北京赛德口腔门诊部.doc

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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。00950140专家会诊(外院)Consulting每人次1000。0095X-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)Intraoralcomplete series(

2、digital）全口70095%271数码小牙片Digital small Xray张6095280咬颌片Bitewings张10095330全景片Panoramic张24095%331断层片Section张24095%332头颅侧位片Cepholomatric张24095332头颅正位片张24095333颌关节片每侧张24095334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2401351窝沟封闭s

3、ealant每牙120951201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500951522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 filling）每牙10

4、0951202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300952331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）Resin3s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 previous filling mater

5、ial每牙100952391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RCT-2 canal每牙1200953330根管治疗(三根管)不包括永久充填RCT3 canal每牙1600953340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 canal therapy（chi

6、ld）-anterior每牙600953321儿童乳牙根管治疗(后牙)不包括永久充填Root canal therapy（child）molar每牙1000953998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 RCT-2 canal每牙300953348根管再治疗（三根管) 加收Retreatment RCT3 canal每牙40095%3348X根管再治疗(四根管） 加收Retreatment RCT4 canal每牙450

7、953350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1200953360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（first visit）每次20095%4220刮治su

8、bScaling 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- 7 -4980牙周固定:高强纤维+树脂 前牙Periodontal splintinganterior每牙30095%牙周固定:高强纤维+树脂 后牙Periodontal splinting-posterior每牙60095%4240牙龈翻瓣术骨粉单收Peri

9、odontal flap procedure，including root plant每象限3000954268牙龈切除术 （美容)Gingivectomy800/每牙或.1500- 2000/象限954249牙冠延长术Crown lengthening每牙（每增加一个牙）1800(+8001000/牙）954985游离龈瓣移植术Free gingival graft procedure300095%4987种植体周围炎治疗Treatment for periimplantitis95%4266引导性牙周组织再生术Guided Tissue Regeneration GTR每牙300095%4

10、263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508095%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500952991牙齿冷光美白Whitening，with chairside procedure次2800952991牙齿冷光美白（家庭装）Whitening，with chairside procedure at home次120

11、095%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1500957103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 extraction-upper erupted tooth每牙6009571

12、13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 impacted complete bony每牙200095阻生齿拔除5深度完全

13、骨阻生Extraction impacted complete deeply bony 每牙2200957530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Incision and drainage of abscessextraoral so

14、ft tissue每次25095%7291牙槽嵴增高术Alveoplastysurgical preparation of ridge for denture每人次1500957230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1500957310齿槽突整形术Alveoplasty in conjunction with extractions-per quadrant每区段800957450软组织小肿物切除术送病理Removal of soft tissue每次80095%7451舌系带延长术Ankylotomy每次1000-1500957452唇系带

15、延长术每次1000957462根端囊肿摘除Removal of apical cyst每牙800957463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2000957611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%修复部分嵌体 Inlay restorations编号项目内容说明Description单位收费标准(元）254

16、0金合金嵌体内嵌Inlay-nobel metal每牙260095%2541金合金嵌体高嵌Onlaynobel metal每牙3200952610瓷嵌体内嵌Inlay-porcelain/ceramic每牙2500952640瓷嵌体高嵌Onlayporcelain/ceramic每牙3000952650树脂嵌体-内嵌Inlaycomposite/resin每牙150095%2660树脂嵌体高嵌Onlay-composite/resin每牙180095牙冠 Crowns编号项目单位收费标准（元）2792金合金金属全冠Crownfull cast nobel metal每牙3200952740镍铬

17、合金烤瓷冠Crown-porcelain fused to metal每牙1600952750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3200952971金沉积烤瓷冠每牙380095%2760铸瓷冠Crownfull porcelain/ceramic每牙380095%2972瓷沉积冠/ Incerm全瓷冠 （AL2O3）每牙450095%2900CAD/CAM 二氧化锆ceron每牙58

18、0095%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1000952975加急费Additional fee for emergency另加3095%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 crown每单位20095拆桩Removal of previous post and core每单位20040095%2910粘嵌

19、体Recement inlay每牙200952920粘冠Recement crown每牙200952951铸造普通金属桩核Core buildup，including pins每牙1200-1500952955纤维桩核Cast post and core-fibre每牙1500180095%2956金合金桩核Cast post and core-nobel metal每牙2000280095%2957铸瓷桩Cast post and core-porcelain每牙2000952960树脂贴面 直接Labial veneer(composite）-chairside每牙150095%2961树

