✨ Dental Service Pricing Schedule
NEW ZEALAND GAZETTE
No. 151
SCHEDULE G: SERVICE PRICING
G1 GEOGRAPHICAL AREAS
G1.1
You agree to only claim payment from us for Services provided within the geographical areas for which we are responsible as specified in Schedule 1 to the Act, whether or not a Patient is resident within our geographical area.
G1.2
If you provide Services from a facility located in another District Health Board’s geographical areas, then you agree not to claim for payment from us. Instead, it will be your responsibility to claim for payment from the relevant District Health Board.
G2 SCHEDULE OF PRICES FOR GENERAL DENTAL BENEFITS NOT REQUIRING PRIOR APPROVAL
G2.1 The payments you will receive, per service provided, for the Services referred to in clause F2.1 are as follows:
| Item | Price (GST excl.) |
|---|---|
| Consultation with examination and prophylaxis (once in respect of each complete treatment period and including bitewing x-rays when required for diagnostic purposes) | $34.98 |
| Emergency consultation in normal practice hours | $16.09 |
| Emergency consultation outside normal practice hours | $32.09 |
| Periapical radiograph where required (each film) | $7.41 |
| One surface amalgam restoration in posterior teeth (including the anterior and posterior pit and all buccal, palatal and lingual fissure extensions of molars); | $22.02 |
| Two surface (mesio-occlusal or distal-occlusal) restoration in posterior teeth | $32.19 |
| Three surface (mesio-occlusal-distal) restoration in posterior teeth | $39.60 |
| Complex coronal reconstruction in amalgam (including restoration of 1 or more cusps) | $58.80 |
| Simple non-metallic restoration in anterior teeth and buccal surfaces of premolars | $29.32 |
| More than one surface non-metallic restoration in anterior teeth | $43.98 |
| Extraction of a single permanent tooth or deciduous quadrant (excluding extractions for orthodontic purposes) with local anaesthetic | $36.68 |
| Subsequent extraction of a permanent tooth (maximum 4 teeth) or deciduous quadrant (excluding extractions for orthodontic purposes) | $18.39 |
| Preparation and obturation of a root canal in a permanent tooth (per canal treated) | $109.96 |
| Pulp removal and root filling in a deciduous tooth (maximum fee per deciduous tooth treated) | $87.96 |
| Pulpotomy in a deciduous tooth | $56.42 |
| Emergency dressing | $20.88 |
| Re-cement inlay or crown | $10.12 |
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Online Sources for this page:
VUW Te Waharoa —
NZ Gazette 2003, No 151
Gazette.govt.nz —
NZ Gazette 2003, No 151
✨ LLM interpretation of page content
🏥
General Dental Benefits Service Specification
(continued from previous page)
🏥 Health & Social WelfareDental services, Oral health, High-risk patients, DMFT score, Restorations, Quality guidelines, Enrolment information, Service delivery, Operational guidelines, Service pricing, Geographical areas, Payment claims
🏥 Schedule of Prices for General Dental Benefits
🏥 Health & Social WelfareDental fees, Service pricing, Consultation, Emergency treatment, Radiographs, Restorations, Extractions, Root canal, Pulp treatment