Item Number Description Current Dentacare Rate From 10 Dec $ Change % Change   
D121 Topical Application of Remineralisation and/or
cariostatic agents, One Treatment		 $41 $30 -$11 -26.83% Decrease
D111 Removal of Plaque and/or Stain $82 $61 -$21 -25.61% Decrease
D733 Tooth/Teeth (Partial Denture) $57 $45 -$12 -21.05% Decrease
D071 Diagnostic Model – Per Model $65 $54 -$11 -16.92% Decrease
D222 Periodontal Debridement – Per Tooth $48 $40 -$8 -16.67% Decrease
D575 Pin Retention – Per Pin $45 $39 -$6 -13.33% Decrease
D613 Full Crown – Non-Metallic – Indirect $1,601 $1,450 -$151 -9.43% Decrease
D012 Periodic Oral Examination $55 $50 -$5 -9.09% Decrease
D722 Partial Mandibular Denture – Resin Base $567 $520 -$47 -8.29% Decrease
D418 Root Canal Obturation – Each Additional Canal $134 $130 -$4 -2.99% Decrease
D011 Comprehensive Oral Examination $57 $57 $0 0.00% No Change
D014 Consultation $59 $59 $0 0.00% No Change
D022 Intraoral Periapical or Bitewing Radiograph – Per Exposure $48 $48 $0 0.00% No Change
D114 Removal of Calculus – First Appointment $103 $103 $0 0.00% No Change
D161 Fissure and/or Tooth Surface Sealing – Per Tooth $54 $54 $0 0.00% No Change
D323 Surgical Removal of a Tooth or Tooth Fragment Requiring
Removal of Bone		 $305 $305 $0 0.00% No Change
D417 Root Canal Obturation – One
Canal		 $262 $262 $0 0.00% No Change
D514 Metallic Restoration – Four Surfaces – Direct $204 $204 $0 0.00% No Change
D515 Metallic Restoration – Five Surfaces – Direct $237 $237 $0 0.00% No Change
D521 Adhesive Restoration – One Surface – Anterior Tooth – Direct $138 $138 $0 0.00% No Change
D523 Adhesive Restoration – Three Surfaces – Anterior Tooth – Direct $187 $187 $0 0.00% No Change
D524 Adhesive Restoration – Four Surfaces – Anterior Tooth – Direct $215 $215 $0 0.00% No Change
D525 Adhesive Restoration – Five Surfaces – Anterior Tooth – Direct $242 $242 $0 0.00% No Change
D531 Adhesive Restoration – One Surface – Posterior Tooth – Direct $143 $143 $0 0.00% No Change
D615 Full Crown – Veneered – Indirect $1,450 $1,450 $0 0.00% No Change
D643 Bridge Pontic – Indirect – Per Pontic $1,080 $1,080 $0 0.00% No Change
D721 Partial Maxillary Denture – Resin
Base		 $567 $567 $0 0.00% No Change
D743 Relining – Complete Denture – Processed $385 $385 $0 0.00% No Change
D762 Replacing/Adding Clasp to Denture – Per Clasp $127 $127 $0 0.00% No Change
D764 Repairing Broken Base of a
Partial Denture		 $132 $132 $0 0.00% No Change
D776 Impression – Denture
Repair/Modification		 $53 $53 $0 0.00% No Change
D911 Palliative Care $80 $80 $0 0.00% No Change
D961 Minor Occlusal Adjustment – Per Appointment $55 $55 $0 0.00% No Change
D965 Occlusal Splint $556 $556 $0 0.00% No Change
D618 Full Crown – Metallic – Indirect $1,397 $1,400 $3 0.21% Increase
D526 Adhesive Restoration – Veneer – Anterior Tooth – Direct $297 $300 $3 1.01% Increase
D415 Complete Chemo-Mechanical Preparation of Root Canal – One
Canal		 $252 $255 $3 1.19% Increase
D768 Adding Tooth to Partial Denture to Replace an Extracted/Decoronated Tooth –
Per Tooth		 $163 $165 $2 1.23% Increase
D596 Recementing of Indirect Restoration $105 $107 $2 1.90% Increase
D322 Surgical Removal of a Tooth or Tooth Fragment not Requiring Removal of Bone or Tooth Division $260 $270 $10 3.85% Increase
D115 Removal of Calculus – Subsequent Appointment $101 $105 $4 3.96% Increase
D556 Tooth – Coloured Restoration – Veneer – Indirect $1,200 $1,250 $50 4.17% Increase
D535 Adhesive Restoration – Five Surfaces – Posterior Tooth – Direct $264 $275 $11 4.17% Increase
D512 Metallic Restoration – Two Surfaces – Direct $138 $145 $7 5.07% Increase
D324 Surgical Removal of a Tooth or Tooth Fragment Requiring Both Removal of Bone and Tooth Division $355 $375 $20 5.63% Increase
D511 Metallic Restoration – One Surface – Direct $127 $135 $8 6.30% Increase
D522 Adhesive Restoration – Two Surfaces – Anterior Tooth – Direct $154 $165 $11 7.14% Increase
D536 Adhesive Restoration – Veneer – Posterior Tooth – Direct $297 $321 $24 8.08% Increase
D213 Treatment of Acute Periodontal Infection – Per Appointment $97 $105 $8 8.25% Increase
D625 Post and Core for Crown ? Indirect $385 $420 $35 9.09% Increase
D513 Metallic Restoration – Three Surfaces – Direct $165 $180 $15 9.09% Increase
D532 Adhesive Restoration – Two Surfaces – Posterior Tooth – Direct $165 $180 $15 9.09% Increase
D416 Complete Chemo-Mechanical Preparation of Root Canal – Each Additional Canal $112 $126 $14 12.50% Increase
D411 Direct Pulp Capping $40 $45 $5 12.50% Increase
D534 Adhesive Restoration – Four Surfaces – Posterior Tooth – Direct $231 $260 $29 12.55% Increase
D311 Removal of a Tooth or Part(s) Thereof $151 $170 $19 12.58% Increase
D765 Replacing/Adding New Tooth on Denture – Per Tooth $132 $150 $18 13.64% Increase
D533 Adhesive Restoration – Three Surfaces – Posterior Tooth –
Direct		 $193 $230 $37 19.17% Increase
D414 Pulpotomy $96 $115 $19 19.79% Increase
D763 Repairing Broken Base of a Complete Denture $132 $160 $28 21.21% Increase
D711 Complete Maxillary Denture $1,045 $1,270 $225 21.53% Increase
D037 Panoramic Radiograph – Per Exposure $78 $95 $17 21.79% Increase
D771 Tissue Conditioning Preparatory to Impressions ? Per Application $98 $128 $30 30.61% Increase
D719 Complete Maxillary And Mandibular Denture $1,815 $2,400 $585 32.23% Increase
D712 Complete Mandibular Denture $1,045 $1,400 $355 33.97% Increase
D652 Recementing Bridge or Splint – Per Abutment $110 $150 $40 36.36% Increase
D651 Recementing Crown or Veneer $105 $147 $42 40.00% Increase
D727 Partial Maxillary Denture – Cast Metal Framework $780 $1,250 $470 60.26% Increase
D728 Partial Mandibular Denture – Cast Metal Framework $720 $1,200 $480 66.67% Increase
D455 Additional Visit for Irrigation and/or Dressing of the Root Canal System ? Per Tooth $40 $120 $80 200.00% Increase