20、脂贴面 间接Labial veneer(composite）-lab每牙2000-2300952962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 denture-full付4000-7000955121半口义齿(普通胶铸）Complete denture(upper or lower）件3000

21、-5000955111全口钴铬支架-半口CoCr framework另加1500/件955112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955115全口义齿加强力网(钛)半口Ti alloy frame work(half mouth）另加3000/件955131即可义齿(普通)Immediate 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

22、）5211胶连复局/局义简单 不过中线simple partialresin 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Partialmetal base件120095铸造钴铬支架复杂件3800955215单颗铸造支架颗900/3000955216钛支架Partial-titanium base单颌6000-8000955861套筒冠含桩每单位550095%5862精密附着体Precision attachment每单位5000955863磁性附着体每对5000955864弹性义齿每牙850955865精品美容修复另收Special

23、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300958691儿童（金属矫正器）Comprehensive orthodontic threatmentchild（mental）人12000 25000958692成人（金属矫正器）Comprehensive orthodontic threatment-adult（mental）人12000-3000095%8693隐形矫治器Invisal

24、ign人400006000095%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4000-6000956500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人2000-4000958120固定治疗Fixed appliance t

25、herapyper4000-600095治疗简单不良习惯 Minor treatment for harmful habits 编号项目内容说明Description单位 收费标准（元)8210活动治疗Removable appliance therapy人100095%8220固定治疗Fixed appliance therapyper200095%其他各种附件 Other orthodontic devices编号项目内容说明Description单位 收费标准（元)958650特殊治疗Treatment for the atypical or extended skeletal case

26、per600095%8750治疗后期保持器 固定Fixed retainerper1000958751治疗后期保持器 活动Removable retainerper100095%8752单颌固定保持器Fixed retainer in single maxillaper800100095%8999其他各种附件另收Unspecified orthodontic procedureper95%种植 Implant编号项目内容说明Description单位 收费标准(元)6010种植基本手术费（含普通种植体)Surgery with implant每牙12000956011种植二期手术费每牙1000

27、956013即刻种植手术费(含种植体)Surgery with immediate placement每牙1200095%6013即刻种植即刻修复(含种植体）Surgery with immediate loading每牙1400095基台 6020标准修复基台Restore with normal abutment每牙2000956021即刻临时负重基台每牙200095%6022穿黏膜基台每牙200095%6023特殊角度基台每牙300095%6024瓷基台Restore with porcelain abutment每牙4000956025特殊瓷基台每牙500095上部修复6030普通金属

28、烤瓷冠Restore with porcelain crown fused to nonnoble metal每牙2000956031钛合金烤瓷冠Restore with porcelain crown fused to titanium每牙2800956032金合金烤瓷冠Restore with porcelain crown fused to high noble metal 每牙400095%6033瓷沉积全瓷冠Restore with full porcelain crown每牙6000956034CAD-CAM全瓷冠CAD-CAM crown每牙800095%6035临时塑料牙冠Te

29、mp-crown每牙20095%5111全口义齿（胶连)Complete denture-full付5000955121半口义齿(胶连）Complete denture(upper or lower)付3000955862精密附着体Precision attachment付5000起95%特别手术6190植骨术（人工骨粉)Bone grafting procedure300010000956191植骨术（自体骨）150095%6192上颌窦提升术（挤压提升）Sinus lifting,simple每牙4000956193上颌窦提升术(开窗式提升)Sinus lifting,complex si

30、ngle tooth单牙6000956193上颌窦提升术（开窗式提升)Sinus lifting,complex more teeth多牙900095%6194骨挤压术每牙100095%6195骨劈开术每牙1000956196牙槽嵴成形术次1000956197自体骨取骨术次2000-3000956198鼻底抬高术次3000956199软组织移植术次2000956500种植支抗Implant anchorage每个2000956501种植支抗每对300095%9210局部麻醉Local anesthesia次8095%9211区域麻醉Regional block anesthesia次20095%7010人工骨粉Bone grafting material0. 5g200095%7010人工骨粉Bone grafting material0.25g180095%7011骨胶原1200957012可吸收生物膜Bioresorbable membrane每块13x252600957012可吸收生物膜Bioresorbable membrane每块25x25320095%9910其他other95%本机构选择9。5折方案.