Post on 27-May-2019
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Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
8025
HANDLING FEE - DIRECT MATERIALS (26% OF MATERIAL
COST TO A MAXIMUM OF R26.00) R 33.80 R 33.80 R 33.80 R 33.80 - R 33.80 - R 33.80 -
8101 ORAL EXAMINATION R 188.30 R 188.30 R 188.30 R 188.30 - R 188.30 R 98.00 R 188.30 R 188.30
8102 COMPREHENSIVE ORAL EXAMINATION R 304.20 R 304.20 R 304.20 R 304.20 - R 304.20 R 158.20 R 304.20 -
8104 LIMITED ORAL EXAMINATION R 91.30 R 91.30 R 91.30 R 91.30 - R 91.30 R 76.30 R 91.30 R 91.30
8106 SPECIAL REPORT R 193.30 R 193.30 R 193.30 R 193.30 - R 193.30 - - -
8107 INTRAORAL RADIOGRAPH - PERIAPICAL R 76.30 R 76.30 R 76.30 R 76.30 - R 76.30 R 73.50 R 76.30 R 76.30
8108 INTRAORAL RADIOGRAPHS - COMPLETE SERIES R 590.10 R 590.10 R 590.10 R 590.10 - R 590.10 R 589.70 R 590.10 R 590.10
8109 INFECTION CONTROL/BARRIER TECHNIQUES R 16.90 R 16.90 R 16.90 R 16.90 - R 16.90 R 17.00 R 16.90 R 16.90
8110 STERILIZED INSTRUMENTATION R 43.80 R 43.80 R 43.80 R 43.80 - R 43.80 R 43.70 R 43.80 R 43.80
8112 INTRAORAL RADIOGRAPH - BITEWING R 76.30 R 76.30 R 76.30 R 76.30 - R 76.30 R 73.50 R 76.30 R 76.30
8113 INTRAORAL RADIOGRAPH - OCCLUSAL R 131.30 R 131.30 R 131.30 R 131.30 - R 131.30 R 126.30 R 131.30 R 131.30
8114 EXTRAORAL RADIOGRAPH - HAND-WRIST R 304.80 R 304.80 R 304.80 R 304.80 - R 304.80 - R 304.80 R 304.80
8115 EXTRAORAL RADIOGRAPH - PANORAMIC R 304.80 R 304.80 R 304.80 R 304.80 - R 304.80 R 293.90 R 304.80 R 304.80
8116 EXTRAORAL RADIOGRAPH - CEPHALOMETRIC R 304.80 R 304.80 R 304.80 R 304.80 - R 304.80 R 293.90 R 304.80 R 304.80
8117 DIAGNOSTIC MODELS R 81.90 R 81.90 R 81.90 R 81.90 - R 81.90 - R 81.90 R 81.90
8118 EXTRAORAL RADIOGRAPH - SKULL/FACIAL BONE R 304.80 R 304.80 R 304.80 R 304.80 - R 304.80 - R 304.80 -
8119 DIAGNOSTIC MODELS MOUNTED R 206.00 R 206.00 R 206.00 R 206.00 - R 206.00 - R 206.00 -
8121 (DIGITAL/CONVENTIONAL) R 81.90 R 81.90 R 81.90 R 81.90 - R 81.90 R 78.80 R 81.90 R 81.90
8123 CARIES SUSCEPTIBILITY TESTS (BY ARRANGEMENT) R 85.10 - - - - - - - -
8124 PULP TESTS R 22.50 - - - - - - - -
8129 SCHEDULED HOURS R 283.70 R 283.70 - R 283.70 - R 283.70 R 235.20 R 283.70 -
8131 EMERGENCY DENTAL TREATMENT R 115.60 R 115.60 R 115.60 R 115.60 - R 235.70 R 98.00 R 115.60 R 115.60
8132 PULP REMOVAL (PULPECTOMY) R 189.10 R 189.10 - - - - - R 189.10 -
8133 RECEMENT INLAY, ONLAY, CROWN OR VENEER R 115.60 R 115.60 - - - R 146.80 - R 115.60 -
8135 REMOVE INLAY, ONLAY OR CROWN R 230.10 R 230.10 - - - R 230.10 - R 230.10 -
8136
ACCESS THROUGH A PROSTHETIC CROWN OR INLAY TO
FACILITATE ROOT CANAL TREATMENT R 103.00 R 103.00 - R 103.00 - R 103.00 - R 103.00 -
Denis shall be entitled to update the tariff schedule from time to time.
The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.
Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.
If the clinical code requires managed care intervention, all associated lab codes should will be included in the authorisation process.
Denis Rates
Pre-authorisation is required for the dental code to attract benefit
No tariff amount is available
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
8137 EMERGENCY CROWN (CHAIR-SIDE) R 396.50 R 396.50 - - - R 396.50 - R 396.50 -
8138 REMOVE RETENTION POST (PREFABRICATED OR CAST) R 151.00 R 151.00 - - - R 151.00 - R 151.00 -
8140 HOUSE/EXTENDED CARE FACILITY/HOSPITAL CALL * R 187.70 * R 187.70 - * R 187.70 - * R 187.70 - * R 187.70 -
8141 THEREOF R 84.70 R 84.70 - R 84.70 - R 84.70 - R 84.70 -
8143 INHALATION SEDATION - EACH ADDNL 15 MINUTES R 43.80 R 43.80 - R 43.80 - R 43.80 - R 43.80 -
8144 INTRAVENOUS SEDATION * R 50.80 * R 50.80 - * R 50.80 - * R 50.80 - * R 50.80 -
8145 LOCAL ANAESTHETIC - PER VISIT R 73.50 R 73.50 R 73.50 R 73.50 - R 73.50 R 16.70 R 73.50 R 73.50
8146 RESIN BONDING FOR RESTORATIONS - - - - - - - - -
8147
MONITORING EQUIPMENT FOR INTRAVENOUS
SEDATION R 180.70 R 180.70 - R 180.70 - R 180.70 - R 180.70 -
8151 ORAL HYGIENE INSTRUCTION R 115.60 - - R 231.50 - R 231.50 R 76.90 - R 115.60
8153 ORAL HYGIENE INSTRUCTION - EACH ADDITIONAL VISIT R 84.70 - - R 111.40 - R 111.40 R 56.30 - -
8155 POLISHING - COMPLETE DENTITION R 115.60 R 115.60 - R 159.40 - R 115.60 R 94.10 R 115.60 R 115.60
8157
RE-BURNISHING AND POLISHING OF RESTORATIONS -
COMPLETE DENTITION R 115.60 - - - - - - - -
8158 ENAMEL MICROABRASION R 105.80 - - - - - - - -
8159 PROPHYLAXIS - COMPLETE DENTITION R 227.30 R 227.30 - R 320.40 - R 227.30 R 171.40 R 227.30 R 227.30
8160 REMOVAL OF GROSS CALCULUS - - - - - - - - -
8161 TOPICAL APPLICATION OF FLUORIDE - CHILD R 115.60 R 115.60 - R 115.60 - R 115.60 R 94.10 R 115.60 R 115.60
8162 TOPICAL APPLICATION OF FLUORIDE - ADULT R 115.60 - - R 115.60 - R 115.60 R 94.10 - R 115.60
8163 DENTAL SEALANT R 76.30 R 76.30 - R 76.30 - R 76.30 R 69.70 R 76.30 R 76.30
8165 SEDATIVE FILLING R 115.60 R 115.60 - R 115.60 - R 115.60 R 98.00 R 115.60 R 115.60
8166 APPLICATION OF DESENSITISING RESIN, PER TOOTH R 76.30 R 76.30 - R 76.30 - R 76.30 R 64.70 R 76.30 R 76.30
8167
APPLICATION OF DESENSITISING MEDICAMENT, PER
VISIT R 88.90 R 88.90 - R 88.90 - R 88.90 R 75.40 R 88.90 R 88.90
8169 OCCLUSAL GUARD R 444.50 R 444.50 R 444.50 R 444.50 - R 444.50 - R 444.50 -
8171 MOUTH PROTECTOR R 134.50 R 134.50 R 134.50 R 134.50 - R 134.50 - R 134.50 R 134.50
8172 COST OF ORTHOTIC APPLIANCE * * * * - * - -
8173 SPACE MAINTAINER - FIXED, PER ABUTMENT R 214.60 R 214.60 R 214.60 R 214.60 - R 214.60 - R 214.60 -
8175 SPACE MAINTAINER - REMOVABLE R 276.70 R 276.70 R 276.70 R 276.70 - R 276.70 - R 276.70 -
8176 PERIODONTAL SCREENING R 158.60 R 149.60 - R 158.60 - R 158.60 - R 158.60 R 118.90
8177
ORAL HYGIENE INSTRUCTION (PERIODONTALLY
COMPROMISED PATIENT) R 175.10 - - - - - - - -
8178
ORAL HYGIENE INSTRUCTION - EACH ADDITIONAL VISIT
(PERIODONTALLY COMPROMISED PATIENT) R 94.60 - - - - - - - -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
8179
POLISHING - COMPLETE DENTITION (PERIODONTALLY
COMPROMISED PATIENT) R 132.70 R 132.70 - R 132.70 - R 132.70 - R 132.70 R 132.70
8180
PROPHYLAXIS - COMPLETE DENTITION
(PERIODONTALLY COMPROMISED PATIENT) * R 246.90 * R 246.90 - * R 246.90 - - - - * R 246.90
8183 THERAPEUTIC DRUG INJECTION R 50.80 - - - - - - - -
8189 RE-EXAMINATION - EXISTING CONDITION R 91.30 - - - - - R 76.30 - -
8190 CONSULTATION - SECOND OPINION OR ADVICE R 188.30 R 188.30 R 188.30 R 188.30 - R 188.30 - R 188.30 -
8192 SUTURE - MINOR R 570.20 R 570.20 - R 570.20 - R 570.20 - R 570.20 -
8201
EXTRACTION - TOOTH OR EXPOSED TOOTH ROOTS
(FIRST PER QUADRANT) R 115.60 R 173.50 R 115.60 R 115.60 - R 115.60 R 109.70 R 115.60 -
8202
EXTRACTION - EACH ADDITIONAL TOOTH OR EXPOSED
TOOTH ROOTS R 46.60 R 69.90 R 46.60 R 46.60 - R 46.60 R 42.40 R 46.60 -
8213
SURGICAL REMOVAL OF RESIDUAL ROOTS, FIRST TOOTH
PER QUADRANT R 499.70 R 499.70 - R 499.70 - R 499.70 - R 499.70 -
8214
SURGICAL REMOVAL OF RESIDUAL ROOTS, SECOND
AND SUBSEQUENT TEETH''S ROOTS R 385.30 R 385.30 - R 385.30 - R 385.30 - R 385.30 -
8220 COST OF SUTURE MATERIAL R 181.30 R 181.30 - R 181.30 - R 181.30 R 181.30 R 181.30 -
8231 COMPLETE DENTURES - MAXILLARY AND MANDIBULAR R 1 865.90 - - R 1 865.90 - R 3 895.50 - R 1 865.90 -
8232 COMPLETE DENTURE - MAXILLARY OR MANDIBULAR R 1 150.30 - - R 1 150.30 - R 2 725.40 - R 1 150.30 -
8233 PARTIAL DENTURE - RESIN BASE - ONE TOOTH R 534.90 - - R 534.90 - R 534.90 - R 534.90 -
8234 PARTIAL DENTURE - RESIN BASE - TWO TEETH R 534.90 - - R 534.90 - R 534.90 - R 534.90 -
8235 PARTIAL DENTURE - RESIN BASE - THREE TEETH R 800.30 - - R 800.30 - R 800.30 - R 800.30 -
8236 PARTIAL DENTURE - RESIN BASE - FOUR TEETH R 800.30 - - R 800.30 - R 800.30 - R 800.30 -
8237 PARTIAL DENTURE - RESIN BASE - FIVE TEETH R 800.30 - - R 800.30 - R 800.30 - R 800.30 -
8238 PARTIAL DENTURE - RESIN BASE - SIX TEETH R 1 061.50 - - R 1 061.50 - R 1 061.50 - R 1 061.50 -
8239 PARTIAL DENTURE - RESIN BASE - SEVEN TEETH R 1 061.50 - - R 1 061.50 - R 1 061.50 - R 1 061.50 -
8240 PARTIAL DENTURE - RESIN BASE - EIGHT TEETH R 1 061.50 - - R 1 061.50 - R 1 061.50 - R 1 061.50 -
8241 PARTIAL DENTURE - RESIN BASE - NINE OR MORE TEETH R 1 061.50 - - R 1 061.50 - R 1 061.50 - R 1 061.50 -
8244 IMMEDIATE DENTURE - MAXILLARY R 1 150.30 - - R 1 150.30 - R 1 725.40 - R 1 150.30 -
8245 IMMEDIATE DENTURE - MANDIBULAR R 1 150.30 - - R 1 150.30 - R 1 725.40 - R 1 150.30 -
8251 CLASP OR REST - CAST GOLD R 105.80 - - - - - - - -
8253 CLASP OR REST - WROUGHT GOLD R 105.80 - - - - - - - -
8255 CLASP OR REST - STAINLESS STEEL R 111.40 - - - - - - - -
8257 BAR - LINGUAL OR PALATAL R 131.30 - - - - - - - -
8259
REBASE COMPLETE OR PARTIAL DENTURE
(LABORATORY) R 436.10 - - R 436.10 - R 629.40 - R 436.10 -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
8261 REMODEL COMPLETE OR PARTIAL DENTURE R 700.10 - - R 700.10 - R 700.10 - R 700.10 -
8263 RELINE COMPLETE OR PARTIAL DENTURE (CHAIR-SIDE) R 276.70 - - R 276.70 - R 345.70 - R 276.70 -
8265
TISSUES CONDITIONING PER ARCH (INCLUDING SOFT
SELF-CURE RELINE) R 180.70 R 180.70 - R 180.70 - R 231.50 - R 180.70 R 180.70
8267
RELINE COMPLETE OR PARTIAL DENTURE
