Citizens Charter

Sr. No.

Name of treatment

Rates ( In Rs.)

1.               
 

Dressing and temporary
filling per tooth

20

2.               
 

Permanent filling other
than composite filling per tooth

60

3.               
 

Permanent filling with
composite filling per tooth with Light Cure Unit

150

4.               
 

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

150

5.               
 

Endodontic therapy ( Single
rooted)

200

6.               
 

Endodontic therapy ( Multi
rooted)

300

7.               
 

Bleaching per quadrant

50

8.               
 

Fissure sealant per tooth

60

9.               
 

Fluoride application (per
application)

60

10.           
 

Extraction (per tooth)

20

11.           
 

Surgical Extraction (per
tooth)

60

12.           
 

Currettage / abscess
drainage

150

Periodontal flap

Alveolectomy

Alveoplasty

Frenectomy

Surgical exposure of tooth

Biopsy

Alcohol block for neuralgia

13.           
 

Medium operation

400

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

80

Oral Prophylaxis with
ultrasonic

200

Scaling and root planning
(SRP) per segment

150

Fibre Splint (per segment)

600

Periodontal plastic surgery

800

16.           
 

Sub-gingival curettage(per
tooth)

150

17.           
 

a

Surgical Periodontal
treatment up to 4 teeth

150

b

Surgical Periodontal
treatment( per quadrant )

150

18.           
 

Occlusal equilibration

250

19.           
 

Splinting per segment

150

20.           
 

Acrylic crown

250

21.           
 

Porcelain crown

1500

22.           
 

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

500

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

750

b

Upper and Lower

1000

26.           
 

Maxillofacial Prosthesis

500

27.           
 

Orthodontics / Pedodontics
appliance (each)

320

28.           
 

Repair of
denture/appliance/crown/bridge

150

29.           
 

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

3500

30.           
 

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

60

31.           
 

Extra oral X-ray film
(each)

60

32.           
 

Cephalogram (each)

120

33.           
 

Panoramic X-ray (each)

200

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)

1000

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