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New Zealand Gazette – 2003 – No. 168

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✨ Dental Service Pricing Schedule

10 DECEMBER

NEW ZEALAND GAZETTE

4645

SCHEDULE C: SERVICE PRICING

C1 APPLICATION

This Schedule C replaces Appendices 1 and 2 of Schedule 2 of each Existing Notice and is effective from 1 January 2004.

C2 GEOGRAPHICAL AREAS

C2.1

You agree to only claim payment from us for Dental Benefits 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.

C2.2

If you provide Dental Benefits 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.

C3 SCHEDULE OF PRICES FOR GENERAL DENTAL BENEFITS NOT REQUIRING PRIOR APPROVAL

C3.1

The payments you will receive, per service provided, for the Dental Benefits that are General Dental Benefits not requiring prior approval 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

VUW Te Waharoa — NZ Gazette 2003, No 168

Gazette.govt.nz — NZ Gazette 2003, No 168

The Executive Wing of Parliament (depicted) is universally known as The Beehive. It was completed in 1977 and remains the primary office for the elected Government of the day.

✨ LLM interpretation of page content

🏥 Advice Notice to Oral Health Providers under Section 88 (continued from previous page)

Domain🏥 Health & Social Welfare
KeywordsDental Benefits, Healthcare, Notice, District Health Boards, Section 88, Interpretation, Definitions, Payment, General Dental Benefits, Special Dental Benefits

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