(LABORATORY) R 636.60 - - R 636.60 - R 636.60 - R 636.60 -
8269 REPAIR DENTURE OR OTHER INTRA-ORAL APPLIANCE R 146.80 - - - - R 158.00 - - -
8270 ADD CLASP TO EXISTING PARTIAL DENTURE R 105.80 - - - - - - - -
8271 ADD TOOTH TO EXISTING PARTIAL DENTURE R 105.80 - - - - - - - -
8273
IMPRESSION TO REPAIR OR MODIFY A DENTURE OR
OTHER INTRA-ORAL APPLIANCE R 84.70 - - R 84.70 - R 84.70 - R 84.70 -
8275 ADJUST COMPLETE OR PARTIAL DENTURE R 84.70 - - R 84.70 - R 84.70 - R 84.70 -
8277 INLAY IN DENTURE R 351.40 - - - - R 693.00 - - -
8281 PARTIAL DENTURE - CAST METAL FRAMEWORK ONLY R 1 247.80 - - R 1 247.80 - R 1 247.80 - R 1 247.80 -
8301 PULP CAP - DIRECT R 153.80 - - - - - - - -
8303 PULP CAP - INDIRECT R 153.80 - - - - - R 139.10 - -
8304 RUBBER DAM PER ARCH R 90.30 R 90.30 - R 90.30 - R 90.30 - R 90.30 -
8306 COST OF MTA - - - - - - - - -
8307 PULP AMPUTATION (PULPOTOMY) R 151.00 R 151.00 - R 151.00 - R 151.00 - R 151.00 -
8310 SUPPLY OF BLEACHING MATERIALS - - - - - - - - -
8325 INTERNAL BLEACHING - PER TOOTH R 273.90 - - - - R 410.80 - - -
8327 INTERNAL BLEACHING - EACH ADDITIONAL VISIT R 131.30 - - - - R 197.00 - - -
8328
ROOT CANAL OBTURATION - ANTERIORS AND
PREMOLARS - EACH ADDITIONAL CANAL R 214.60 R 214.60 - - - - - R 214.60 -
8329
ROOT CANAL THERAPY - ANTERIORS AND PREMOLARS -
EACH ADDITIONAL CANAL R 268.20 R 268.20 - - - - - R 268.20 -
8330 REMOVAL OF ROOT CANAL OBSTRUCTION R 151.00 R 151.00 - R 151.00 - R 151.00 - R 151.00 -
8332
ROOT CANAL PREPARATORY VISIT - SINGLE CANAL
TOOTH R 115.60 R 115.60 - - - - - R 115.60 -
8333
ROOT CANAL PREPARATORY VISIT - MULTI CANAL
TOOTH R 162.20 R 162.20 - - - R 162.20 - R 162.20 -
8334
RE-TREATMENT OF PREVIOUSLY COMPLETED ROOT
CANAL THERAPY, PER CANAL R 170.80 R 170.80 - R 170.80 - R 206.00 - R 170.80 -
8335
ROOT CANAL OBTURATION - ANTERIORS AND
PREMOLARS - FIRST CANAL R 525.00 R 525.00 - - - - - R 525.00 -
8336 ROOT CANAL OBTURATION - POSTERIORS - FIRST CANAL R 722.60 R 722.60 - - - - - R 722.60 -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
8337
ROOT CANAL OBTURATION - POSTERIORS - EACH
ADDITIONAL CANAL R 214.60 R 214.60 - - - - - R 214.60 -
8338
ROOT CANAL THERAPY - ANTERIORS AND PREMOLARS -
FIRST CANAL R 803.10 R 803.10 - - - - - R 803.10 -
8339 ROOT CANAL THERAPY - POSTERIORS - FIRST CANAL R 1 103.60 R 1 103.60 - - - - - R 1 103.60 -
8340
ROOT CANAL THERAPY - POSTERIORS - EACH
ADDITIONAL CANAL R 268.20 R 268.20 - - - - - R 268.20 -
8341 AMALGAM - ONE SURFACE R 230.10 R 230.10 - R 230.10 - R 230.10 R 200.80 R 230.10 -
8342 AMALGAM - TWO SURFACES R 283.70 R 283.70 - R 283.70 - R 283.70 R 247.50 R 283.70 -
8343 AMALGAM - THREE SURFACES R 345.70 R 345.70 - R 345.70 - R 345.70 R 301.70 R 345.70 -
8344 AMALGAM - FOUR OR MORE SURFACES R 385.30 R 385.30 - R 385.30 - R 385.30 R 336.10 R 385.30 -
8345
PREFABRICATED POST RETENTION, PER POST (IN
ADDITION TO RESTORATION) R 227.30 R 227.30 - R 227.30 - R 227.30 - R 227.30 -
8347
PIN RETENTION - FIRST PIN (IN ADDITION TO
RESTORATION) R 114.20 R 114.20 - R 114.20 - R 114.20 - R 114.20 -
8348
PIN RETENTION - EACH ADDITIONAL PIN (IN ADDITION
TO RESTORATION) R 105.80 R 105.80 - R 105.80 - R 105.80 - R 105.80 -
8349
CARVE RESTORATION TO ACCOMMODATE EXISTING
REMOVABLE PROSTHESIS R 46.60 - - - - - - - -
8350 RESIN CROWN - ANTERIOR PRIMARY TOOTH (DIRECT) R 501.90 R 501.90 - R 501.90 - R 501.90 R 437.80 R 501.90 -
8351 RESIN - ONE SURFACE, ANTERIOR R 252.60 R 252.60 - R 252.60 - R 252.60 R 242.90 R 252.60 R 252.60
8352 RESIN - TWO SURFACES, ANTERIOR R 317.60 R 317.60 - R 317.60 - R 317.60 R 305.40 R 317.60 -
8353 RESIN - THREE SURFACES, ANTERIOR R 379.70 R 379.70 - R 379.70 - R 379.70 R 364.90 R 379.70 -
8354 RESIN - FOUR OR MORE SURFACES, ANTERIOR R 423.40 R 423.40 - R 423.40 - R 423.40 R 407.30 R 423.40 -
8355 VENEER - RESIN (CHAIR-SIDE) R 400.90 R 400.90 - R 400.90 - R 400.90 - R 400.90 -
8357 PREFABRICATED METAL CROWN R 235.70 R 235.70 - R 235.70 - R 235.70 - R 235.70 -
8361 INLAY - METAL - ONE SURFACE R 351.30 - - - - R 693.10 - - -
8362 INLAY/ONLAY - METAL - TWO SURFACES R 513.80 - - - - R 1 004.80 - - -
8363 INLAY/ONLAY - METAL - THREE SURFACES R 856.70 - - - - R 1 558.20 - - -
8364 INLAY/ONLAY - METAL - FOUR OR MORE SURFACES R 1 036.00 - - - - R 1 558.20 - - -
8366
PIN RETENTION AS PART OF CAST RESTORATION (ANY
NUMBER OF PINS) R 170.80 - - - - R 231.50 - - -
8367 RESIN - ONE SURFACE, POSTERIOR R 273.90 R 273.90 - R 273.90 - R 273.90 R 263.40 R 273.90 R 273.90
8368 RESIN - TWO SURFACES, POSTERIOR R 338.70 R 338.70 - R 338.70 - R 338.70 R 325.80 R 338.70 -
8369 RESIN - THREE SURFACES, POSTERIOR R 409.40 R 409.40 - R 409.40 - R 409.40 R 393.50 R 409.40 -
8370 RESIN - FOUR OR MORE SURFACES, POSTERIOR R 440.30 R 440.30 - R 440.30 - R 440.30 R 423.30 R 440.30 -
8371 INLAY - PORCELAIN - ONE SURFACE R 423.40 - - - - R 837.00 - - -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
8372 INLAY/ONLAY - PORCELAIN - TWO SURFACES R 625.20 - - - - R 1 205.40 - - -
8373 INLAY/ONLAY - PORCELAIN - THREE SURFACES R 1 030.30 - - - - R 1 873.00 - - -
8374 INLAY/ONLAY - PORCELAIN - FOUR OR MORE SURFACES R 1 247.80 - - - - R 1 873.00 - - -
8375 PREFABRICATED RESIN CROWN R 235.70 R 235.70 - R 235.70 - R 235.70 - R 235.70 -
8376 CORE BUILD-UP WITH PREFABRICATED POSTS R 629.40 - - - - R 629.40 - R 629.40 -
8379 COST OF PREFABRICATED POSTS R 87.70 - - - - R 87.70 - R 87.70 -
8381 INLAY - RESIN - ONE SURFACE R 423.40 - - - - R 837.00 - - -
8382 INLAY/ONLAY - RESIN - TWO SURFACES R 625.20 - - - - R 1 205.40 - - -
8383 INLAY/ONLAY - RESIN - THREE SURFACES R 1 030.30 - - - - R 1 873.00 - - -
8384 INLAY/ONLAY - RESIN - FOUR OR MORE SURFACES R 1 247.80 - - - - R 1 873.00 - - -
8391 CAST CORE WITH SINGLE POST * R 265.40 - - - - * R 265.40 - * R 265.40 -
8392 CAST POST (EACH ADDITIONAL) R 158.00 - - - - R 158.00 - R 158.00 -
8397 CAST CORE WITH PINS (ANY NUMBER OF PINS) * R 423.40 - - - - * R 550.50 - * R 423.40 -
8398 CORE BUILD-UP WITH PINS R 513.80 - - - - R 513.80 - R 513.80 -
8401 CROWN - FULL CAST METAL * R 1321.10 - - - - * R 1944.80 - * R 1321.10 -
8403 CROWN - 3/4 CAST METAL * R 1321.10 - - - - * R 1944.80 - * R 1321.10 -
8404 CROWN - 3/4 PORCELAIN/CERAMIC * R 1247.60 - - - - * R 1873.00 - * R 1321.10 -
8405 CROWN - RESIN LABORATORY * R 1247.60 - - - - * R 1873.00 - * R 1321.10 -
8407 CROWN - RESIN WITH METAL * R 1321.10 - - - - * R 1944.80 - * R 1321.10 -
8409 CROWN - PORCELAIN/CERAMIC * R 1321.10 - - - - * R 1944.80 - * R 1321.10 -
8410 PROVISIONAL CROWN R 256.80 - - R 256.80 - R 385.30 - - -
8411 CROWN - PORCELAIN VENEERED TO METAL * R 1321.10 - - - - * R 1944.80 - * R 1321.10 -
8413 REPAIR CROWN (PERMANENT OR PROVISIONAL) R 256.80 R 256.80 - - - R 256.80 - R 256.80 -
8414
ADDITIONAL FEE FOR PROVISION OF CROWN WITHIN
AN EXISTING CLASP OR REST R 76.30 - - - - R 76.30 - R 76.30 -
8415 PONTIC - CERAMIC * R 1078.30 - - - - * R 1078.20 - * R 1078.20 -
8416 PONTIC - CAST METAL * R 856.70 - - - - * R 856.70 - * R 856.70 -
8417 PONTIC - RESIN WITH METAL * R 1078.30 - - - - * R 1078.20 - * R 1078.30 -
8418 PONTIC - PORCELAIN VENEERED TO METAL * R 1078.30 - - - - * R 1078.20 - * R 1078.30 -
8419 PROVISIONAL PONTIC R 256.80 - - - - R 385.30 - - -
8432 INLAY/ONLAY RETAINER - METAL - TWO SURFACES * R 513.80 - - - - * R 1004.80 - * R 513.80 -
8433 INLAY/ONLAY RETAINER - METAL - THREE SURFACES * R 856.70 - - - - * R 1558.20 - * R 856.70 -
8434
INLAY/ONLAY RETAINER - METAL - FOUR OR MORE
SURFACES * R 1036.00 - - - - * R 1558.20 - * R 1036.00 -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
8436 INLAY/ONLAY RETAINER - PORCELAIN - TWO SURFACES * R 625.20 - - - - * R 1205.40 - * 625.20 -
8437
INLAY/ONLAY RETAINER - PORCELAIN - THREE
SURFACES * R 1030.30 - - - - * R 1873.00 - * R 1030.30 -
8438
INLAY/ONLAY RETAINER - PORCELAIN - FOUR OR MORE
SURFACES * R 1247.80 - - - - * R 1873.00 - * R 1247.80 -
8441 CROWN RETAINER - FULL CAST METAL * R 1321.10 - - - - * R 1944.80 - * R 1321.10 -
8442 CROWN RETAINER - 3/4 CAST METAL * R 1321.10 - - - - * R 1944.80 - * R 1321.10 -
8443 CROWN RETAINER - CERAMIC * R 1321.10 - - - - * R 1944.80 - * R 1321.10 -
8444 CROWN RETAINER - 3/4 CERAMIC * R 1321.10 - - - - * R 1944.80 - * R 1321.10 -
8445 CROWN RETAINER - PORCELAIN VENEERED TO METAL * R 1321.10 - - - - * R 1944.80 - * R 1321.10 -
8446 CROWN RETAINER - RESIN WITH METAL * R 1321.10 - - - - * R 1944.80 - * R 1321.10 -
8447 PROVISIONAL CROWN RETAINER R 256.80 - - - - R 385.30 - - -
8499 GENERAL ANAESTHETIC - - - - - - - R 12 994.00 -
8501 CONSULTATION - PROSTHODONTIS - - - - - R 240.00 - - -
8503 OCCLUSION ANALYSIS MOUNTED R 256.80 - - - - R 385.30 - - -
8505 PANTOGRAPHIC RECORDING R 372.60 - - - - R 558.90 - - -
8506 DETAILED CONSULTATION - PROSTHODONTIST - - - - - R 628.00 - - -
8507 COMPREHENSIVE CONSULTATION - PROSTHODONTIST - - - - - R 385.30 - - -
8508 ELECTROGNATHOGRAPHIC RECORDING R 398.90 - - - - R 598.50 - - -
8509
ELECTROGNATHOGRAPHIC RECORDING WITH
COMPUTER ANALYSIS R 662.30 - - - - R 993.60 - - -
8514 RECEMENT BRIDGE R 115.60 R 115.60 - - - R 146.80 - R 115.60 -
8516 REMOVE BRIDGE R 230.10 R 230.10 - - - R 230.10 - R 230.10 -
