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New Zealand Gazette – 2003 – No. 168

Page 4649

✨ Dental Benefits Pricing

10 DECEMBER

NEW ZEALAND GAZETTE

4649

C6

SCHEDULE OF PRICES FOR SPECIAL DENTAL BENEFITS REQUIRING PRIOR APPROVAL

C6.1

The payments you will receive, per service provided, for the Dental Benefits that are Special Dental Benefits requiring prior approval 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

C6.2

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 Services 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.

PUBLISHED BY THE
DEPARTMENT OF INTERNAL AFFAIRS
PRINTED BY WICKLIFFE LIMITED

ISSN 0111-5650

Price $3.20 (inc. G.S.T.)

Online Sources for this page:

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

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

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

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Additional Sources

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