北京赛德口腔门诊部.doc

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 series(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2401351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 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 previous 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 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Retreatment 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（first 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%- 8 -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 Tissue 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,with 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 extraction-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 impacted 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Incision 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%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 crown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-porcelain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 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 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%5862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- 2500095%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人2000-400095%8120固定治疗Fixed appliance therapyper4000-600095%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)95%8650特殊治疗Treatment for the atypical or extended skeletal caseper600095%8750治疗后期保持器 固定Fixed retainerper100095%8751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1200095%6011种植二期手术费每牙100095%6013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200095%6021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400095%6025特殊瓷基台每牙500095%上部修复6030普通金属烤瓷冠Restore with porcelain crown fused to non-noble metal每牙200095%6031钛合金烤瓷冠Restore with porcelain crown fused to titanium每牙280095%6032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600095%6034CAD-CAM全瓷冠CAD-CAM crown每牙800095%6035临时塑料牙冠Temp-crown每牙20095%5111全口义齿(胶连)Complete denture-full付500095%5121半口义齿(胶连)Complete denture-(upper or lower)付300095%5862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 procedure3000-1000095%6191植骨术(自体骨)150095%6192上颌窦提升术(挤压提升)Sinus lifting,simple每牙400095%6193上颌窦提升术(开窗式提升)Sinus lifting,complex single tooth单牙600095%6193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100095%6196牙槽嵴成形术次100095%6197自体骨取骨术次2000-300095%6198鼻底抬高术次300095%6199软组织移植术次200095%6500种植支抗Implant anchorage每个200095%6501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120095%7012可吸收生物膜Bioresorbable membrane每块13x25260095%7012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。