8517
REIMPLANTATION OF AVULSED TOOTH (INCLUDE
STABILISATION) R 267.20 R 267.20 - R 267.20 - R 400.90 - R 267.20 -
8518 REPAIR BRIDGE R 256.80 R 256.80 - - - R 256.80 - R 256.80 -
8533
IMPLANT SUPPORTED REMOVABLE COMPLETE
OVERDENTURE R 2 073.70 - - - - R 3 110.70 - R 2 073.70 -
8534
IMPLANT SUPPORTED REMOVABLE PARTIAL
OVERDENTURE R 1 658.90 - - - - R 2 488.50 - R 1 658.90 -
8536
CROWN-IMPLANT/ABUTMENT SUPPORTED CROWN -
PORCELAIN/CERAMIC * R 1714.80 - - - - * R 2268.10 - * R 1714.80 -
8537
CROWN-IMPLANT/ABUTMENT SUPPORTED CROWN -
PORCELAIN WITH METAL * R 1714.80 - - - - * R 2268.10 - * R 1714.80 -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
8538
CROWN-IMPLANT/ABUTMENT SUPPORTED CROWN -
CAST METAL * R 1714.80 - - - - * R 2268.10 - * R 1714.80 -
8546 IMPLANT SUPPORTED CROWN RETAINER - CERAMIC * R 1714.80 - - - - * R 2268.10 - * R 1714.80 -
8547
IMPLANT SUPPORTED CROWN RETAINER - PORCELAIN
VENEERED TO METAL * R 1714.80 - - - - * R 2268.10 - * R 1714.80 -
8548
CROWN RETAINER - IMPLANT/ABUTMENT SUPPORTED -
CAST METAL * R 1714.80 - - - - * R 2268.10 - * R 1714.80 -
8551 OCCLUSAL ADJUSTMENT - MAJOR R 732.00 - R 1 098.00 - - R 1 098.00 - - -
8552 VENEER - PORCELAIN (LABORATORY) R 887.20 - - - - R 1 330.90 - - -
8553 OCCLUSAL ADJUSTMENT - MINOR R 255.30 R 349.90 R 349.90 R 349.90 - R 349.90 - R 240.90 -
8554 VENEER - RESIN (LABORATORY) R 887.20 - - - - R 1 330.90 - - -
8560 COST OF CERAMIC BLOCK * R 518.90 - - - - * R 518.90 - - -
8561 GOLD FOIL CLASS I OR IV R 670.00 - - - - R 1 004.80 - - -
8563 GOLD FOIL CLASS V R 783.80 - - - - R 1 175.70 - - -
8565 GOLD FOIL CLASS III R 986.00 - - - - R 1 479.10 - - -
8570
FABRICATION OF COMPUTER GENERATED CERAMIC
RESTORATION * R 1258.90 - - - - * R 1258.90 - - -
8578 PREFABRICATED ABUTMENT R 214.60 - - - - R 321.80 - R 214.60 -
8579 CUSTOM ABUTMENT R 978.50 - - - - R 1 467.80 - R 978.50 -
8580 CUSTOMISED PREFABRICATED ABUTMENT - - - - - - - R 12 994.00 -
8581 CAST CORE WITH SINGLE POST - - - - - * - - -
8582 CAST CORE WITH DOUBLE POST - - - - - * - - -
8583 CAST CORE WITH TRIPLE POST - - - - - * - - -
8584 CONNECTOR BAR - IMPLANT SUPPORTED R 2 073.70 - - - - R 3 110.70 - - -
8585 CONNECTOR BAR R 2 073.70 - - - - R 3 110.70 - - -
8586 STRESS BREAKER R 773.60 - - - - R 1 160.20 - - -
8587 COPING METAL R 172.30 - - - - R 321.80 - R 172.30 -
8590 IMPLANT MAINTENANCE PROCEDURES - PER IMPLANT R 95.00 - - - - R 142.60 - - R 95.00
8592 CROWN - IMPLANT/ABUTMENT SUPPORTED * R 1714.60 - - - - * R 2268.10 - * -
8594 REPAIR OF IMPLANT SUPPORTED PROSTHESIS R 105.40 - - - - R 158.00 - R 105.40 -
8595 REPAIR OF IMPLANT ABUTMENT R 105.40 - - - - R 158.00 - R 105.40 -
8597 LOCKS AND MILLED RESTS R 105.40 - - - - R 158.00 - - -
8599 PRECISION ATTACHMENT (REMOVABLE DENTURE) R 256.80 - - - - R 385.30 - - -
8611 PONTIC - SANITARY - - - - - R 1 175.70 - - -
8613 PONTIC - POSTERIOR - - - - - * - - -
8615 PONTIC - ANTERIOR/PREMOLAR - - - - - * - - -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
8617 RETAINER CAST METAL (MARYLAND TYPE RETAINER) * R 513.80 - - - - * R 1004.80 - * R 513.80 -
8631
ROOT CANAL THERAPY - FIRST CANAL SPECIALIST
PROSTHODONTIST - - - - - R 1 363.40 - - -
8633
ROOT CANAL THERAPY - EACH ADDITIONAL CANAL
SPECIALIST PROSTHODONTIST - - - - - R 342.90 - - -
8635
APEXIFICATION/APEXOGENESIS/RECALCIFICATION – PER
VISIT R 153.80 R 153.80 - R 153.80 - R 227.30 - R 153.80 -
8640 REMOVAL OF FRACTURED ROOT CANAL INSTRUMENT R 401.00 R 12 994.00 - R 12 994.00 - R 400.90 - R 12 994.00 -
8643
COMPLETE DENTURES - MAXILLARY AND MANDIBULAR.
ONLY FOR PROSTHODONTISTS - - - - - R 5 055.50 - - -
8645
COMPLETE DENTURES - MAXILLARY OR MANDIBULAR.
ONLY FOR PROSTHODONTISTS - - - - - R 6 218.60 - - -
8649
IMMEDIATE DENTURE - MAXILLARY. ONLY FOR
PROSTHODONTIST - - - - - R 3 110.70 - - -
8651
IMMEDIATE DENTURE - MANDIBULAR. ONLY FOR
PROSTHODONTIST - - - - - R 3 498.80 - - -
8652 OVERDENTURE - COMPLETE R 2 073.70 - - - - R 3 110.70 - R 2 073.70 -
8653 OVERDENTURE - PARTIAL R 1 658.90 - - - - R 2 488.50 - R 1 658.90 -
8654
IMPLANT SUPPORTED FIXED-DETACHABLE COMPLETE
OVERDENTURE R 2 332.50 - - - - R 3 498.80 - R 2 332.50 -
8655
IMPLANT SUPPORTED FIXED-DETACHABLE PARTIAL
OVERDENTURE R 1 865.90 - - - - R 2 397.60 - R 1 865.90 -
8657 REPLACEMENT OF PRECISION ATTACHMENT R 146.80 - - - - R 158.00 - - -
8658 INTERIM COMPLETE DENTURE R 1 150.20 - - - - R 1 725.40 - R 1 150.20 -
8659 INTERIM PARTIAL DENTURE R 920.10 - - - - R 1 380.30 - R 920.10 -
8660
ADDITIONAL FEE TO IMPLANT SUPPORTED FIXED-
DETACHABLE DENTURE - PER IMPLANT R 321.80 - - - - R 321.80 - R 321.80 -
8661
DIAGNOSTIC DENTURES (INCLUDING TISSUE
CONDITIONING) - - - - - R 3 110.70 - - -
8662
ADJUST COMPLETE OR PARTIAL DENTURES
(REMOUNTING) R 299.30 - - - - R 448.90 - - -
8663 METAL BASE TO COMPLETE DENTURE R 624.80 - - - - R 937.20 - - -
8664 REMOUNT CROWN OR BRIDGE FOR ADJUSTMENT R 299.30 - - - - R 469.00 - - -
8667 SOFT BASE TO DENTURE (HEAT CURED) R 624.80 - - - - R 937.20 - - -
8671
PARTIAL DENTURE - CAST METAL FRAMEWORK WITH
RESIN DENTURE BASE - - - - - R 3 110.70 - - -
8672
ALTERED CAST TECHNIQUE (IN ADDITION TO PARTIAL
DENTURE) R 80.10 - - R 80.10 - R 120.10 - R 80.10 -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
8674 ADDITIVE PARTIAL DENTURE R 941.00 - - - - R 1 411.40 - - -
8701 CONSULTATION - PERIODONTIST - - - R 240.00 - - - - -
8703 CONSULTATION - PERIODONTIST (DETAILED) - - - R 628.00 - - - - -
8705 RE-EXAMINATION - PERIODONTIST - - - R 187.70 - - - - -
8707 PERIODONTAL SCREENING - PERIODONTIST - - - R 187.70 - - - - -
8723
PROVISIONAL SPLINTING - EXTRACORONAL (WIRE) - PER
SEXTANT R 214.60 R 214.60 - R 321.80 - R 321.80 - R 214.60 R 214.60
8725
PROVISIONAL SPLINTING - EXTRACORONAL (WIRE PLUS
RESIN) - PER SEXTANT R 311.40 R 311.40 - R 467.20 - R 467.20 - R 311.40 R 311.40
8727 PROVISIONAL SPLINTING - INTRACORONAL - PER TOOTH R 97.80 R 97.80 - R 146.80 - R 146.80 - R 97.80 -
8731 INCISION & DRAINAGE OF ABSCESS - INTRA-ORAL R 184.50 R 184.50 - R 276.70 - * - R 184.50 -
8737
ROOT PLANING - FOUR OR MORE TEETH PER
QUADRANT * R 463.00 - - * R 628.00 - * R 463.00 - * R 463.00 * R 463.00
8739 ROOT PLANING - ONE TO THREE TEETH PER QUADRANT * R 368.40 - - * R 501.10 - * R 368.30 - * R 368.40 * R 368.40
8741
GINGIVECTOMY/GINGIVOPLASTY - FOUR OR MORE
TEETH PER QUADRANT R 604.10 - - R 828.60 - - - - -
8743
GINGIVECTOMY OR GINGIVOPLASTY - ONE TO THREE
TEETH PER QUADRANT R 482.60 - - R 657.70 - - - - -
8749
FLAP PROCEDURE, ROOT PLANING AND ONE TO THREE
SURGICAL SERVICES - PER QUADRANT R 1 254.20 - - R 1 881.40 - - - - -
8751
FLAP PROCEDURE, ROOT PLANING AND ONE TO THREE
SURGICAL SERVICES - PER SEXTANT R 1 038.80 - - R 1 558.20 - - - - -
8753
FLAP PROCEDURE, ROOT PLANING AND FOUR OR MORE
SURGICAL SERVICES - PER QUADRANT R 1 554.50 - - R 2 331.70 - - - - -
8755
FLAP PROCEDURE, ROOT PLANING AND FOUR OR MORE
SURGICAL SERVICES - PER SEXTANT R 1 259.80 - - R 1 889.80 - - - - -
8756
CLINICAL CROWN LENGTHENING (ISOLATED
PROCEDURE) R 763.90 - - R 1 146.00 - * - R 763.90 -
8759 PEDICLE FLAPPED GRAFT (ISOLATED PROCEDURE) R 574.00 - - R 860.90 - - - - -
8761
MASTICATORY MUCOSAL AUTOGRAFT - ONE TO FOUR
TEETH (ISOLATED PROCEDURE) R 623.80 R 935.80 - R 935.80 - - - - -
8762
MASTICATORY MUCOSAL AUTOGRAFT - FOUR OR MORE
TEETH (ISOLATED PROCEDURE) R 937.20 R 1 405.80 - R 1 405.80 - - - - -
8763 WEDGE RESECTION (ISOLATED PROCEDURE) R 367.00 R 367.00 - R 550.50 - * - R 367.00 -
8765
HEMISECTION OF A TOOTH, RESECTION OF A ROOT OR
TUNNEL PREPARATION (ISOLATED PROCEDURE) R 504.30 - - R 756.50 - R 756.50 - - -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
8766
BONE REGENERATION/REPAIR PROCEDURE - AS PART
OF A FLAP OPERATION R 300.10 - - R 450.30 - - - - -
8767
BONE REGENERATION/REPAIR PROCEDURE - AT A
SINGLE SITE R 778.20 R 1 167.30 - R 1 167.30 - - - - -
8768 UNLISTED PERIODONTAL PROCEDURE R 367.00 - - R 550.50 - - - - -
8769
MEMBRANE REMOVAL (USED FOR GUIDED TISSUE
REGENERATION) R 367.00 R 550.50 - R 550.50 - - - - -
8770 COST OF BONE REGENERATIVE/REPAIR MATERIAL - - - - - - - - -
8772
SUBMUCOSAL CONNECTIVE TISSUE AUTOGRAFT
(ISOLATED PROCEDURE) R 630.40 R 945.60 - R 945.60 - - - - -
8773 COST OF INTRAPOCKET CHEMOTHERAPEUTIC AGENT - - - - - - - - -
8781 CONSULTATION - ORAL MEDICINE (SIMPLE) - - - R 187.70 - - - - -
8782 CONSULTATION - ORAL MEDICINE (COMPLEX) - - - R 330.30 - - - - -
8783 CONSULTATION - ORAL MEDICINE (SUBSEQUENT) - - - R 139.70 - - - - -
8787 UNLISTED ORAL MEDICINE PROCEDURE R 131.70 - - R 197.60 - - - - -
8801 CONSULTATION - ORTHODONTIST - - R 240.00 - - - - - -
8803
CONSULTATION - ORTHODONTIS (SUBSEQUENT,
RETENTION AND POST TREATMENT) - - R 139.70 - - - - - -
8811 TRACING AND ANALYSIS OF EXTRA-ORAL FILM R 35.30 R 35.30 R 35.30 R 35.30 - R 35.30 - R 35.30 R 35.30
8837
DIAGNOSIS AND TREATMENT PLANNING -
ORTHODONTIST - - R 111.40 - - - - - -
8839 DIAGNOSTIC SETUP R 157.20 R 157.20 R 235.70 - - - - R 157.20 -
8840
TREATMENT PLANNING FOR ORTHOGNATHIC SURGERY -
ALL R 541.90 R 812.90 R 812.90 - - - - - -
8841 ORTHO TX - FIXED LINGUAL APPLIANCE - ONE ARCH * - * - - - - * -
