Fees 2027

The first consultation with a patient who is new to the care provider and has not been referred. May be charged once per care provider for a fully or partially dentate patient with permanent teeth. Includes: creating a patient record; recording the condition of the dentition; taking the medical history; discussing the next steps; establishing and discussing the care objective. C001 may not be charged in the same session in combination with: other initial-consultation procedures (E02, E03, G21, T012 and J010); C002; C003; C012; C014; C015. The overlap between these procedures is such that they cannot reasonably be charged in combination.

A general periodic oral examination to assess the condition of the teeth and gums. Includes, where applicable: assessing gum health using the PPS score; providing information, instructions and advice about preventive behaviour and/or preventive measures, provided this takes no more than five minutes; performing minor procedures not listed separately in the schedule of procedures; referring the patient to another care provider.

A separate consultation: where the oral examination and assessment of the indication take place at the patient's initiative in response to a complaint or question; or as a follow-up consultation concerning an earlier question or problem, other than a routine check-up. Includes, where applicable: assessing gum health using the PPS score; determining the DETI score and discussing the treatment plan; providing information, instructions and advice about preventive behaviour and/or preventive measures, provided this takes no more than five minutes; performing minor procedures that cannot otherwise be charged under the schedule of procedures; referring the patient to another care provider. C003 may not be charged in combination with C002. C003 may also not be charged for a problem arising from a procedure performed by the same care provider in the preceding two months. An exception applies where the problem arises from a procedure that includes aftercare. In that case, C003 may only be charged if the consultation takes place after the aftercare period has ended.

The initial consultation with the oral health coach takes place with the parent(s)/carer(s) and child present at the child health services institution and consists of: taking a (family) history; an oral examination; assessing the oral health risk (caries and gum problems); making a diagnosis if necessary; giving tailored oral care advice; providing information about the insurance system; actively guiding the child to a dental practice and reporting back to child health services. Active referral is successful when the child has attended the dental practice with the parent(s) and/or carer(s) for a first in-person appointment. The procedure includes further support for the parent(s)/carer(s) and child, regardless of the number of sessions, until: active referral to a dental practice has taken place; or an initial follow-up consultation (C005) takes place. An initial consultation with an oral health coach may only be charged: for a patient who is new to the oral health coach (the care provider) and is under four years of age; and following a referral from child health services where: referral to a dental practice has not (yet) resulted in actual attendance at a dental practice; or regular attendance at the dental practice has stopped.

The initial follow-up consultation with the oral health coach takes place with the parent(s)/carer(s) and child present at the child health services institution and consists of: updating the history; an oral examination; assessing the oral health risk (caries and gum problems); making a diagnosis if necessary; giving tailored oral care advice; actively guiding the child to a dental practice and reporting back to child health services. Active referral is successful when the child has attended the dental practice with the parent(s) and/or carer(s) for a first in-person appointment. The procedure includes further support for the parent(s)/carer(s) and child, regardless of the number of sessions, until: active referral to a dental practice has taken place; or a subsequent follow-up consultation (C006) takes place. An initial follow-up consultation with an oral health coach may only be charged: for a child aged 1, 2 or 3 years; and after an initial oral health coach consultation (C004) has taken place; and following a referral from child health services where: referral to a dental practice has not (yet) resulted in actual attendance at a dental practice; or regular attendance at the dental practice has stopped.

The subsequent follow-up consultation with the oral health coach takes place with the parent(s)/carer(s) and child present at the child health services institution and consists of: updating the history; an oral examination; assessing the oral health risk (caries and gum problems); making a diagnosis if necessary; giving tailored oral care advice; actively guiding the child to a dental practice and reporting back to child health services. Active referral is successful when the child has attended the dental practice with the parent(s) and/or carer(s) for a first in-person appointment. The procedure includes further support for the parent(s)/carer(s) and child, regardless of the number of sessions, until: active referral to a dental practice has taken place; or the child reaches the age of 4 years. A subsequent follow-up consultation with an oral health coach may only be charged: for a child aged 2 or 3 years; and after an initial consultation (C004) and an initial follow-up oral health coach consultation (C005) have taken place; and following a referral from child health services where: referral to a dental practice has not (yet) resulted in actual attendance at a dental practice; or regular attendance at the dental practice has stopped.

