New Zealand Gazette – 2003 – No. 168

Page 4646

✨ Dental Benefits Schedule

4646 NEW ZEALAND GAZETTE No. 168

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

C3.2

Payment for these Dental Benefits will be based on the information reported by you as
required by us or our Payment Agent.

SCHEDULE OF PRICES FOR GENERAL DENTAL BENEFITS REQUIRING PRIOR

APPROVAL

C4.1

The payments you will receive, per service provided, for the Dental Benefits that are
General Dental Benefits requiring prior approval are as follows:

Item	Price
Minor surgical operation or other time based procedure (each half
hour or part thereof)	$47.44
Calculus-scaling (not associated with routine prophylaxis)	$24.35
Acrylic partial denture	$250.00
Acrylic partial denture – each extra tooth	$28.89
Acrylic partial denture – each clasp	$15.00
1 lingual bar	$14.88
Precision-cast metal partial denture	$575.00
Precision-cast metal partial denture – each extra tooth	$28.85
Gold inlay (MI, DI or incisal)	$170.71
Gold inlay (MID)	$256.22
Facing for inlay	$21.69
Stainless steel crown	$51.44

VUW Te Waharoa — NZ Gazette 2003, No 168

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

Parliament House (depicted) was completed in 1918 and remains the primary seat of Parliament.

✨ 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

🏥 Schedule of Prices for General Dental Benefits Requiring Prior Approval

Domain🏥 Health & Social Welfare
KeywordsDental Benefits, Pricing, General Dental Benefits, Prior Approval

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Additional Sources

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