8842
ORTHO TX - FIXED LINGUAL APPLIANCE - ONE ARCH,
MODEATE * - * - - - - * -
8843
ORTHO TX - FIXED LINGUAL APPLIANCE - ONE ARCH,
SEVERE * - * - - - - * -
8846 REPAIR ORTHODONTIC APPLIANCE - REMOVABLE R 106.20 - R 159.40 - - - - R 106.20 -
8847 REPLACE ORTHODONTIC APPLIANCE - REMOVABLE R 367.00 - R 550.50 - - - - R 367.00 -
8848 REPAIR ORTHODONTIC APPLIANCE - FIXED R 157.20 - R 235.70 - - - - R 157.20 -
8849 RETAINER (ORTHODONTIC) R 367.00 - R 550.50 - - - - R 367.00 -
8850 TREATMENT OF MPDS - FIRST VISIT R 176.90 R 176.90 R 265.40 R 176.90 - R 265.40 - R 176.90 -
8851 TREATMENT OF MPDS - SUBSEQUENT VISIT R 93.20 R 93.20 R 139.70 R 93.20 - R 139.70 - R 93.20 -
8852 OCCLUSAL ORTHOTIC APPLIANCE R 444.50 R 585.60 R 585.60 R 585.60 - R 585.60 - R 444.50 -
8855
CONSULTATION - CLEFT PALATE THERAPY (HOUSE OR
HOSPITAL) R 214.60 - R 321.80 - - R 321.80 - - -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
8856 CONSULTATION - CLEFT PALATE (SUBSEQUENT) R 105.40 - R 158.00 - - R 158.00 - - -
8857 CONSULTATION - CLEFT PALATE (MAXIMUM) R 733.00 - R 1 099.40 - - R 1 099.40 - - -
8858 ORTHO TX - FUNCTIONAL APPLIANCE * - * - - - - * -
8861 ORTHO TX - PARTIAL FIXED APPLIANCE - MINOR * - * - - - - * -
8862 ORTHO TX - REMOVABLE APPLIANCE * - * - - - - * -
8863 ORTHO TX - EACH ADDITIONAL REMOVABLE APPLIANCE * - * - - - - * -
8865 ORTHO TX - PARTIAL FIXED APPLIANCE - ONE ARCH * - * - - - - * -
8866 ORTHO TX - PARTIAL FIXED APPLIANCE - BOTH ARCHES * - * - - - - * -
8867 ORTHO TX - FIXED APPLIANCE - ONE ARCH * - * - - - - * -
8868 ORTHO TX - FIXED APPLIANCE - ONE ARCH, MODEATE * - * - - - - * -
8869 ORTHO TX - FIXED APPLIANCE - ONE ARCH, SEVERE * - * - - - - * -
8873
ORTHO TX - FIXED APPLIANCE - BOTH ARCHES, CLASS 1
MILD * - * - - - - * -
8874
ORTHO TX - FIXED LINGUAL APPLIANCE - BOTH ARCHES,
CLASS 1 MILD * - * - - - - * -
8875
ORTHO TX - FIXED APPLIANCE - BOTH ARCHES, CLASS 1
MODERATE * - * - - - - * -
8876
ORTHO TX - FIXED LINGUAL APPLIANCE - BOTH ARCHES,
CLASS 1 MODERATE * - * - - - - * -
8877
ORTHO TX - FIXED APPLIANCE - BOTH ARCHES, CLASS 1
SEVERE * - * - - - - * -
8878
ORTHO TX - FIXED LINGUAL APPLIANCE - BOTH ARCHES,
CLASS 1 SEVERE * - * - - - - * -
8879
ORTHO TX - FIXED APPLIANCE - BOTH ARCHES, CLASS 1
SEVERE W/ COMPLICATIONS * - * - - - - * -
8880
ORTHO TX - FIXED LINGUAL APPLIANCE - BOTH ARCHES,
CLASS 1 SEVERE W/ COMPLICATIONS * - * - - - - * -
8881
ORTHO TX - FIXED APPLIANCE - BOTH ARCHES, CLASS
2/3 MILD * - * - - - - * -
8882
ORTHO TX - FIXED LINGUAL APPLIANCE - BOTH ARCHES,
CLASS 2/3 MILD * - * - - - - * -
8883
ORTHO TX - FIXED APPLIANCE - BOTH ARCHES, CLASS
2/3 MODERATE * - * - - - - * -
8884
ORTHO TX - FIXED LINGUAL APPLIANCE - BOTH ARCHES,
CLASS 2/3 MODERATE * - * - - - - * -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
8885
ORTHO TX - FIXED APPLIANCE - BOTH ARCHES, CLASS
2/3 SEVERE * - * - - - - * -
8886
ORTHO TX - FIXED LINGUAL APPLIANCE - BOTH ARCHES,
CLASS 2/3 SEVERE * - * - - - - * -
8887
ORTHO TX - FIXED APPLIANCE - BOTH ARCHES, CLASS
2/3 SEVERE W/ COMPLICATIONS * - * - - - - * -
8888
ORTHO TX - FIXED LINGUAL APPLIANCE - BOTH ARCHES,
CLASS 2/3 SEVERE W/ COMPLICATIONS * - * - - - - * -
8890 MONTHLY INSTALMENT ORTHO TX * - * - - - - * -
8891 ORTHODONTIC TRANSFER * - * - - - - * -
8892 ORTHODONTIC RE-TREATMENT * - * - - - - * -
8901 CONSULTATION - MFOS - R 240.00 - - - - - - -
8902 CONSULTATION - MFOS (DETAILED) - R 628.00 - - - - - - -
8903 HOUSE/HOSP/NURSING HOME CONSULTATION - MFOS - R 210.20 - - - - - - -
8904
HOUSE/HOSP/NURSING HOME CONSULTATION
(SUBSEQUENT) - MFOS - R 139.70 - - - - - - -
8905 AFTER REGULARLY HOURS CONSULTATION - MFOS - R 307.80 - - - - - - -
8907
HOUSE/HOSP/NURSING HOME CONSULTATION
(MAXIMUM PER WEEK) - MFOS - R 349.90 - - - - - - -
8908
SURGICAL REMOVAL OF ROOTS FROM MAXILLARY
ANTRUM R 1 528.10 R 2 292.20 - - - - - R 1 528.10 -
8909 ORAL ANTRAL FISTULA CLOSURE R 1 171.50 R 1 757.10 - - - - - R 1 171.50 -
8911 CALDWELL-LUC PROCEDURE R 458.40 R 687.40 - - - - - R 458.40 -
8917 BIOPSY OF ORAL TISSUE - SOFT R 292.10 R 389.50 - R 389.50 - - - R 292.10 -
8919 BIOPSY OF BONE - NEEDLE R 449.70 R 674.60 - R 12 994.00 - - - R 449.70 -
8921 BIOPSY – EXTRA-ORAL BONE/SOFT TISSUE R 735.80 R 1 103.60 - R 12 994.00 - - - R 735.80 -
8931 TREATMENT OF POST-EXTRACTION HAEMORRHAGE R 84.70 R 508.10 - R 84.70 - R 84.70 R 71.60 R 84.70 -
8933 TREATMENT OF HAEMORRHAGE (BLOOD DYSCRACIAS) R 1 171.50 R 1 757.10 - R 1 171.50 - R 1 171.50 - R 1 171.50 -
8935 TREATMENT OF SEPTIC SOCKET R 84.70 R 132.70 - R 84.70 - R 84.70 R 71.60 R 84.70 -
8937 SURGICAL REMOVAL OF TOOTH R 499.70 R 674.60 - R 499.70 - - - R 499.70 -
8941
SURGICAL REMOVAL OF IMPACTED TOOTH - FIRST
TOOTH R 828.60 R 1 089.60 - R 828.60 - - - R 828.60 -
8943
SURGICAL REMOVAL OF IMPACTED TOOTH - SECOND
TOOTH R 444.50 R 587.00 - R 444.50 - - - R 444.50 -
8945
SURGICAL REMOVAL OF IMPACTED TOOTH - THIRD AND
SUBSEQUENT TEETH R 252.60 R 333.10 - R 252.60 - - - R 252.60 -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
8953
SURGICAL REMOVAL OF RESIDUAL ROOTS, FIRST TOOTH
- PER TOOTH R 499.80 R 674.60 - R 674.60 - - - R 12 994.00 -
8957
ALVEOLOTOMY OR ALVEOLECTOMY (INCLUDING
EXTRACTIONS) R 613.50 R 920.30 - R 613.50 - - - R 613.50 -
8958 EMERGENCY TRACHEOTOMY * * - - - - - - -
8959 PHARYNGOSTOMY * * - - - - - - -
8961 TOOTH TRANSPLANTATION R 1 005.80 R 1 508.80 - - - - - - -
8962 HARVEST ILIAC CREST GRAFT R 370.80 R 455.70 - - - - - - -
8963 HARVEST RIB GRAFT R 425.40 R 638.00 - - - - - - -
8964 HARVEST CRANIUM GRAFT R 333.10 R 499.70 - - - - - - -
8965 PERIPHERAL NEURECTOMY R 1 005.80 R 1 508.80 - - - - - - -
8966 REPAIR OF ORONASAL FISTULA (LOCAL FLAPS) * * - - - - - - -
8967
SURGICAL REMOVAL OF JAW CYST - INTRA-ORAL
APPROACH R 1 397.30 R 2 096.00 - - - - - R 1 397.30 -
8969
SURGICAL REMOVAL OF JAW CYST - EXTRA-ORAL
APPROACH R 2 238.40 R 3 357.70 - - - - - - -
8971 EXCISION OF TUMOUR OF THE SOFT TISSUE R 449.70 R 674.60 - R 674.60 - - - - -
8973 SURGICAL EXCISION OF TUMOURS OF THE JAW R 2 238.40 R 3 357.70 - - - - - - -
8975 HEMIRESECTION OF JAW EXCLUDING CONDYL * * - - - - - - -
8977 SURGICAL REPAIR OF MAXILLA OR MANDIBLE - MAJOR R 2 349.60 R 3 524.30 - - - - - - -
8979 HARVESTING OF AUTOGENOUS GRAFTS (INTRA-ORAL) R 193.70 R 290.70 - R 290.70 - - - - -
8981
SURGICAL EXPOSURE OF IMPACTED OR UNERUPTED
TEETH TO AID ERUPTION R 923.10 R 1 257.60 - R 1 257.60 - - - - -
8983 CORTICOTOMY - FIRST TOOTH R 668.00 R 1 002.00 - - - - - - -
8984 CORTICOTOMY - EACH ADDITIONAL TOOTH R 338.70 R 508.10 - - - - - - -
8985 FRENULECTOMY/FRENULOTOMY R 613.50 R 920.30 - R 920.30 - - - R 613.50 -
8987 REDUCTION OF MYLOHYOID RIDGES - PER SIDE R 1 005.80 R 1 508.80 - - - - - - -
8989 REMOVAL TORUS MANDIBULARIS R 1 005.80 R 1 508.80 - - - - - - -
8991 REMOVAL OF TORUS PALATINUS R 1 005.80 R 1 508.80 - - - - - - -
8993
SURGICAL REDUCTION OF OSSEOUS TUBEROSITY - PER
SIDE R 449.70 R 674.60 - - - - - - -
8995 GINGIVECTOMY - PER JAW R 894.80 R 1 342.30 - - - - - - -
8997 SULCOPLASTY / VESTIBULOPLASTY R 2 306.20 R 3 459.40 - R 3 459.40 - - - - -
9003 REPOSITION MENTAL FORAMEN AND NERVE - PER SIDE R 1 397.30 R 2 096.00 - - - - - - -
9004 LATERALIZATION OF INFERIOR DENTAL NERVE R 2 251.60 R 3 377.50 - - - - - - -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
9005
ALVEOLAR RIDGE AUGMENTATION - TOTAL (BY BONE
GRAFT) R 2 351.40 R 3 527.10 - R 3 527.10 - - - - -
9007
ALVEOLAR RIDGE AUGMENTATION - TOTAL (BY
ALLOPLASTIC MATERIAL) R 1 480.10 R 2 220.10 - - - - - - -
9008
ALVEOLAR RIDGE AUGMENTATION - ONE TO TWO
TOOTH SITES R 457.50 R 837.00 - R 837.00 - - - - -
9009
ALVEOLAR RIDGE AUGMENTATION - THREE ACROSS 3
OR MORE TOOTH SITES R 1 017.10 R 1 525.60 - R 1 525.60 - - - - -
9010 SINUS LIFT PROCEDURE R 1 528.10 R 2 292.20 - R 2 292.20 - - - - -
9011
INCISION & DRAINAGE OF ABSCESS - INTRA-ORAL
(PYOGENIC) R 286.10 R 429.00 - - - - R 135.10 - -
9013
INCISION & DRAINAGE OF ABSCESS - EXTRA-ORAL
(PYOGENIC) * * - * - - - - -
9015
APICECTOMY/PERIRADICULAR SURGERY - ANTERIORS
(INCLUDING RETROGRADE FILLING) R 570.20 R 756.50 - R 756.50 - R 756.50 - R 570.20 -
9016
APICECTOMY/PERIRADICULAR SURGERY - MOLARS
(INCLUDING RETROGRADE FILLING) R 1 005.80 R 1 508.80 - R 1 508.80 - R 1 508.80 - R 1 005.80 -
9017
DECORTICATION, SAUCERISATION AND
SEQUESTRECTOMY * * - - - - - - -
9019
SEQUESTRECTOMY - INTRA ORAL PER SEXTANT AND OR
RAMUS R 449.70 R 674.60 - - - - - - -
9021
SUTURE - RECONSTRUCTION, MINOR (EXCLUDES
CLOSURE OF SURGICAL INCISIONS) R 570.20 R 756.50 - - - - - R 570.20 -
9023
SUTURE - RECONSTRUCTION, MAJOR (EXCLUDES
CLOSURE OF SURGICAL INCISIONS) R 1 061.50 R 1 592.10 - - - - - R 1 061.50 -
9024 DENTO-ALVEOLAR FRACTURE - PER SEXTANT R 504.30 R 756.50 - - - - - - -
9025 MANDIBLE FRACTURE - CLOSED REDUCTION * * - - - - - - -
9027
MANDIBLE FRACTURE - COMPOUND, WITH EYELET
WIRING * * - - - - - * -
9029 MANDIBLE FRACTURE - SPLINTS * * - - - - - * -
9031 MANDIBLE FRACTURE - OPEN REDUCTION * * - - - - - * -
9032
REDUCTION OF MASSETER MUSCLE AND BONE - EXTRA-
ORAL APPROACH - R 5 570.70 - - - - - - -
9035 MAXILLA FRACTURE - LE FORT I OR GUERIN * * - - - - - - -
