Dental

Last Updated on: April 14, 2025

Dental

Sr. No.	Service Category	Service Item	Billing Type	OPD Tariff (In Rs.)	IPD Tariff (In Rs.)	Casualty Tariff (In Rs.)
1	Dental	Close Reduction of Fractures of Limb AND P.O.P	Ante Natal Care (ANC)	0	0	0
2	Dental	Close Reduction of Fractures of Limb AND P.O.P	Exempted	0	0	0
3	Dental	Close Reduction of Fractures of Limb AND P.O.P	General	300	300	300
4	Dental	Close Reduction of Fractures of Limb AND P.O.P	Hospital Staff	150	150	150
5	Dental	Close Reduction of Fractures of Limb AND P.O.P	Janani Shishu Suraksha Karyakaram	0	0	0
6	Dental	Dis-impaction per tooth	Janani Suraksha Yojana	0	0	0
7	Dental	Close Reduction of Fractures of Limb AND P.O.P	Janani Suraksha Yojana	0	0	0
8	Dental	Open reduction of jaw fracture	Janani Suraksha Yojana	0	0	0
9	Dental	SCALING / PROPHYLAXIS	Janani Suraksha Yojana	0	0	0
10	Dental	Treatment of Cysts Dental	Janani Suraksha Yojana	0	0	0
11	Dental	Dis-impaction per tooth	One Year Old	300	300	300
12	Dental	Close Reduction of Fractures of Limb AND P.O.P	One Year Old	0	0	0
13	Dental	Open reduction of jaw fracture	One Year Old	2000	2000	2000
14	Dental	SCALING / PROPHYLAXIS	One Year Old	150	150	150
15	Dental	Treatment of Cysts Dental	One Year Old	500	500	500
16	Dental	Closed reduction of jaw fracture	Ante Natal Care (ANC)	300	300	300
17	Dental	Closed reduction of jaw fracture	Exempted	0	0	0
18	Dental	Tooth Extraction 01	Ante Natal Care (ANC)	30	30	30
19	Dental	Surgical extraction per tooth	Ante Natal Care (ANC)	250	250	250
20	Dental	Biopsy Procedures Dental	Ante Natal Care (ANC)	300	300	300
21	Dental	Dental wiring	Ante Natal Care (ANC)	150	150	150
22	Dental	Dis-impaction per tooth	Ante Natal Care (ANC)	300	300	300
23	Dental	Open reduction of jaw fracture	Ante Natal Care (ANC)	2000	2000	2000
24	Dental	SCALING / PROPHYLAXIS	Ante Natal Care (ANC)	150	150	150
25	Dental	Treatment of Cysts Dental	Ante Natal Care (ANC)	500	500	500
26	Dental	Tooth Extraction 01	Exempted	0	0	0
27	Dental	Surgical extraction per tooth	Exempted	0	0	0
28	Dental	Biopsy Procedures Dental	Exempted	0	0	0
29	Dental	Subgingival Curettage	Exempted	0	0	0
30	Dental	Dental wiring	Exempted	0	0	0
31	Dental	Dis-impaction per tooth	Exempted	0	0	0
32	Dental	Open reduction of jaw fracture	Exempted	0	0	0
33	Dental	SCALING / PROPHYLAXIS	Exempted	0	0	0
34	Dental	Treatment of Cysts Dental	Exempted	0	0	0
35	Dental	Tooth Extraction 01	General	30	30	30
36	Dental	Surgical extraction per tooth	General	250	250	250
37	Dental	Biopsy Procedures Dental	General	300	300	300
38	Dental	Subgingival Curettage	General	200	200	200
39	Dental	Dental wiring	General	150	150	150
40	Dental	Dis-impaction per tooth	General	300	300	300
41	Dental	Open reduction of jaw fracture	General	2000	2000	2000
42	Dental	SCALING / PROPHYLAXIS	General	150	150	150
43	Dental	Treatment of Cysts Dental	General	500	500	500
44	Dental	Closed reduction of jaw fracture	General	300	300	300
