-6000095%8694舌侧正畸人60000-9000095%8753隐形弓丝加收Invisible wire每根20095%陶瓷托槽加收Comprehensive orthodontic treatment()人4000600095%6500种植支抗Implant anchorage每个150095%预防性矫治 Interceptive orthodontic treatment编号项目内容说明Description单位 收费标准(元)8110活动治疗Removable appliance therapy