9037 MAXILLA FRACTURE - LE FORT II OR MIDDLE THIRD FACE * * - - - - - - -
9039
MAXILLA FRACTURE - LE FORT III OR CRANIOFACIAL
DISJUNCTION * * - - - - - - -
9041 ZYGOMATIC ARCH FRACTURE - CLOSED REDUCTION * * - - - - - - -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
9043 ZYGOMATIC ARCH FRACTURE - OPEN REDUCTION * * - - - - - - -
9045
ZYGOMATIC ARCH FRACTURE - OPEN REDUCTION
(REQUIRING OSTEOSYNTHESIS AND/OR GRAFTING) * * - - - - - - -
9046 PLACEMENT OF ZYGOMATICUS FIXTURE, PER FIXTURE * * - - - - - - -
9047 OSTEOTOMY - OPEN WITH STABILISATION * * * * - * - - -
9048
SURGICAL REMOVAL OF INTERNAL FIXATION DEVICES,
PER SITE * * - * - - - * -
9049
OSTEOTOMY - MANDIBLE BODY, ANTERIOR
SEGMENTAL * * * * - * - - -
9050 OSTEOTOMY - TOTAL SUBAPICAL * * * * - * - - -
9051 GENIOPLASTY * * * * - * - - -
9052 MIDFACIAL EXPOSURE * * * * - * - - -
9053 CORONOIDECTOMY (INTRA-ORAL APPROACH) * * * * - * - - -
9055 OSTEOTOMY - SEGMENTED, POSTERIOR * * * * - * - - -
9057 OSTEOTOMY - SEGMENTED, ANTERIOR * * * * - * - - -
9059
RECONSTRUCT MAXILLA - LE FORT I OSTEOTOMY, ONE
PIECE * * * * - * - - -
9060
RECONSTRUCT MAXILLA - LE FORT I OSTEOTOMY W/
REPOSITIONING AND GRAFT * * * * - * - - -
9061 PALATAL OSTEOTOMY * * * * - * - - -
9062
RECONSTRUCT MAXILLA - LE FORT I OSTEOTOMY,
MULTIPLE SEGMENTS * * * * - * - - -
9063
RECONSTRUCT MAXILLA - LE FORT 2 OSTEOTOMY
(FACIAL AND POST-TRAUMATIC DEFORMITIES) * * * * - * - - -
9065
RECONSTRUCT MAXILLA - LE FORT 3 OSTEOTOMY
(SEVERE CONGENITAL DEFORMITIES) * * * * - * - - -
9066 SURGICAL EXPANSION - MAXILLIARY OR MANDIBULAR * * * * - * - - -
9069 GLOSSECTOMY - PARTIAL * * * * - * - - -
9071 GENIOHYOIDOTOMY * * * * - * - - -
9072
CLOSE SECONDARY ORO-NASAL FISTULA W/ BONE
GRAFTING (COMPLETE PROCEDURE) * * * * - * - - -
9074 TMJ ARTHROSCOPY DIAGNOSTIC * * - - - - - * -
9075 CONDYLECTOMY, CORONOIDECTOMY OR BOTH * * * * - * - - -
9076 TMJ ARTROCENTESIS * * - - - - - * -
9077 TMJ INTRA-ARTICULAR INJECTION * * - - - - - - -
9079 TRIGGER POINT INJECTION * * - - - - - - -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
9081 CONDYLECTOMY (WARD/KOSTECKA) * * * * - * - - -
9083 TMJ SRTHROPLASTY * * - - - - - - -
9085 REDUCTION OF TMJ DISLOC W/O ANAESTHETIC * * - - - - - * -
9087 REDUCTION OF TMJ DISLOC W/ ANAESTHETIC * * - - - - - * -
9089
REDUCTION OF TMJ DISLOC W/ ANAESTHETIC AND
IMMOBOBILISATION * * - - - - - * -
9091 REDUCTION OF TMJ DISLOCATION - OPEN REDUCTION * * - - - - - - -
9092 JOINT RECONSTRUCTION * * - - - - - - -
9093 REMOVAL OF SALIVARY STONE (SIALOLITHOTOMY) R 504.30 R 756.50 - - - - - R 504.30 -
9095 EXCISION OF SUBLINGLUAL SALIVARY GLAND * * - - - - - * -
9096
EXCISION OF SALIVARY GLAND - EXTRA ORAL
APPROACH * * - - - - - - -
9099
UNLISTED DENTAL PROCEDURE OR SERVICE (BY
REPORT) * * * * - * * * -
9101
OBTURATOR PROSTHESIS, SURGICAL - MODIFIED
DENTURE * - - - - * - - -
9102
OBTURATOR PROSTHESIS, SURGICAL - CONTINUOUS
BASE * - - - - * - - -
9103 OBTURATOR PROSTHESIS, SURGICAL - SPLIT BASE * - - - - * - - -
9104
OBTURATOR PROSTHESIS, INTERIM - ON EXISTING
DENTURE * - - - - * - - -
9105 OBTURATOR PROSTHESIS, INTERIM - ON NEW DENTURE * - - - - * - - -
9106
OBTURATOR PROSTHESIS, DEFINITIVE - OPEN/HOLLOW
BOX * - - - - * - - -
9107 OBTURATOR PROSTHESIS, DEFINITIVE - SILICONE GLOVE * - - - - * - - -
9108
MANDIBULAR RESECTION PROSTHESIS W/ GUIDE
FLANGE * - - - - * - - -
9109
MANDIBULAR RESECTION PROSTHESIS W/O GUIDE
FLANGE * - - - - * - - -
9110
MANDIBULAR RESECTION PROSTHESIS, PALATAL
AUGMENTATION * - - - - * - - -
9111 GLOSSAL RESECTION PROSTHESIS - SIMPLE * - - - - * - - -
9112 GLOSSAL RESECTION PROSTHESIS - COMPLEX * - - - - * - - -
9113 RADIATION CARRIER - SIMPLE * - - - - * - - -
9114 RADIATION CARRIER - COMPLEX * - - - - * - - -
9115 RADIATION SHIELD - SIMPLE * - - - - * - - -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
9116 RADIATION SHIELD - COMPLEX * - - - - * - - -
9117 RADIATION CONE LOCATOR * - - - - * - - -
9118 CHEMOTHERAPEUTIC AGENT CARRIER * - - - - * - - -
9119 FEEDING AID PROSTHESIS, NEONATAL * - * - - * - - -
9120
ORTHOPAEDIC APPLIANCE, ACTIVE PRESURGICAL -
MINOR * - * - - * - - -
9121
ORTHOPAEDIC APPLIANCE, ACTIVE PRESURGICAL -
MODERATE * - * - - * - - -
9122
ORTHOPAEDIC APPLIANCE, ACTIVE PRESURGICAL -
SEVERE * - * - - * - - -
9123
ORTHOPAEDIC APPLIANCE, ACTIVE PRESURGICAL -
MODIFICATION * - * - - * - - -
9125
SPEECH AID/OBTURATOR PROSTHESIS - PALATAL
ALTERATION * - - - - * - - -
9126
SPEECH AID/OBTURATOR PROSTHESIS - VELAR
ALTERATION * - - - - * - - -
9127
SPEECH AID/OBTURATOR PROSTHESIS - PHARYNGEAL
ALTERATION * - - - - * - - -
9128 SPEECH AID/OBTURATOR PROSTHESIS - MODIFICATION * - - - - * - - -
9129 SPEECH AID/OBTURATOR PROSTHESIS - SURGICAL * - - - - * - - -
9130 SPEECH AID APPLIANCE - PALATAL LIFT * - - - - * - - -
9131 SPEECH AID APPLIANCE - PALATAL STIMULATING * - - - - * - - -
9132 SPEECH AID APPLIANCE - BULB * - - - - * - - -
9133 SPEECH AID APPLIANCE - MODIFICATION * - - - - * - - -
9134 UNSPECIFIED SPEECH AID APPLIANCE * - - - - * - - -
9135 AURICULAR PROSTHESIS - SIMPLE * - - - - * - - -
9136 AURICULAR PROSTHESIS - COMPLEX * - - - - * - - -
9137 NASAL PROSTHESIS - SIMPLE * - - - - * - - -
9138 NASAL PROSTHESIS - COMPLEX * - - - - * - - -
9139 OCULAR PROSTHESIS - INTERIM * - - - - * - - -
9140 OCULAR PROSTHESIS - MODIFIED STOCK APPLIANCE * - - - - * - - -
9141 OCULAR PROSTHESIS - CUSTOM APPLIANCE * - - - - * - - -
9142 ORBITAL PROSTHESIS - SIMPLE * - - - - * - - -
9143 ORBITAL PROSTHESIS - COMPLEX * - - - - * - - -
9148 UNSPECIFIED BODY PROSTHESIS - SIMPLE * - - - - * - - -
9149 UNSPECIFIED BODY PROSTHESIS - COMPLEX * - - - - * - - -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
9150 FACIAL PROSTHESIS, SURGICAL - SIMPLE * - - - - * - - -
9151 FACIAL PROSTHESIS, SURGICAL - COMPLEX * - - - - * - - -
9155 CRANIAL PROSTHESIS * - - - - * - - -
9156 CRANIAL IMPLANT PROSTHESIS, CUSTOM MADE * - - - - * - - -
9157 FACIAL IMPLANT PROSTHESIS, CUSTOM MADE - SIMPLE * - - - - * - - -
9158
FACIAL IMPLANT PROSTHESIS, CUSTOM MADE -
COMPLEX * - - - - * - - -
9159 OCULAR IMPLANT PROSTHESIS, CUSTOM MADE * - - - - * - - -
9160 BODY IMPLANT PROSTHESIS - CUSTOM MADE * - - - - * - - -
9161 SURGICAL SPLINT - SIMPLE * - - - - * - - -
9162 SURGICAL SPLINT - COMPLEX * - - - - * - - -
9163 SURGICAL TEMPLATE - SIMPLE * - - - - * - - -
9164 SURGICAL TEMPLATE - COMPLEX * - - - - * - - -
9165 SURGICAL CONFORMER - SIMPLE * - - - - * - - -
9166 SURGICAL CONFORMER - COMPLEX * - - - - * - - -
9167 TRISMUS APPLIANCE (SIMPLE) * - - - - * - - -
9168 TRISMUS APPLIANCE (COMPLEX) * - - - - * - - -
9169 ORTHOSES APPLIANCE * - - - - * - - -
9170 FACIAL PALSY APPLIANCE * - - - - * - - -
9171 COMMISSURE SPLINT * - - - - * - - -
9172 ORAL RETRACTOR, DYNAMIC - PER ARM * - - - - * - - -
9174 UNSPECIFIED BURN APPLIANCE - - - - - - - - -
9175 THEATRE ATTENDANCE (MAXFAC PROSTHOD) /HOUR R 347.10 - - - - R 520.80 - - -
9180
SURGICAL PLACEMENT OF SUB-PERIOSTEAL IMPLANT -
PREPARATORY STAGE * R 1 522.40 - - - - - - -
9181
SURGICAL PLACEMENT OF SUB-PERIOSTEAL IMPLANT -
PLACEMENT STAGE * R 1 522.40 - - - - - - -
9182 SURGICAL PLACEMENT OF ENDOSTEAL IMPLANT PLATE R 762.10 R 1 143.20 - R 1 143.20 - - - - -
9183
SURGICAL PLACEMENT OF ENDOSSEUS IMPLANT - FIRST
PER QUADRANT * R 1 458.00 - R 1 458.00 - R 1 457.80 - - -
9184
SURGICAL PLACEMENT OF ENDOSSEUS IMPLANT -
SECOND PER QUADRANT * R 1 093.80 - R 1 093.80 - R 1 093.50 - - -
9185
SURGICAL PLACEMENT OF ENDOSSEUS IMPLANT -
THIRD AND SUBSEQUENT PER QUADRANT R 537.70 R 732.60 - R 732.60 - * - - -
9187 COST OF ENDOSTEAL IMPLANT BODY * - - * * * - - -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
9188 COST OF PREFABRICATED ABUTMENT * R 12 994.00 - * * * - - -
9189 COST OF OTHER IMPLANT COMPNTS * R 12 994.00 - * * * - - -
9190
SURGICAL EXPOSURE OF ENDOSSEUS IMPLANT - FIRST
PER QUADRANT R 397.90 R 539.10 - R 539.10 - R 539.10 - - -
9191
SURGICAL EXPOSURE OF ENDOSSEUS IMPLANT -
SECOND PER QUADRANT R 299.10 R 405.20 - R 405.20 - R 405.20 - - -
9192
SURGICAL EXPOSURE OF ENDOSSEUS IMPLANT - THIRD
AND SUBSEQUENT PER QUADRANT R 200.40 R 272.40 - R 272.40 - R 272.40 - - -
9198 SURGICAL REMOVAL OF IMPLANT R 495.90 R 743.90 - R 743.90 - R 496.00 - R 495.90 -
9201 CONSULTATION - ORAL PATHOLOGIST - - - - - - - - -
9203
HOUSE/HOSP/NURSING HOME CONSULTATION - ORAL
PATHOLOGIST - - - - - - - - -
9205 CONSULTATION - ORAL PATHOLOGIST (SUBSEQUENT) - - - - - - - - -
9207 AFTER HOURS VISIT - ORAL PATHOLOGIST - - - - - - - - -
9220 REPAIR CLEFT HARD PALATE - UNILATERAL * * - - - - - - -
9222
REPAIR CLEFT HARD PALATE - BILATERAL (ONE
PROCEDURE) * * - - - - - - -
9224
REPAIR CLEFT HARD PALATE - BILATERAL (TWO
PROCEDURES) * * - - - - - - -
9226
REPAIR CLEFT SOFT PALATE - W/O MUSCLE
RECONSTRUCTION * * - - - - - - -
9228
REPAIR CLEFT SOFT PALATE - W/ MUSCLE
RECONSTRUCTION * * - - - - - - -
9230
REPAIR SUBMUCOSAL CLEFT AND/OR BIFID UVULA - W/
MUSCLE RECONSTRUCTION * * - - - - - - -
9232
VELOPHARYNGEAL RECONSTRUCTION -
UNCOMPLICATED * * - - - - - - -
9234 VELOPHARYNGEAL RECONSTRUCTION - COMPLICATED * * - - - - - - -
