✨ Dental Services Payment Schedule
7 NOVEMBER NEW ZEALAND GAZETTE 4277
G2.2 Payment for these Services will be based on the information reported by you as required by clause E1.2.
G3 SCHEDULE OF PRICES FOR SPECIAL DENTAL BENEFITS REQUIRING PRIOR APPROVAL
G3.1 The payments you will receive, per service provided, for the Services referred to in clause F2.2 are as follows:
| Item | Price (GST excl.) |
|---|---|
| Minor surgical operation or other time based procedures (first half hour) | $66.45 |
| Minor surgical operation, periodontal treatment or other time based procedures (each additional quarter hour) | $33.22 |
| Acrylic partial denture | $250.00 |
| Acrylic partial denture – each extra tooth | $28.89 |
| Acrylic partial denture – each clasp | $15.00 |
| Stainless steel crown | $54.03 |
| Acrylic jacket crown | $312.88 |
| Complex reconstruction in composite resin | $120.03 |
| Cast post and core | $133.30 |
| Preformed post and core | $77.47 |
| Labial composite veneer | $59.65 |
| Panoramic radiograph | $32.01 |
| Occlusal radiograph | $21.54 |
| Denture full upper or lower | $528.00 |
| Dentures upper and lower | $783.22 |
| Apexification | $117.13 |
G3.2 Payment for these Services will be based on the information reported by you as required by clause E1.2. These additional Services may only be provided with the prior approval of a Dental Officer of the District Health Board. Where the prior approval of a Dental Officer of the District Health Board is not sought but an application is made subsequently and not approved, then neither the Patient nor we will be liable to pay for those Services.
PUBLISHED BY THE
DEPARTMENT OF INTERNAL AFFAIRS
PRINTED BY WICKLIFFE LIMITED
ISSN 0111-5650
Price $10.00 (inc. G.S.T.)
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
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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