Menu Book GAIA - 220222

Menu Book
Dental Treatment

Treatment Planning $ 178

Item No.037/072/073/221/011

Comprehensive oral examination,
panoramic radiograph, intraoral
and extraoral photographic records

$ 83 $ 100

Consultation Only Consultation and TP Presentation

Item No.15 Item No.015/018
Consultation and written report
of the treatment plan

Treatment Group

Consultation Plan

$ 156 $ 83 $ 24

Routine Clean Quick Clean Prevention Seal

Item No.013/114/121/141 Item No.114 161 x number quantity
Removal of calculus and application
of remineralisation agents Removal of calculus Prevention of tooth decay

$ 247 $ 145 Treatment Group

Advance Hygiene Basic Clean Prophylaxis &
Prevention
Item No. 11/114/121/37/221/22/72 Item No. 12/114/121
Checking the condition of the teeth and cleaning Removal of calculus and periodic application
the calculus on the teeth thoroughly at the first visit of remineralizing agents

Sparkling Smile

Item No. 013/111/118*8/165/941X2

$ 694

Pearly White

Item No. 013/111/071/119*2

Home application for whitening teeth

$ 541

Refresh

Item No. 013/Dysport x 1/927

Only 1 area involved.

$ 150

DentalTreatment Group
Aesthetic

Smile Fix

Item No. 013/111/526/941

Dental veneer on the front tooth
and calculus removal

$ 349

Rejuvenate

Item No. 013/Dysport x 3/927

$ 350

RestorationTreatment Group Minor Fill Back Tooth Minor Fill Front Tooth

Item No. 531/941 Item No. 521 /941

with maximum 1 surface involved with maximum 1 surface involved

$ 117 $ 97

Medium Fill Back Tooth Medium Fill Front Tooth

Item No. 533/941 Item No. 523/941

maximum 3 surfaces involved with maximum 3 surfaces involved

$ 216 $230

Major Fill Back Tooth Major Fill Front Tooth

Item No. 535/577/941/575" Item No. 525/578/941/575

with maximum 5 surfaces involved maximum 5 surfaces involved

$ 387 $ 447

Dental Crown Caries Xray

Item No. 071/071/613/022 Item No. 022x4 (Routine Clean + Caries Xrays)
One tooth-shaped restoration
placed over a tooth 4 Xrays for caries diagnosis

$ 1,400 $ 24

3 Bridge

Item No. 71*2/613*3/22*2

Installation of a bridge on
one tooth in three tooth areas

$ 3,042

Root CanalTreatment Group Root CanalTreatment Group
Treatment Treatment

Emergency RC Quick Package

Item No.013/419/022/572/941 Emergency(Item No, 013/419/022/572/941)
Emergency treatment
One Canal RCT (Item No, 415/022*2/572/417/941)*2
$ 283
Minor Fill (Item No, 531/941) $1,146
Root Canal 1
RC Minor Package
Item No. 415/022*2/572/417/941X2
Root canal treatment involving only 1 canal Emergency (Item No, 013/419/022/572/941)

$ 746 2 Canals RCT (Item No, 415/416/022X2/417/418/572/941)*2

Root Canal 2 Medium Fill (Item No, 523/941)

Item No. 415/416/022X2/417/418/572/941X2 $1,701
Root canal treatment involving only 2 canal
RC Major Package
$ 1,188
Emergency (Item No, 013/419/022/572/941)
Root Canal 3
3 or more Canal RCT (Item No, 415/416X2/022X2/417/418X2/572/941)*3
Item No. 415/416X2/022X2/417/418X2/572/941X3
Medium Fill (Item No, 523/941)
Root canal treatment involving only 3 canal)
$2,391
$ 1,661

Root Canal 4

Item No. 415/416x3/022X3/417/418X3/572/941X3
Root canal treatment involving only 4 canal

$ 2,109

Treatment Group

Emergency

(Item No.013/419/022/572/941)

Gum DiseaseEmergencytreatment
$283Treatment

Root Canal 1

Item No. 415/022*2/572/417/941X2
Root canal treatment inɨȌǶɨǞng only 1 canal

$746

Root Canal 2

Item No. 415/416/022X2/417/418/572/941X2
Root canal treatment inɨȌǶɨǞng only 2 canal