9238 REPAIR ORONASAL FISTULA (ONE PROCEDURE) * * - - - - - - -
9240 REPAIR ORONASAL FISTULA (TWO PROCEDURES) * * - - - - - - -
9246 SECONDARY PERIOSTEAL FLAPS * * - - - - - - -
9248 LIPADHESION * * - - - - - * -
9250
REPAIR CLEFT LIP - UNILATERAL W/O MUSCLE
RECONSTRUCTION * * - - - - - - -
9252
REPAIR CLEFT LIP - UNILATERAL W/ MUSCLE
RECONSTRUCTION * * - - - - - - -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
9254
REPAIR CLEFT LIP - BILATERAL W/O MUSCLE
RECONSTRUCTION * * - - - - - - -
9256
REPAIR CLEFT LIP - BILATERAL W/ MUSCLE
RECONSTRUCTION * * - - - - - - -
9258 REPAIR ANTERIOR NASAL FLOOR * * - - - - - - -
9260
REVISION OF SECONDARY CLEFT LIP DEFORMITY -
PARTIAL * * - - - - - - -
9262
REVISION OF SECONDARY CLEFT LIP DEFORMITY -
TOTAL W/ MUSCLE RECONSTRUCTION * * - - - - - - -
9264 ABBE-FLAP - TWO STAGES * * - - - - - - -
9266 RECONSTRUCT COLUMELLA * * - - - - - - -
9268
RECONSTRUCT NOSE DUE TO CLEFT DEFORMITY -
PARTIAL * * - - - - - - -
9270
RECONSTRUCT NOSE DUE TO CLEFT DEFORMITY -
COMPLETE * * - - - - - - -
9272
PARANASAL AUGMENTATION FOR NASAL BASE
DEVIATION * * - - - - - - -
9274
REPAIR ANTERIOR TABLE, FRONTAL SINUS AND/OR
SUPRAORBITAL RIM - * - - - - - - -
9276
REPAIR ANTERIOR AND POSTERIOR WALL W/
OBTURATION AND/OR CRANIALISATION OF FRONTAL
SINUS - * - - - - - - -
9278
REPAIR MEDIAL CANTHAL LIGAMENT (CANTHOPEXY),
PER SIDE - * - - - - - - -
9280 OPEN REDUCTION AND FIXATION OF NASAL FRACTURES - * - - - - - - -
9282
MANIPULATION AND IMMOBILISATION OF NASAL
FRACTURE - * - - - - - - -
9284 MUSCULOFASCIAL FLAP - * - - - - - - -
9286 MUSCULOCRANIAL FLAP - * - - - - - - -
9288 BUCCAL FAT PAD (MAJOR REPAIR) - * - - - - - - -
9290 MAXILLECTOMY - ALVEOLUS ONLY, LEVEL I - * - - - - - - -
9292
MAXILLECTOMY - ALVEOLUS AND SINUS OR NASAL
FLOOR, LEVEL II - * - - - - - - -
9294
MAXILLECTOMY - ALVEOLUS, SINUS, NASAL FLOOR AND
ZYGOMA EXCLUDING ORBITAL RIM LEVEL III - * - - - - - - -
9296
MAXILLECTOMY - ALVEOLUS, SINUS, NASAL FLOOR AND
ZYGOMA INCLUDING ORBITAL RIM LEVEL IV - * - - - - - - -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
9298
MAXILLECTOMY - ALVEOLUS, SINUS, NASAL FLOOR,
ZYGOMA, ORBITAL RIM AND PTERYGOID PLATES LEVEL
V - * - - - - - - -
9300
HEMIRESECTION OF JAW INCLUDING CONDYLE AND
CORONOID PROCESS - * - - - - - - -
9301
CASTING AND TRIMMING OF MODEL IN PLASTER
(YELLOW/WHITE), PER MODEL R 32.90 R 32.90 R 32.90 R 32.90 R 32.90 R 32.90 - R 32.90 -
9303
CASTING AND TRIMMING OF MODEL IN SUPER-HARD
STONE (DIE-STONE) PER MODEL R 46.80 R 46.80 R 46.80 R 46.80 R 46.80 R 46.80 - R 46.80 -
9305
CASTING AND TRIMMING OF STUDY MODEL, PER
MODEL R 86.70 R 86.70 R 86.70 R 86.70 R 86.70 R 86.70 - R 86.70 -
9307
CASTING AND TRIMMING OF GNATHOSTATIC MODEL,
PER MODEL. R 112.70 R 112.70 R 112.70 R 112.70 R 112.70 R 112.70 - R 112.70 -
9309 NEW TRIMMED BASE TO SUPPLIED MODEL, PER MODEL R 39.90 R 39.90 R 39.90 R 39.90 R 39.90 R 39.90 - R 39.90 -
9311 TRIMMING OF SUPPLIED MODEL, PER MODEL R 24.30 R 24.30 R 24.30 R 24.30 R 24.30 R 24.30 - R 24.30 -
9312 GINGIVAL TISSUE MASK PER IMPLANT R 187.30 R 187.30 R 187.30 R 187.30 R 187.30 R 187.30 - - -
9313 DUPLICATING MODEL, PER MODEL R 100.60 R 100.60 R 100.60 R 100.60 R 100.60 R 100.60 - - -
9314 REFRACTORY MODEL, PER UNIT R 98.80 R 98.80 R 98.80 R 98.80 R 98.80 R 98.80 - - -
9315
MODELS AND DUPLICATE MODELS (VIRGIN MODEL)
FOR CROWN AND BRIDGE, WORK INCLUSIVE OF ONE
REMOVABLE DIE R 137.00 - - R 137.00 R 137.00 R 137.00 - R 137.00 -
9317
SECTIONAL MODELS FOR CROWN AND BRIDGE, WORK
INCLUSIVE OF ONE REMOVABLE DIE R 121.40 - - - R 121.40 R 121.40 - - -
9319
EACH ADDITIONAL REMOVABLE DIE FOR ITEMS 9315
AND 9317 PER DIE R 31.20 - - R 31.20 R 31.20 R 31.20 - R 31.20 -
9320
INDEXED OR MODEL TRAY PER DIE (NOT MORE THAN
9319) R 31.20 - - - R 31.20 R 31.20 - - -
9321 OCCLUSION BLOCK, PER BLOCK R 119.70 R 119.70 - - R 119.70 R 119.70 - R 119.70 -
9323 OCCLUSION BLOCK ON BASEPLATE, PER BLOCK R 150.90 - - - R 150.90 R 150.90 - - -
9327
INFECTION CONTROL PER IMPRESSION, DENTURE (WAX
OR ACRYLIC) OR ANY ITEM IN CONTACT WITH BODY
FLUIDS R 22.50 R 22.50 R 22.50 R 22.50 R 22.50 R 22.50 - R 22.50 -
9329 FIT AND SUPPLY OF DISPOSABLE ARTICULATOR R 59.00 - - - R 59.00 R 59.00 - - -
9330
DELIVERY / COLLECTION FEE PER COMPLETED
PROCEDURE (MAXIMUM 4) - - - - R 62.40 - - - -
9331 FULL UPPER AND LOWER DENTURES R 1 609.30 R 1 609.30 - - R 1 609.30 R 1 609.30 - - -
9333 FULL UPPER OR LOWER DENTURE R 941.60 - - - R 941.60 R 941.60 - R 941.60 -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
9335
SET-UP AND WAXING OF FULL UPPER AND LOWER
DENTURES R 554.90 - - - R 554.90 R 554.90 - - -
9337
SET-UP AND WAXING OF FULL UPPER OR LOWER
DENTURE R 371.10 - - - R 371.10 R 371.10 - - -
9339
WAXING AND FINISHING OF FULL UPPER AND LOWER
DENTURES R 986.70 - - - R 986.70 R 986.70 - - -
9341
WAXING AND FINISHING OF FULL UPPER OR LOWER
DENTURE R 551.50 - - - R 551.50 R 551.50 - - -
9343
ADDITIONAL FEE FOR DENTURES ON FULLY ADJUSTABLE
ARTICULATOR AT REQUEST OF DENTIST R 1 571.10 - - - R 1 571.10 R 1 571.10 - - -
9345
ADDITIONAL FEE FOR IMMEDIATE DENTURES, OR
TOOTH SOCKETED R 22.50 - - - R 22.50 R 22.50 - - -
9346
ADDITIONAL FEE FOR IMMEDIATE DENTURES, PER
TOOTH NOT SOCKETED. R 12.10 - - R 12.10 R 12.10 R 12.10 - - -
9347
ADDITIONAL FEE FOR EACH RETRY FROM THE THIRD
AND UPWARDS AT AN AGREED QUANTUM OF TIME TO
BE CALCULATED AT HOURLY RATE R 357.20 - - - R 357.20 R 357.20 - - -
9351 SET-UP AND FINISH OF ONE-TOOTH DENTURE R 431.80 - - R 431.80 R 431.80 R 431.80 - - -
9352 SET-UP AND FINISH OF TWO-TOOTH DENTURE R 459.50 - - R 459.50 R 459.50 R 459.50 - - -
9353 SET-UP AND FINISH OF THREE-TOOTH DENTURE R 492.50 - - R 492.50 R 492.50 R 492.50 - - -
9354 SET-UP AND FINISH OF FOUR-TOOTH DENTURE R 520.20 - - R 520.20 R 520.20 R 520.20 - - -
9355 SET-UP AND FINISH OF FIVE-TOOTH DENTURE R 561.90 - - R 561.90 R 561.90 R 561.90 - - -
9356 SET-UP AND FINISH OF SIX-TOOTH DENTURE R 671.10 - - R 671.10 R 671.10 R 671.10 - - -
9357 SET-UP AND FINISH OF SEVEN-TOOTH DENTURE R 797.70 - - R 797.70 R 797.70 R 797.70 - - -
9358 SET-UP AND FINISH OF EIGHT-TOOTH DENTURE R 846.30 - - R 846.30 R 846.30 R 846.30 - - -
9359 SET-UP AND FINISH NINE OR MORE TOOTH DENTURE R 867.10 - - R 867.10 R 867.10 R 867.10 - - -
9361 SET-UP AND WAXING OF ONE-TOOTH DENTURE R 123.10 - - R 123.10 R 123.10 R 123.10 - - -
9362 SET-UP AND WAXING OF TWO-TOOTH DENTURE R 149.10 - - R 149.10 R 149.10 R 149.10 - - -
9363 SET-UP AND WAXING OF THREE-TOOTH DENTURE R 169.90 - - R 169.90 R 169.90 R 169.90 - - -
9364 SET-UP AND WAXING OF FOUR-TOOTH DENTURE R 197.70 - - R 197.70 R 197.70 R 197.70 - - -
9365 SET-UP AND WAXING OF FIVE-TOOTH DENTURE R 218.50 - - R 218.50 R 218.50 R 218.50 - - -
9366 SET-UP AND WAXING OF SIX-TOOTH DENTURE R 258.40 - - R 258.40 R 258.40 R 258.40 - - -
9367 SET-UP AND WAXING OF SEVEN-TOOTH DENTURE R 284.40 - - R 284.40 R 284.40 R 284.40 - - -
9368 SET-UP AND WAXING OF EIGHT-TOOTH DENTURE R 305.20 - - R 305.20 R 305.20 R 305.20 - - -
9369
SET-UP AND WAXING OF NINE OR MORE TOOTH
DENTURE R 326.00 - - R 326.00 R 326.00 R 326.00 - - -
9371 WAXING AND FINISHING OF ONE-TOOTH DENTURE R 338.20 - - R 338.20 R 338.20 R 338.20 - - -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
9372 WAXING AND FINISHING OF TWO-TOOTH DENTURE R 345.10 - - R 345.10 R 345.10 R 345.10 - - -
9373 WAXING AND FINISHING OF THREE-TOOTH DENTURE R 350.30 - - R 350.30 R 350.30 R 350.30 - - -
9374 WAXING AND FINISHING OF FOUR-TOOTH DENTURE R 357.20 - - R 357.20 R 357.20 R 357.20 - - -
9375 WAXING AND FINISHING OF FIVE-TOOTH DENTURE R 371.10 - - R 371.10 R 371.10 R 371.10 - - -
9376 WAXING AND FINISHING OF SIX-TOOTH DENTURE R 385.00 - - R 385.00 R 385.00 R 385.00 - - -
9377 WAXING AND FINISHING OF SEVEN-TOOTH DENTURE R 480.40 - - R 480.40 R 480.40 R 480.40 - - -
9378 WAXING AND FINISHING OF EIGHTH-TOOTH DENTURE R 499.40 - - R 499.40 R 499.40 R 499.40 - - -
9379
WAXING AND FINISHING OF NINE OR MORE TOOTH
DENTURE R 527.20 - - R 527.20 R 527.20 R 527.20 - - -
9383
ADDITIONAL FEE FOR FINISHING DENTURE IN TOOTH
COLOUR MATERIAL, PER TOOTH R 83.20 - - R 83.20 R 83.20 R 83.20 - - -
9385
ADDITIONAL FEE FOR SUPPLYING FINISHED DENTURE
ON DUPLICATE MODEL R 157.80 - - R 157.80 R 157.80 R 157.80 - - -
9391
BASIC CHARGE WHICH INCLUDES REPAIR OF ONE
FRACTURE, OR ADDITION OF ONE TOOTH, OR ADDITION
OF ONE CLASP R 274.00 - R 274.00 R 274.00 R 274.00 R 274.00 - R 274.00 -
9393
ADDITIONAL CHARGE FOR EACH ADDITIONAL
FRACTURE, OR TOOTH, OR CLASP R 85.00 - R 85.00 R 85.00 R 85.00 R 85.00 - - -
9395 ADDITIONAL FEE FOR USING WIRE STRENGTHENER R 97.10 - R 97.10 R 97.10 R 97.10 R 97.10 - - -
9397
ADDITIONAL FEE FOR USING PRE-FORMED
STRENGTHENER R 104.00 - R 104.00 R 104.00 R 104.00 R 104.00 - - -
9398
ADDITIONAL FEE FOR USING MESH STRENGTHENER IN
REPAIR PROCEDURE R 164.70 - - R 164.70 R 164.70 R 164.70 - - -
9401 CLEAR BASE - - - - R 121.40 - - - -
9403 DOX GRINDING OF UPPER AND LOWER DENTURES R 154.30 - - R 154.30 R 154.30 R 154.30 - - -
9405
INLAY TO ARTIFICIAL TOOTH, ONE SURFACE ONLY, PER
INLAY - - - - R 265.30 - - - -
9406
INLAY TO ARTIFICIAL TOOTH, MULTI-SURFACES E.G.