45	Dental	Tooth Extraction 01	Hospital Staff	15	15	15
46	Dental	Surgical extraction per tooth	Hospital Staff	125	125	125
47	Dental	Biopsy Procedures Dental	Hospital Staff	150	150	150
48	Dental	Subgingival Curettage	Hospital Staff	100	100	100
49	Dental	Dental wiring	Hospital Staff	75	75	75
50	Dental	Dis-impaction per tooth	Hospital Staff	150	150	150
51	Dental	Open reduction of jaw fracture	Hospital Staff	1000	1000	1000
52	Dental	SCALING / PROPHYLAXIS	Hospital Staff	75	75	75
53	Dental	Treatment of Cysts Dental	Hospital Staff	250	250	250
54	Dental	Closed reduction of jaw fracture	Hospital Staff	150	150	150
55	Dental	Tooth Extraction 01	Janani Shishu Suraksha Karyakaram	30	30	30
56	Dental	Surgical extraction per tooth	Janani Shishu Suraksha Karyakaram	250	250	250
57	Dental	Biopsy Procedures Dental	Janani Shishu Suraksha Karyakaram	300	300	300
58	Dental	Subgingival Curettage	Janani Shishu Suraksha Karyakaram	200	200	200
59	Dental	Dental wiring	Janani Shishu Suraksha Karyakaram	150	150	150
60	Dental	Dis-impaction per tooth	Janani Shishu Suraksha Karyakaram	300	300	300
61	Dental	Open reduction of jaw fracture	Janani Shishu Suraksha Karyakaram	2000	2000	2000
62	Dental	SCALING / PROPHYLAXIS	Janani Shishu Suraksha Karyakaram	150	150	150
63	Dental	Treatment of Cysts Dental	Janani Shishu Suraksha Karyakaram	500	500	500
64	Dental	Closed reduction of jaw fracture	Janani Shishu Suraksha Karyakaram	300	300	300
65	Dental	Tooth Extraction 01	Janani Suraksha Yojana	0	0	0
66	Dental	Surgical extraction per tooth	Janani Suraksha Yojana	0	0	0
67	Dental	Closed reduction of jaw fracture	Janani Suraksha Yojana	0	0	0
68	Dental	Closed reduction of jaw fracture	One Year Old	300	300	300
69	Dental	Subgingival Curettage	Ante Natal Care (ANC)	200	200	200
70	Dental	Tooth Extraction 01	Ayushman Bharat	30	30	30
71	Dental	Surgical extraction per tooth	Ayushman Bharat	250	250	250
72	Dental	Biopsy Procedures Dental	Ayushman Bharat	300	300	300
73	Dental	Subgingival Curettage	Ayushman Bharat	200	200	200
74	Dental	Tooth Extraction 01	One Year Old	30	30	30
75	Dental	Surgical extraction per tooth	One Year Old	250	250	250
76	Dental	Biopsy Procedures Dental	One Year Old	300	300	300
77	Dental	Subgingival Curettage	One Year Old	200	200	200
78	Dental	Dental wiring	One Year Old	150	150	150
79	Dental	Dental wiring	Ayushman Bharat	150	150	150
80	Dental	Dis-impaction per tooth	Ayushman Bharat	300	300	300
81	Dental	Open reduction of jaw fracture	Ayushman Bharat	2000	2000	2000
82	Dental	SCALING / PROPHYLAXIS	Ayushman Bharat	150	150	150
83	Dental	Treatment of Cysts Dental	Ayushman Bharat	500	500	500
84	Dental	Closed reduction of jaw fracture	Ayushman Bharat	300	300	300
85	Dental	Biopsy Procedures Dental	Janani Suraksha Yojana	0	0	0
86	Dental	Subgingival Curettage	Janani Suraksha Yojana	0	0	0
87	Dental	Dental wiring	Janani Suraksha Yojana	0	0	0

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