An additional medical history following routine written or oral questions may only be charged if further medical information about a patient is needed after the routine questions have been asked. Includes discussion with the patient and consultation with a care provider who is a general practitioner or specialist.

Regardless of the number of sessions. An extensive oral examination to form an opinion about another dental or other care provider's diagnosis, treatment plan and/or work. Includes: consultations; an extensive, non-routine examination focused on the patient's question; describing the relevant differences from another dental care provider's diagnosis, treatment plan and/or work; preparing and discussing the written opinion; taking one or more histories where necessary, such as a medical, dental or psychosocial history; providing advice where necessary.

Regardless of the number of sessions. An extensive oral examination in which abnormalities of the hard dental tissues (caries, erosion and tooth position), dental work (fillings, crowns and bridges, dentures) and soft oral tissues (mucous membranes, gums and other supporting tissues) are recorded and discussed with the patient. Includes: consultations; an extensive, non-routine examination focused on the patient's question; preparing and discussing a written comprehensive treatment plan with the treatment options; taking one or more histories where necessary, such as a medical, dental or psychosocial history. C012 may not be charged in the same session in combination with C001, C002, C003 or C010.

Impressions of the upper and lower jaws. This procedure may be charged: for making study models for the treatment plan; for taking digital or other impressions for a dental model to compare tooth wear or monitor its progression; for making a dental model to temporarily transfer the shape of planned fillings or crowns onto untreated teeth in the mouth (mock-up).

Exploratory probing of pocket depths around all teeth present; recording pockets deeper than 3 mm; recording sites that tend to bleed after probing.

Pocket charting (see C014), additionally including: measuring and recording probing depths and/or attachment loss; recording tooth mobility; recording the accessibility of root divisions (furcations); discussing gum health with the patient.

An analogue or digital diagnostic set-up can be made or commissioned to investigate the restorative treatment results that are possible. May only be charged if 4 or more teeth are to be treated to alter the shape of the dentition. May only be charged following C012. Includes a digital demonstration of the intended end result, study models, photographs, bite registrations and discussion with the patient. Not in combination with C013 and G10.

If the care provider treats the patient at home, this home-treatment surcharge may be charged. The following conditions apply: the surcharge may be charged once per patient per home visit; the surcharge may not be charged when care is provided from a mobile dental practice (for example, a bus). C020 is a surcharge and may only be charged in combination with another procedure. If the procedure to which the surcharge relates consists of several sessions or contacts, C020 may be charged each time dental care has taken place at home. Charging this surcharge does not require another procedure to be billed at the same time, but a procedure, or part of a procedure, must be provided at home. This therefore also applies to aftercare.

A surcharge for evening, night and weekend hours. These hours cover the following periods: between 18:00 and 08:00; between 08:00 and 18:00 on Saturdays or Sundays; between 08:00 and 18:00 on generally recognised public holidays or equivalent days under the Algemene Termijnenwet. May not be charged during regular, non-incidental practice working hours. C021 is a surcharge and may only be charged in combination with another procedure.

Placing a sheet to keep the teeth dry by isolating them from the oral cavity. The procedure applies each time a rubber dam is placed, regardless of the number of teeth isolated by each rubber dam (sheet). This procedure may only be billed in combination with: procedures from chapters E, V and R; M80 and M81; G33; T164.