HORSESHOE OR L-TYPE INLAY, PER INLAY - - - - R 339.90 - - - -
9407
HEKA BASE TECHNIQUE PER UPPER OR LOWER
DENTURE R 364.20 - - R 364.20 R 364.20 R 364.20 - - -
9409 FREGO FRAME R 157.80 - - R 157.80 R 157.80 R 157.80 - - -
9410 BLEACHING TRAY - - - - R 175.20 - - - -
9411 TEMPLATE PER UPPER OR LOWER DENTURE R 435.30 - - R 435.30 R 435.30 R 435.30 - - -
9413 RELINE/REBASE OF SINGLE DENTURE R 548.00 - - R 548.00 R 548.00 R 548.00 - - -
9415 REMODEL OF SINGLE DENTURE R 842.80 - - R 842.80 R 842.80 R 842.80 - - -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
9417 SOFT BASE RELINE PER DENTURE R 1 383.80 - - R 1 383.80 R 1 383.80 R 1 383.80 - - -
9419 SOFT BASE TO NEW DENTURE, PER DENTURE R 1 383.80 - - R 1 383.80 R 1 383.80 R 1 383.80 - - -
9421 GUM TINTING PER DENTURE - - - - R 256.70 - - - -
9423 LINGUAL OR PALATAL BAR R 206.40 - R 206.40 R 206.40 R 206.40 R 206.40 - - -
9425
CLEANING AND POLISHING OF EXISTING DENTURE, PER
DENTURE R 168.20 - - R 168.20 R 168.20 R 168.20 - - -
9427 MESH STRENGTHENER R 143.90 - - R 143.90 R 143.90 R 143.90 - - -
9429
THEATRE/ CONSULTATION OUT OF LABORATORY PER
HOUR OR PART THEREOF R 357.20 R 357.20 - R 357.20 R 357.20 R 357.20 - - -
9431 SPECIAL TRAY, ACRYLIC, EACH R 135.30 - - R 135.30 R 135.30 R 135.30 - - -
9432 SPECIAL TRAY LIGHT CURE, EACH R 147.40 - - R 147.40 R 147.40 R 147.40 - - -
9433 SPECIAL TRAY IN BASE PLATE MATERIAL, EACH R 138.70 - - R 138.70 R 138.70 R 138.70 - - -
9435
PROVISION OF SINGLE ARM CLASP, TO PARTIAL
DENTURE R 71.10 - - R 71.10 R 71.10 R 71.10 - - -
9437
PROVISION OF DOUBLE ARM CLASP, TO PARTIAL
DENTURE R 123.10 - - R 123.10 R 123.10 R 123.10 - - -
9439
PROVISION OF SINGLE ARM CLASP WITH REST, TO
PARTIAL DENTURE R 159.50 - - R 159.50 R 159.50 R 159.50 - - -
9441
PROVISION OF DOUBLE ARM CLASP WITH REST, TO
PARTIAL DENTURE R 215.00 - - R 215.00 R 215.00 R 215.00 - - -
9443
PROVISION OF PREFORMED ROACH CLASP, TO PARTIAL
DENTURE R 91.90 - - R 91.90 R 91.90 R 91.90 - - -
9445 PROVISION OF REST ONLY TO PARTIAL DENTURE R 91.90 - - R 91.90 R 91.90 R 91.90 - - -
9447 CAST CLASP R 322.50 - - R 322.50 R 322.50 R 322.50 - - -
9448
CASTING AND TRIMMING OF MODEL FROM
IMPRESSION INSIDE OCCLUSION BLOCK OR WAX TRY IN R 59.00 - - R 59.00 R 59.00 R 59.00 - - -
9450
FINISHING OF ACRYLIC WORK ON ANY CHROME COBALT
OR GOLD PROSTHESIS R 123.10 R 123.10 R 123.10 R 123.10 R 123.10 R 123.10 - - -
9451
METAL BASE FOR FULL UPPER OR FULL LOWER
DENTURE EACH - - - - R 1 104.60 - - - -
9453
BASIC CHARGE - WHICH EXCLUDES MODELS AND ANY
SPECIAL TRAYS WHICH MAY BE REQUIRED BY THE
DENTIST, BUT INCLUDES REFRACTORY MODEL R 965.90 - - - R 965.90 R 965.90 - - -
9455 ADDITIONAL CHARGE FOR EACH ONE ARM CLASP R 39.90 - - - R 39.90 R 39.90 - - -
9457 ADDITIONAL CHARGE FOR EACH ROACH CLASP R 67.60 - - - R 67.60 R 67.60 - - -
9459 ADDITIONAL CHARGE FOR EACH REST R 36.40 - - - R 36.40 R 36.40 - - -
9461
ADDITIONAL CHARGE FOR CONTINUOUS CLASP, PER
TOOTH R 39.90 - - - R 39.90 R 39.90 - - -
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Code TariffDescription 54 62 64 92 93 94 95 96 113
9463
ADDITIONAL CHARGE FOR LINGUAL BAR, PER TOOTH
PASSED R 93.60 - - - R 93.60 R 93.60 - - -
9465 ADDITIONAL CHARGE FOR PALATAL BAR R 149.10 - - - R 149.10 R 149.10 - - -
9467 ADDITIONAL CHARGE FOR ONLAY - - - - R 397.10 - - - -
9469
ADDITIONAL CHARGE FOR SADDLE WITH FINISHING
LINE, PER TOOTH R 65.90 - - - R 65.90 R 65.90 - - -
9471
ADDITIONAL CHARGE FOR SADDLE WITHOUT FINISHING
LINE, PER TOOTH R 38.20 - - - R 38.20 R 38.20 - - -
9473
ADDITIONAL CHARGE FOR HORSESHOE SADDLE, PER
TOOTH R 65.90 - - - R 65.90 R 65.90 - - -
9475
ADDITIONAL CHARGE FOR FITTING OF TOOTH TO
METAL BACKING, PER TOOTH R 45.10 - - - R 45.10 R 45.10 - - -
9479
ADDITIONAL CHARGE FOR FITTING ONE DISTAL-
EXTENSION HINGE R 133.50 - - - R 133.50 R 133.50 - - -
9480 ADDITIONAL CHARGE PER MILLED EDGE PER TOOTH R 116.20 - - - R 116.20 R 116.20 - - -
9481 ADDITIONAL CHARGE FOR EACH SOLDERING JOINT R 163.00 - - - R 163.00 R 163.00 - - -
9483 ADDITIONAL CHARGE FOR SOLDERING RETENTION R 197.70 - - - R 197.70 R 197.70 - - -
9485
ADDITIONAL CHARGE FOR EACH ADDITIONAL
RETENTION SOLDERING JOINT R 60.70 - - - R 60.70 R 60.70 - - -
9487 ADDITIONAL CHARGE FOR EACH WELDING JOINT R 199.40 - - - R 199.40 R 199.40 - - -
9489 ADDITIONAL CHARGE FOR FITTING SWING LOCK R 163.00 - - - R 163.00 R 163.00 - - -
9491 ADDITIONAL CHARGE FOR EACH BACKING CAST R 159.50 - - - R 159.50 R 159.50 - - -
9493
ADDITIONAL CHARGE FOR EACH STEELS BACKING OR
PONTIC CAST (PLASTIC WORK TO BE CHARGED IN
ADDITION) R 173.40 - - - R 173.40 R 173.40 - - -
9495
BASIC FEE FOR THE REPAIRING OF OR ADDITION TO ANY
APPLIANCE NECESSITATING THE CASTING OF A MODEL
(9301) R 251.40 - - - R 251.40 R 251.40 - - -
9497
BASIC FEE IF A NEW SECTION IS TO BE FABRICATED AND
WHERE ITEM 9495 DOES NOT APPLY (9301) R 286.10 - - - R 286.10 R 286.10 - - -
9501
CERAMIC JACKET CROWN/CEROMER CROWN OR
PONTIC * - - - * * - - -
9502 CERAMIC METAL SUBSTITUTE COPING R 886.10 - - - R 886.10 R 886.10 - - -
9505 CERAMIC BONDED CROWN OR PONTIC R 1 449.70 - - R 1 367.80 R 1 449.70 R 1 449.70 - R 1 449.70 -
9507 POST-SOLDER INVESTED JOINT, PER JOINT R 296.50 - - - R 296.50 R 296.50 - - -
9511 INLAY IN PORCELAIN VENEER CROWN R 478.60 - - - R 478.60 R 478.60 - - -
9512 CERAMIC, INLAY/ONLAY, BRIDGE RETAINER * - - - * * - - -
9515
PORCELAIN SHOULDER PER UNIT (NOT APPLICABLE TO
PONTICS) R 97.10 - - R 97.10 R 97.10 R 97.10 - - -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
9520
ADDITIONAL FEE FOR CROWN- & BRIDGE WORK
PERFORMED ON A MOVABLE CONDYLE ARTICULATOR
PER UNIT R 46.80 - - - R 46.80 R 46.80 - - -
9521 FULL METAL CROWN, MOD, THREE-QUARTER CROWN R 896.60 - - - R 896.60 * - - -
9524 INDIRECT COMPOSITE RESIN INLAY R 244.40 - - - R 242.80 R 244.40 - - -
9525 CLASS IV, MO, DO, CERVICAL/OCCLUSAL INLAY R 738.70 - - - * R 738.70 - - -
9526
ADDITIONAL FEE FOR ONE PIECE CASTING OF CROWN
OR INLAY ON POST R 225.40 - - - R 225.40 R 225.40 - - -
9531 PIN-LEDGE INLAY - - - - R 837.60 - - - -
9533 FULL METAL PONTIC R 662.40 - - - * R 662.40 - - -
9535 ABUTMENT THIMBLE CAST R 620.80 - - - R 620.80 R 620.80 - - -
9537 PRECISION LOCK AND REST CAST - - - - R 880.90 - - - -
9538 LOCK AND REST CAST - - - - R 421.40 - - - -
9539 CASTING OF REST ONLY R 251.40 - - - R 251.40 R 251.40 - - -
9541 METAL INLAY OR POST, CAST DIRECT - - - - R 267.10 - - - -
9543 GOLD/PRE-SOLDER INVESTED JOINT - - - - R 265.30 - - - -
9545 CAST POST WITH THIMBLE, INDIRECT R 442.20 - - - * R 442.20 - - -
9546 MULTIPLE POST R 731.80 - - - R 731.80 R 731.80 - - -
9547
MANUFACTURE CAST POST AND CORE TO EXISTING
CROWN R 577.50 - - - * R 577.50 - - -
9549 C.S.P. ATTACHMENT (STEIGER) R 1 949.20 - - - R 1 949.20 R 1 949.20 - - -
9550 MILLING MILLED EDGE PER UNIT R 620.80 - - - R 620.80 R 620.80 - - -
9551 TELESCOPE CROWN R 1 529.50 - - - R 1 529.50 R 1 529.50 - - -
9553
COMPOSITE/ACRYLIC VENEER CROWN/PONTIC,
INDIRECT R 1 222.60 - - - * R 1 222.60 - - -
9557 COMPOSITE/ACRYLIC JACKET CROWN, INDIRECT * R 863.60 - - - * R 863.60 * R 863.60 - - -
9559 COMPOSITE/ACRYLIC VENEER POST CROWN * R 1208.70 - - - * R 1208.70 * R 1208.70 - - -
9560 INDIRECT COMPOSITE RESIN VENEER R 511.60 - - - R 511.60 R 511.60 - - -
9561 COMPOSITE/ACRYLIC JACKET CROWN, DIRECT R 589.60 - - - * R 589.60 - - -
9563 TEMPORARY ACRYLIC/COMPOSITE CROWN PER UNIT R 421.40 - - - R 421.40 R 421.40 - - -
9564
HEAT FORMED TEMPLATE SUPPLIED TO DENTIST FOR
THE MANUFACTURE OF TEMPORARY RESTORATIONS - - - - R 211.60 - - - -
9565 COMPOSITE/ACRYLIC-FACING REPLACED R 490.80 - - - R 490.80 R 490.80 - - -
9566 PORCELAIN/ CEROMER FACING REPLACED R 889.60 - - - R 889.60 R 889.60 - - -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
9569 WAXING OF CROWN TO EXISTING DENTURE R 346.80 - - - R 346.80 R 346.80 - - -
9570
ADDITIONAL FEE FOR EACH REMAKE AT AN AGREED
QUANTUM OF TIME TO BE CALCULATED AT AN HOURLY
RATE R 357.20 - - - R 357.20 R 357.20 - - -
9571 BASIC CHARGE WHICH INCLUDES ACRYLIC BASE R 438.70 R 438.70 R 438.70 R 438.70 R 438.70 R 438.70 - - -
