✨ Service Pricing Schedule
4276 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 SPECIAL 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.) |
|---|---|
| Initial oral consultation for school dental clinic patients referred for Special Dental Benefits or for school dental clinic patients or adolescents who are not able to access their regular oral health provider in an emergency during normal practice hours | $29.56 |
| Emergency consultation outside normal practice hours | $45.21 |
| Periapical or bitewing radiograph where required | $8.23 |
| One surface restoration in posterior teeth (including the anterior and posterior pit and all buccal, palatal and lingual fissure extensions of molars) | $43.16 |
| Two surface (mesio-occlusal or distal-occlusal) restoration in posterior teeth | $45.72 |
| Three surface (mesio-occlusal-distal) restoration in posterior teeth | $55.46 |
| Complex coronal reconstruction in amalgam | $69.86 |
| Simple non-metallic restoration in anterior teeth | $40.07 |
| More than one surface non-metallic restoration in anterior teeth | $55.99 |
| Extraction of a single permanent tooth or deciduous quadrant (excluding extractions for orthodontic purposes) with local anaesthetic | $48.80 |
| Extraction of a single permanent tooth or deciduous quadrant (excluding extractions for orthodontic purposes) with general aesthetic | $73.20 |
| Subsequent extraction of a permanent tooth (maximum 4 teeth) or deciduous quadrant (excluding extractions for orthodontic purposes) | $24.14 |
| Preparation and obturation of a root canal in a permanent tooth (per canal treated) | $145.35 |
| Pulp removal and root filling in a deciduous tooth (maximum fee per deciduous tooth treated) | $117.13 |
| Pulpotomy in a deciduous tooth | $75.13 |
| Emergency dressing | $22.15 |
| Re-cement inlay or crown | $19.35 |
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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
🏥
Provider Quality Specifications for Oral Health Services
(continued from previous page)
🏥 Health & Social WelfareService Pricing, Geographical Areas, Special Dental Benefits, Payment Claims, District Health Board, Emergency Consultations, Radiographs, Restorations, Extractions, Root Canal, Pulpotomy