CITIZENS CHARTER

Sr. No.

Name of treatment

Rates        ( In Rs.)

1.                 

Dressing and temporary filling per tooth

10

2.                 

Permanent filling other than composite filling per tooth

40

3.                 

Permanent filling with composite filling per tooth with Light Cure Unit

60

4.                 

Inlays with technique metal( for pure gold patient to bring own metal)

120

5.                 

Endodontic therapy ( Single rooted)

120

6.                 

Endodontic therapy ( Multi rooted)

240

7.                 

Bleaching per quadrant

50

8.                 

Fissure sealant per tooth

40

9.                 

Fluoride application (per application)

40

10.             

Extraction (per tooth)

15

11.             

Surgical Extraction (per tooth)

60

12.             

Currettage / abscess drainage

120

Periodontal flap

Alveolectomy

Alveoplasty

Frenectomy

Surgical exposure of tooth

Biopsy

Alcohol block for neuralgia

13.             

Medium operation

360

Apicoctomy

Extraoral sinus excision

Treatment of osteomyelitis

Vestibuloplasty

Replantation

14.             

Major operation

600 + Anesthesia fee as fixed by the Govt.

Oroantral fistula

Treatment of fractures

Treatment of cysts

Treatment of tumors

Reconstructive Surgery

TMJ Surgery

Sialolithotomy

Gland excision

Distractor

Orthognatic Surgery

Neurectomy

Any other operation under GA

15.             

Prophylaxis

60

Oral Prophylaxis with ultrasonic

150

Scaling and root planning (SRP) per segment

100

Fibre Splint (per segment)

500

Periodontal plastic surgery

400

16.             

Sub-gingival curettage(per tooth)

25

17.             

a

Surgical Periodontal treatment up to 4 teeth

120

b

Surgical Periodontal treatment( per quadrant )

240

18.             

Occlusal equilibration

120

19.             

Splinting per segment

120

20.             

Acrylic crown

240

21.             

Porcelain crown

1200

22.             

Non- porcelain work per unit(chargeable from govt. employees also)

300

23.             

Porcelain bridge per unit(chargeable from govt. employees also)

1200

24.             

Partial denture up to Six teeth

60

Additional per tooth

20 per tooth

25.             

Full Denture :-

 

a

Upper or Lower

300

b

Upper and Lower

600

26.             

Maxillofacial Prosthesis

360

27.             

Orthodontics / Pedodontics appliance (each)

300

28.             

Repair of denture/appliance/crown/bridge

120

29.             

Fixed Orthodontics / Pedodontics treatment (chargeable from govt. employees also)

2400

30.             

Intra Oral X-ray film / X-ray with flash dent unit

30

31.             

Extra oral X-ray film (each)

60

32.             

Cephalogram (each)

90

33.             

Panoramic X-ray (each)

120

34.             

Study models

60

35.             

Prosthesis other than maxillofacial prosthesis

360

36.             

Immediate denture :

 

a

Upto 3 teeth (chargeable from govt. employees also)

240

b

Upto 6 teeth (chargeable from govt. employees also)

480

c

Upto 10 teeth (chargeable from govt. employees also)

720

d

Complete full upper or lower (chargeable from govt. employees also)

960

e

Full denture (chargeable from govt. employees also)

1920

37.             

Flap operation with bone graft (per quadrant)

600

38.             

Flap operation with synthetic graft (per quadrant)

720

39.             

Flap operation with GTR

1000

40.             

Implants per unit for operation excluding cost of transplant

1200

41.             

Fiber Post & Core

400

42.             

Metal Post & Core

200

43.             

Registration Fee

5 for three months