9572 BASIC CHARGE NON ACRYLIC BASE R 211.60 - R 211.60 - R 211.60 - - - -
9573
ADDITIONAL CHARGE FOR FITTING FIRST EXPANSION
SCREW R 83.20 - R 83.20 - R 83.20 - - - -
9575
ADDITIONAL FEE FOR FITTING SUBSEQUENT EXPANSION
SCREWS R 71.10 - R 71.10 - R 71.10 - - - -
9576 ADDITIONAL FEE FOR FULL ACLUSAL BITE PLATE R 246.30 R 246.30 R 246.30 R 246.30 R 246.30 R 246.30 - - -
9577 ADDITIONAL FEE FOR BITE PLATE ANTERIOR R 83.20 R 83.20 R 83.20 - R 83.20 R 83.20 - - -
9578 ADDITIONAL FEE FOR BITE PLATE POSTERIOR R 83.20 R 83.20 R 83.20 - R 83.20 R 83.20 - - -
9579 ADDITIONAL FEE FOR FITTING TONGUE GUARD R 104.00 - R 104.00 - R 104.00 - - - -
9581 ADDITIONAL FEE FOR FLAT OR INCLINED PLANE R 64.20 - R 64.20 - R 64.20 - - - -
9583 ADDITIONAL FEE FOR ADAMS CRIB R 76.30 - R 76.30 - R 76.30 - - - -
9585 ADDITIONAL FEE FOR JACKSON CRIB R 79.80 - R 79.80 - R 79.80 - - - -
9587 ADDITIONAL FEE FOR BALL CLASP R 90.20 R 90.20 R 90.20 R 90.20 R 90.20 - - - -
9589 ADDITIONAL FEE FOR SINGLE ARM CLASP R 69.40 - R 69.40 - R 69.40 - - - -
9591 ADDITIONAL FEE FOR DOUBLE ARM CLASP R 121.40 - R 121.40 - R 121.40 - - - -
9593
ADDITIONAL FEE FOR FITTING SINGLE LOOP FINGER
SPRING R 57.20 - R 57.20 - R 57.20 - - - -
9595
ADDITIONAL FEE FOR FITTING DOUBLE LOOP FINGER
SPRING R 67.60 - R 67.60 - R 67.60 - - - -
9597
ADDITIONAL FEE FOR FITTING BUCCAL RETRACTION
SPRING R 50.30 - R 50.30 - R 50.30 - - - -
9599 ADDITIONAL FEE FOR FITTING APRON SPRING R 130.10 - R 130.10 - R 130.10 - - - -
9603 ADDITIONAL FEE FOR FITTING COFFIN SPRING R 124.90 - R 124.90 - R 124.90 - - - -
9605 ADDITIONAL FEE FOR FITTING QUAD HELIX R 138.70 - R 138.70 - R 138.70 - - - -
9607 ADDITIONAL FEE FOR FITTING FLAPPER OR “T”-SPRING R 104.00 - R 104.00 - R 104.00 - - - -
9609
ADDITIONAL FEE FOR FITTING ALL SPRINGS WITH
TUBING, EACH R 116.20 - R 116.20 - R 116.20 - - - -
9611 ADDITIONAL FEE FOR FITTING LABIAL ARCH R 65.90 - R 65.90 - R 65.90 - - - -
9613 ADDITIONAL FEE FOR FITTING BUCCAL ARCH R 78.00 - R 78.00 - R 78.00 - - - -
9615 ADDITIONAL FEE FOR FITTING ROBERTS RETRACTOR R 145.70 - R 145.70 - R 145.70 - - - -
9617 INVISIBLE RETAINER - - - - R 192.50 - - - -
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Code TariffDescription 54 62 64 92 93 94 95 96 113
9619
ADDITIONAL FEE FOR FITTING TWIN WIRE ARCH EXTRA-
ORAL ARCH R 182.10 - R 182.10 - R 182.10 - - - -
9620 ADDITIONAL FEE LIP BUMPER R 76.30 - R 76.30 - R 76.30 - - - -
9621 ADDITIONAL FEE FOR FITTING EXTRA-ORAL ARCH R 173.40 - R 173.40 - R 173.40 - - - -
9622
ADDITIONAL FEE FOR FITTING SPACE MAINTAINER
ARCH R 76.30 - R 76.30 - R 76.30 - - - -
9623 ADDITIONAL FEE FOR EACH SPOT-WELDING JOINT R 34.70 - R 34.70 - R 34.70 - - - -
9625 ADDITIONAL FEE FOR EACH SOLDERING JOINT R 55.50 - R 55.50 - R 55.50 - - - -
9627 ADDITIONAL FEE FOR EACH INVESTED SOLDERING JOINT R 154.30 - R 154.30 - R 154.30 - - - -
9629
ADDITIONAL FEE FOR EACH HOOK FOR ELASTIC
TRACTION R 50.30 - R 50.30 - R 50.30 - - - -
9631 MOUTH PROTECTOR (GUM GUARD) - - - - R 326.00 - - - -
9633 ORAL SCREEN R 400.60 R 400.60 R 400.60 R 400.60 R 400.60 R 400.60 - - -
9635 ANDRESEN OR NORWEGIAN APPLIANCE R 716.20 R 716.20 R 716.20 R 716.20 R 716.20 R 716.20 - - -
9637 TOOTH POSITIONER R 825.50 - R 825.50 R 825.50 R 825.50 R 825.50 - - -
9639 GUNNING SPLINT R 1 099.40 R 1 099.40 R 1 099.40 R 1 099.40 R 1 099.40 R 1 099.40 - - -
9641 FRANKEL APPLIANCE R 1 061.30 - R 1 061.30 - R 1 061.30 - - - -
9643 CHIN CAP R 352.00 - R 352.00 - R 352.00 - - - -
9645 BIONATOR R 717.90 - R 717.90 - R 717.90 - - - -
9646 DIAGNOSTIC SET-UP - - - - R 690.20 - - - -
9647 SNORING APPLIANCE - - - - R 652.00 - - - -
9651
PINCHED OR SWAGED BAND WITH WELDED
ATTACHMENT (EXCLUDING COST OF ATTACHMENT) R 211.60 - R 211.60 - R 211.60 - - - -
9653
PINCHED OR SWAGED BAND WITH SOLDERED
ATTACHMENT R 277.50 - R 277.50 - R 277.50 - - - -
9662
ADDITIONAL FEE FOR EACH REMAKE AT AN AGREED
QUANTUM OF TIME TO BE CALCULATED AT AN HOURLY
RATE - - - - R 357.20 - - - -
9700 DIATORICS 1 X 6/8 R 173.50 R 173.50 - R 173.50 R 173.50 R 173.50 - R 173.50 -
9702 DIATORICS, ODDS, ANTERIOR R 59.00 - - R 59.00 R 59.00 R 59.00 - - -
9704 DIATORICS, ODDS, POSTERIOR R 59.00 - - R 59.00 R 59.00 R 59.00 - R 59.00 -
9706 COST OF BLEACHING TRAY MATERIAL - - - - - - - - -
9720 SOFT BASE MATERIAL PER DENTURE R 627.70 - - R 627.70 R 627.70 R 627.70 - R 627.70 -
9722 ACRYLIC PER DENTURE R 71.00 R 71.00 R 71.00 R 71.00 R 71.00 R 71.00 - - -
9724 COST OF PRECISION ATTACHMENT, PER ATTACHMENT - - - - - - - - -
9726 PREFORMED BALL OR ROACH CLASP R 12.20 R 12.20 R 12.20 R 12.20 R 12.20 R 12.20 - - -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
9728 COST OF LINGUAL / PALATAL BAR R 142.20 - - - R 142.20 R 142.20 - - -
9729 COST OF MESH STRENGTHENER R 74.60 - - - R 74.60 R 74.60 - - -
9730
COST OF PRE-FABRICATED BURN-OUT COMPONENT,
PER COMPONENT R 73.80 - - - R 73.80 R 73.80 - - -
9732
COST OF OTHER ATTACHMENT COMPONENTS E.G.
NYLON CAPS, SLEEVES ETC - - - - - - - - -
9734
COST OF DOLDER BAR AND CLIPS, PER GRAM OR PER
CLIP - - - - - - - - -
9736 COST OF IMPLANT COMPONENTS * * - * - * - - -
9738 COST OF PREFORMED STRENGTHENER R 74.60 - - - R 74.60 R 74.60 - - -
9739 ADDITIONAL CHARGE GOLD PLATING - - - - - - - - -
9740 COST OF GOLD WIRE, PER GRAM - - - - - - - - -
9741 COST OF COBALT CHROME CASTING ALLOY R 117.90 - - - R 117.90 R 117.90 - - -
9742
COST OF SPECIALISED COBALT CHROME CASTING
METAL E G VITALLIUM, TITANIUM - - - - - - - - -
9744 COST OF PRECIOUS CASTING ALLOY - - - - - - - - -
9746 COST OF SEMI-PRECIOUS CASTING ALLOY - - - - - - - - -
9748 COST OF NON-PRECIOUS CASTING ALLOY * - - * * * - * -
9752 COST OF PLATINUM FOIL - - - - - - - - -
9754 COST OF GOLD SOLDER, PER GRAM - - - - - - - - -
9755 ETCHING FOR BONDING (METAL OR CERAMIC) - - - - - - - - -
9756 COST OF SILVER SOLDER, PER GRAM R 43.50 - - - R 43.50 R 43.50 - - -
9757 CEROMER MATERIAL - PER UNIT R 886.20 - - - R 886.10 R 886.20 - - -
9758 FIBER RE-ENFORCED MATERIAL PER UNIT R 292.00 - R 292.00 R 292.00 R 292.00 R 292.00 - - -
9760 COMPOSITE RESTORATION MATERIAL - - - - - - - - -
9761 CERAMIC MATERIAL - - - - - - - - -
9762
COST OF ANTERIOR ORTHODONTIC ATTACHMENT, PER
ATTACHMENT R 25.90 - R 25.90 - R 25.90 - - - -
9763 ORTHODONTIC MATERIAL R 25.90 R 25.90 R 25.90 - R 25.90 - - - -
9764
COST OF POSTERIOR ORTHODONTIC ATTACHMENT, PER
ATTACHMENT R 25.90 - R 25.90 - R 25.90 - - - -
9765 PREFORMED COMPONENTS R 13.90 - R 13.90 - R 13.90 R 13.90 - - -
9766 COST OF EXPANSION SCREW, PER SCREW R 29.50 - R 29.50 - R 29.50 - - - -
9767 SOLDERING MATERIAL R 6.92 - R 6.92 - R 6.92 R 6.92 - - -
9768 COST OF BUCCAL TUBE/TRANSFER TUBE, PER TUBE - - R 12 994.00 - - - - - -
9770 COST OF J-HOOK, PER HOOK R 27.70 - R 27.70 - R 27.70 - - - -
9772 COST OF LINGUAL BUTTONS, PER BUTTON R 27.70 - R 27.70 - R 27.70 R 27.70 - - -
Trf
Code TariffDescription 54 62 64 92 93 94 95 96 113
9774 COST OF INVISIBLE RETAINER MATERIAL - - - - - - - - -
9775 R/A CASE - - - - - - - - -
9776 COST OF MOUTH PROTECTOR MATERIAL - - - - - - - - -
9778 COST OF ARCH WIRE R 6.92 - R 6.92 - R 6.92 - - - -
9779 DUAL LAMINATE MATERIAL - - - - - - - - -
9780
POSITIONING AND FINISHING OF COMPLETE (MALE AND
FEMALE) PRE-FABRICATED BURN-OUT ATTACHMENT - - - - R 546.30 - - - -
9782
POSITIONING AND SOLDERING OF COMPLETE (MALE
AND FEMALE) PRECISION ATTACHMENT - - - - R 456.10 - - - -
9783 IMPLANT STENT PER UNIT - - - - R 421.40 - - - -
9784 ALIGNMENT OF DOLDER BAR AND CLIPS - - - - R 575.70 - - - -
9786
TRIMMING, WAXING AND FINISHING OF IMPLANT
ABUTMENT - CROWN AND BRIDGE WORK ONLY, PER
ABUTMENT R 248.00 - - R 248.00 R 248.00 R 248.00 - - -
9787
WAXING, MILLING AND FINISHING OF A CUSTOM
ABUTMENT R 483.80 - - - R 483.80 R 483.80 - - -
9788
IMPLANT SUPERSTRUCTURE (EDENTULOUS CASES)
INCLUDING PLACING OF PREFORMED PARTS, PER
SECTION CAST - - - - R 2 644.60 - - - -
9789
FINISHING OF PROSTHESIS ON IMPLANT STRUCTURE
PER ARCH R 965.90 - - - R 965.90 R 965.90 - - -