$1,188

$ 111 Root Canal 3

Gingivectomy Item No. 415/416X2/022X2/417/418X2/572/941X3

Item No. 941/231/22 Root canal treatment inɨȌǶɨǞng only 3 canal)
Removal of excessive gum to
improve periodontal tissue condition. $1,661 $ 267
Root Canal 4 Crown Lengthening
Item No. 415/416x3/022X3/417/418X3/572/941X3

Root canal treatment inɨȌǶɨǞng only 4 canIatlem No. 941/238/22

$2,109 Removal of excessive gum to
expose more tooth's structure

$ 331 $ 364

Deep Gum Treatment Deep Gum treatment
With Laser (LAPT)
Item No. 222x4/941
Non-surgical management of Item No. 945/941/222*7
ǿȌƮƵȲƊɈƵǶɯ ȺƵɨƵȲƵ ǐɐǿ ƮǞȺƵƊȺƵ Non-surgical management of
ȺƵɨƵȲƵ ǐɐǿ ƮǞȺƵƊȺƵ ɐȺǞȁǐ yXª ǶƊȺƵȲ
$ 144
$ 142
Simple Gum Treatment
Simple Gum Treatment Follow Up
Item No. 250/941
Non-surgical management Item No. 251/941
of mild gum treatment MaintenancƵ ȯrocedure after
anɯ ȯƵriodontal theraȯy

$ 120

AFcoultloewpeUrpiodontal disease

ITtreemItaetNmmoeN. n9o4t. 12f/o52r11/3a9/4c2u21 te gum diseases

AlignerTreatment Group Lite Aligner

Pre-Aligner Pre-Aligner+ 2 Monitorinǐ ȯȯȌǞȁɈments + Post Aligner

Item No, 825/825/071/071/115/862X6/014/982X2 Installment for Easy Leɨel

Oral conditioning for aligner installment $3,932

$2,926 Basic Aligner

Post-Aligner Pre-Aligner+ 6 Monitorinǐ ȯȯȌǞȁɈments + Post Aligner

Item No, 845/845/071/071/871 Installment for Medium Leɨel

Post alignƵȲ ȯrocedure tȌ ȯreɨent rƵǶƊȯȺƵ ȌǏ Ɉhe tooth $4,768

$588 Premium Aligner

Monitoring-Aligner Pre-Aligner+ 11 Monitorinǐ ȯȯȌǞȁɈments + Post Aligner

Item No, 014/115/072/073/141 $5,813

Maintenance of oral health during aligner treatment

$209

TDreaetmnenttaGrlouIp mplant GTR Dental Implant & Crown

Wear Protect Item No. 243/236 Item No. 688/673/679/22*2/71*3

(Item No.15/71x2/965*2) Additional of bone tissue or Medical fixture implanted into the bone
similar substances to replace bone loss to support dental crown
Dental appliances to relieve abnormal pressure
parafunctional wear. $951 $3,747

$485 Maxillary sinus augmentation

Mouth Guard Pro Item No.243/246/37

(Item No. 071/151) Procedure to increase vertical bone height of the alveolar bone
to allow placement of dental implants
$202
$928

OtherTreatment Group

Tooth RemovalTreatment Group Extraction - Minor

Item No. 322/022/941

Simple tooth removal

$235

Extraction - Medium

Item No. 323/022/941

Moderate tooth removal

$334

Extraction - Major

Item No. 324/022/941

Complex tooth removal

$545

Baby tooth exo

Item No. 311/022/941

Baby tooth removal

$125

StudentTreatment Group Packages

Student Packages Treatment

- Sparkling smile ((013/111/118)*8)/165/941X2
- Regular maintance (Routine Clean) 013/114/121/141
ٌ wƵƮǞɐǿ ˛ǶǶ (523/941)
- Quick clean (114)
- Lite Aligner

Pre Aligner (825/825/071/071/115/862X6/014/982X2)
+ 2 monitoring appointments (014/115/072/073/141)*2
+ Post Aligner (845/845/071/071/871)

$5,554

PreAligner Hygiene Package

Routine Clean (Item No. 013/114/121/141)
Treatment Planning (Item No. 015/018)

$334

Complete Check Package

Routine Clean (Item No. 013/114/121/141)
Caries Xrays (Item No. 015/018)

$180

Prevention Seal Package

Prevention x5 (Item No. 161x5)

$122