Surcharge for gathering and packing all necessary materials and equipment (before and after treatment) when the care provider treats the patient at home, so that all hygiene and infection prevention guidelines can be met. Includes the use of an assistant where applicable. Includes setting up at the patient's home and responsibly removing everything after treatment. The following conditions apply to the surcharge: the surcharge may be charged once per patient per home visit. The surcharge may not be charged when care is provided from a mobile dental practice (for example, a bus). The surcharge may not be charged for more than two residents at the same address on the same day. The surcharge may only be charged in combination with: procedures from chapter V, unless only V15, V30, V35 and/or V40 are involved; procedures from chapter E, unless only E02, E03, E05 and/or E97 are involved; procedures from chapter H, unless only H36, H37 and/or H41 are involved; procedures from chapter P, unless only P068 to P070 inclusive, and/or P071 where only a repair is involved; procedures from chapter J, sections F (mesostructure), G (prosthetic treatment after implants) and I (prosthetic aftercare), unless only J104, J105, J109, J111 and/or J112 are involved. The surcharge may be charged once per course of treatment. The surcharge may not be charged for care provided to patients residing in a Wlz institution. The surcharge may not be combined with other procedures for preparing the (practice) room. The surcharge may not be combined with C020 on the same day.

Per image.

For the same X-ray, this may not be charged by the same dental care provider (practice) as X10.

Not for implant treatment in an edentulous jaw; see X22.

Assessing a panoramic jaw X-ray taken under X21 and X22. May not be charged by the same dental care provider or practice as X21 and X22.

May not be charged by the same dental care provider or practice as X24.

Taking and assessing a multidimensional jaw image, for example using a CT scanner. This image must only be taken if it provides added value compared with conventional X-ray diagnostics.

Assessing the multidimensional jaw image and discussing it with the patient. May not be charged by the same dental care provider or practice as X25.

Providing information or instruction tailored to the individual patient. Examples include: disclosing plaque; recording the plaque score; giving dietary advice; taking a dietary history; providing information about breaking negative habits; recording and analysing QLF images in combination with discussing them with the patient or their parent(s)/carer(s). The procedure is billed solely in proportion to the actual (direct) treatment time spent on this procedure, in units of five minutes. This means that the treatment time must be rounded to the nearest multiple of five minutes. This procedure may be billed in combination with C002, provided the preventive information/instruction took more than five minutes. This procedure may not be billed for treatment using myofunctional appliances. G76 applies to that treatment. This procedure may not be billed for providing information and/or instruction relating to removal of the labial and/or lingual frenulum. That information and/or instruction is already included in H41.

The procedure includes: disclosing plaque again; recording the plaque score again; adjusting the instructions previously given to the patient or their carers. The procedure is billed solely in proportion to the actual treatment time spent on this procedure, in units of five minutes. This means that the treatment time must be rounded to the nearest multiple of five minutes. This procedure may not be billed in connection with removal of the labial and/or lingual frenulum. That evaluation is already included in H41.

The procedure includes: removing plaque or calculus; polishing teeth, implants or dentures. The procedure may only be charged in proportion to the actual treatment time spent on it, in five-minute units. This means that treatment time must be rounded to the nearest multiple of five minutes.

This procedure includes: taking a simple plaque or saliva sample; interpreting the bacteriological or enzymatic findings. This procedure may only be charged if the test is carried out in the practice with the patient present.

Impressions and fitting. Includes any lower-jaw impression required to register the occlusion. This also covers individually fitted mouthguards for sports activities.

Per tooth. Treatment of fluorosis or carious spots using a micro-invasive infiltration liquid. Includes etching and finishing. The material costs of the invasive liquid may be charged separately as material and laboratory costs.

Per tooth. Treatment of fluorosis or carious spots using a micro-invasive infiltration liquid. Includes etching and finishing. The material costs of the invasive liquid may be charged separately as material and laboratory costs.

May not be charged for surgical procedures (Chapter X, H codes). Nerve-block and/or infiltration anaesthesia is charged per block in the lower jaw. In the upper jaw it is charged per two adjacent teeth, with the midline acting as the dividing line. In the lower anterior region it is charged per two adjacent teeth, from canine to canine. Intraligamentary, intraosseous or intrapulpal anaesthesia may be charged per tooth.

