| Examination and Consultation |
| Intra oral-Peri Apical Film |
| Radiographs (Panoramic) |
| Scaling and Polishing |
| Fluoride application |
| Sealant pit and fissure |
| In Office Bleaching |
| Night guard maxillary/mandibular |
| Pulp Capping |
| Prefabricated metal posterior primary |
| Tooth-colored permanent anterior restoration |
| Tooth-colored veneer application direct |
| Diastema closure |
| Tooth-colored permanent bicuspids |
| Tooth-colored permanent molar |
| Tooth-colored primary posterior bonded |
| Inlays – porcelain 1,2,3 surfaces |
| Post – cast metal 1,2,3 sections |
| Post pre-fabricated 1,3 |
| Denture complete upper and lower |
| Temporary Crown |
| Crown – acrylic lab |
| Crown – porcelain ceramic |
| Crown – porcelain ceramic fused to metal |
| Pulpotomy primary teeth |
| Pulpotomy permanent teeth molar |
| Root canal permanent 1 canal |
| Root canal permanent 2 canals |
| Root canal permanent 3 canals |
| Root canal permanent 4 canals |
| Re root canal treatment (per canal) |
| Removal of teeth |
| Complicated extraction (wisdom) |
| Apicectomy/surgical curettage 1–3 Roots maxillary |
| Apicectomy/surgical curettage 1–3 Roots mandibular |
| Removal of impaction requiring incision of tissue, flap, bone |
| Removal/surgical roots bone tissue coverage |
| Surgical exposure, soft tissue coverage with positioning of attached gingiva |
| Surgical exposure, tooth slot without orthodontic attachment |
| Surgical exposure, soft tissue coverage with positioning of attached gingiva |
| Frenectomy |
| Surgical installation of implant with cover screw, crown, Mesostructure |
