✨ General Dental Benefits Service Specification




4242

NEW ZEALAND GAZETTE

No. 151

The following Services will be purchased on a fee-for-service basis.

a. Consultation with examination and prophylaxis (once in respect of each complete treatment period and including bitewing x-rays when required for diagnostic purposes);

b. Emergency consultations in normal practice hours;

c. Emergency consultations outside normal practice hours;

d. Periapical radiographs where required (each film);

e. One surface amalgam restorations in posterior teeth (including the anterior and posterior pit and all buccal, palatal and lingual fissure extensions of molars);

f. Two surface (mesio-occlusal or distal-occlusal) restorations in posterior teeth;

g. Three surface (mesio-occlusal-distal) restorations in posterior teeth;

h. Complex coronal reconstructions in amalgam (including restoration of one or more cusps);

i. Simple non-metallic restorations in anterior teeth and buccal surfaces of premolars;

j. More than one surface non-metallic restorations in anterior teeth;

k. Extractions (excluding extractions for orthodontic purposes) with local anaesthetic;

l. Preparation and obturation of root canals in permanent teeth;

m. Pulp removal and root fillings in deciduous teeth;

n. Pulpotomy in deciduous teeth;

o. Emergency Dressings;

p. Re-cement inlay or crown.

F2.2 General Dental Benefits Requiring Prior Approval

General Dental Benefits Requiring Prior Approval consist of a range of dental services that will be provided where required and with the prior approval of a Dental Officer of the District Health Board.

The following Services will be purchased on a fee-for-service basis:

a. Minor surgical operations and other time based procedures;

b. Calculus-scaling (not associated with routine prophylaxis);

c. Acrylic partial dentures;

d. Lingual bar;

e. Precision-cast metal partial dentures;

f. Gold inlay (MI, DI or incisal);

g. Gold inlay (MID);

h. Facing for inlay;

i. Stainless steel crowns;

j. Acrylic jacket crowns;

k. Porcelain-bonded-to-metal-crown;

l. Full coverage composite crowns;

m. Three-quarter composite crowns;

n. Porcelain jacket crowns;

o. Cast post and core;

p. Stainless steel post;

q. Preformed post and core;



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Online Sources for this page:

VUW Te Waharoa PDF NZ Gazette 2003, No 151


Gazette.govt.nz PDF NZ Gazette 2003, No 151





✨ LLM interpretation of page content

πŸ₯ General Dental Benefits Service Specification (continued from previous page)

πŸ₯ Health & Social Welfare
Dental services, Oral health, Fee-for-service, Prior approval, Treatment procedures