May be charged per half-jaw. May only be charged if not followed by A10.

Intended for organising treatment under general anaesthesia in an institution providing specialist medical care. A30 may not be charged in combination with A20.

Procedure in which the use of nitrous oxide sedation is explained. May be charged once per treatment.

May be charged per session.

Placement of one or more amalgam fillings in one surface of a tooth. May be charged once per surface per session, regardless of the number of single-surface fillings placed in that surface.

Placement of an amalgam filling in two surfaces of a tooth.

Placement of an amalgam filling in three surfaces of a tooth.

Placing an amalgam filling involving at least: three surfaces and one cusp; or four surfaces. The procedure includes, where applicable: placement of a parapulpal pin; and the material costs of the parapulpal pin.

Placement of one or more glass ionomer, glass carbomer or compomer fillings in one surface of a tooth. May be charged once per surface per session, regardless of the number of single-surface fillings placed in that surface.

Placement of a glass ionomer, glass carbomer or compomer filling in two surfaces of a tooth.

Placement of a glass ionomer, glass carbomer or compomer filling in three surfaces of a tooth.

Placing a glass ionomer, glass carbomer or compomer filling involving at least: three surfaces and one cusp; three surfaces and, in the anterior region (canine to canine), two angles; or four surfaces.

Placement of one or more composite fillings in one surface of a tooth. May be charged once per surface per session, regardless of the number of single-surface fillings placed in that surface. V91 may not be charged for repairing and/or replacing retention appliances. Procedure F812 from the Decision on Procedures and Fees for Orthodontic Care applies instead.

Placement of a composite filling in two surfaces of a tooth.

Placing a composite filling involving: three surfaces; or one angle in the anterior region (canine to canine).

Placing a composite filling involving at least: three surfaces and one cusp; three surfaces and, in the anterior region (canine to canine), two angles; or four surfaces. This procedure may not be billed for rebuilding a single angle in the anterior region. V93 applies to that treatment.

Making a composite filling in which: all surfaces are involved; and at least 1/3 of the crown height is restored with composite. This procedure may not be billed in the same session for the same tooth in combination with: V15; V71 to V74 inclusive; V81 to V84 inclusive; V91 to V94 inclusive.

Placing a prefabricated post in the root canal after root canal treatment. The post is placed to provide retention for a filling or crown. Includes the cost of the root canal post. Includes, where applicable: drilling into the root; cementing the post in place. V85 applies to placement of a subsequent root canal post in the same tooth.

Placing each subsequent prefabricated post in the root canal after root canal treatment. The post is placed to provide retention for a filling or crown. Includes the cost of the root canal post. Includes, where applicable: drilling into the root; cementing the post in place. This procedure may only be billed following V80 in the same session.

Applying a layer of composite to the lip- or cheek-facing surface of a tooth. Includes, where applicable: preparation; the composite veneer on the front surface of a tooth (one surface); bonding the veneer to the tooth; keeping the mouth dry with a saliva ejector and cotton rolls; smoothing (polishing) the veneer; liners to cover and protect the dental tissue.

Applying fissure sealant to the first tooth to make the grooves and pits in the chewing surface of a molar shallower in order to prevent caries. Includes, where applicable: pretreating the molar with a liquid or gel so that the fissure sealant adheres; the fissure sealant itself; keeping the mouth dry with a saliva ejector and cotton rolls. This procedure may not be billed in the same session for the same tooth in combination with: V71 to V74 inclusive; V81 to V84 inclusive; V91 to V95 inclusive. V35 applies to applying fissure sealant to a subsequent tooth.

Applying fissure sealant to a subsequent tooth to make the grooves and pits in the chewing surface of a molar shallower in order to prevent caries. Includes, where applicable: pretreating the molar with a liquid or gel so that the fissure sealant adheres; the fissure sealant itself; keeping the mouth dry with a saliva ejector and cotton rolls. This procedure may not be billed in the same session for the same tooth in combination with: V71 to V74 inclusive; V81 to V84 inclusive; V91 to V95 inclusive. This procedure may only be billed following V30 in the same session.

