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New Zealand Gazette – 2003 – No. 168

Page 4647

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✨ Dental Benefits Pricing

10 DECEMBER NEW ZEALAND GAZETTE 4647

Acrylic jacket crown $298.14

Porcelain-bonded-to-metal-crown $512.17

Full coverage composite crown $96.76

Three-quarter composite crown $64.53

Porcelain jacket crown $426.82

Cast post and core $127.39

Stainless steel post $45.16

Preformed post and core $73.33

Labial composite veneer $53.78

Porcelain veneer $299.20

Multiple extractions of permanent teeth - extraction of more than 4 permanent teeth $105.64
Multiple extractions of permanent teeth - single jaw clearance $105.64

Multiple extractions of permanent teeth - extraction of more than 12 teeth involving both jaws $197.75

Panoramic radiograph $29.37

Occlusal radiograph $19.64

Second consultation (where approved) $22.89

C4.2

Payment for these Dental Benefits will be based on the information reported by you as required by us or our Payment Agent. These additional Dental Benefits may only be provided with the prior approval of a dental officer of the relevant 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 Dental Benefits.

SCHEDULE OF PRICES FOR SPECIAL DENTAL BENEFITS NOT REQUIRING PRIOR APPROVAL

C5.1

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

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

🏥 Schedule of Prices for General Dental Benefits Requiring Prior Approval (continued from previous page)

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

🏥 Schedule of Prices for Special Dental Benefits Not Requiring Prior Approval

Domain🏥 Health & Social Welfare
KeywordsDental Benefits, Pricing, Special Dental Benefits, No Prior Approval

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