Polishing, adjusting and refinishing one or more existing fillings in a single tooth. For an amalgam filling, this procedure may only be billed for fillings that have not previously been polished. This procedure may not be billed in the same session for the same tooth in combination with: V71 to V74 inclusive; V81 to V84 inclusive; V91 to V95 inclusive. As finishing and smoothing a filling are included in the fee for placing the filling, V40 may not be billed when a new filling is placed.

Per sextant, per calendar year, regardless of the number of sessions. This procedure is not intended for the use of caries detector, retraction cord/gel, or haemostatic materials.

Treatment of (early) caries with locally applied fluoride varnish of > 20,000 ppm or 38% silver (diamine) fluoride. This procedure is not intended for applying preventive fluoride. Per tooth, per calendar year, regardless of the number of sessions. May not be combined with V65 for the same tooth in the same calendar year.

Making caries accessible through minimally invasive drilling, followed by treatment with locally applied fluoride varnish of > 20,000 ppm or 38% silver (diamine) fluoride to arrest the caries. Per tooth, per calendar year, regardless of the number of sessions. May not be combined with V64 for the same tooth in the same calendar year. The procedure includes: making the cavity in a tooth accessible; treating the carious dentine with fluoride varnish of > 20,000 ppm or 38% silver (diamine) fluoride; applying a protective layer if necessary; recording and monitoring the activity of the carious lesion. This procedure is intended as an intervention to prevent further progression of the carious process (cavity). The procedure includes communication with, or preventive information and instruction for, the parents/carers. This procedure may not be combined with M01 or M02.

Investigating the cause of the complaint; determining the DETI score; completing the Classification of Endodontic Treatment (CEB); discussing the endodontic treatment plan; and, where applicable, deciding on referral to another care provider and preparing a referral letter if necessary. May only be charged for CEB II or III. May not be charged in combination with C003, E77 and E78.

Extensive assessment of one or two damaged teeth following a dental accident; may not be charged in combination with C003, E05 and E02. This procedure may be charged per care provider per two damaged teeth, up to a maximum of six teeth per accident.

Regardless of the number of sessions. May be charged once per complex endodontic treatment (CEB II or III) for a referred patient, regardless of the number of root canal treatments. Examination for performing complex endodontic treatment means: creating a patient record if necessary; requesting X-rays if necessary; taking a medical history; taking a specific pain history; assessing the restorative and periodontal condition of the affected tooth or teeth; carrying out clinical sensibility and provocation tests; drawing up and discussing a treatment plan and discussing alternative options; providing a written report to the referring dentist if necessary. The procedure includes: discussing the findings with the patient and providing detailed information, including about alternative treatment options; consulting the referring care provider by telephone and/or in writing if necessary. This procedure may not be charged if the patient is referred to another care provider for the endodontic treatment. May not be charged in combination with codes C002, C003, E02, E77 and E78.

Total or partial pulpotomy: removing damaged and infected dental tissue, controlling bleeding and applying a hermetically sealing restorative material. The material costs of calcium silicate cement or a comparable bioceramic material may be charged separately as material and laboratory costs.

Opening the pulp chamber, determining the working length, shaping, irrigating, and placing a root canal filling in combination with a root canal sealer. If the working length is determined electronically, E85 may additionally be charged once per tooth. Includes, where applicable, the costs of using rotary nickel-titanium instruments.

Opening the pulp chamber, determining the working length, shaping, irrigating, and placing a root canal filling in combination with a root canal sealer. If the working length is determined electronically, E85 may additionally be charged once per tooth. Includes, where applicable, the costs of using rotary nickel-titanium instruments.

Opening the pulp chamber, determining the working length, shaping, irrigating, and placing a root canal filling in combination with a root canal sealer. If the working length is determined electronically, E85 may additionally be charged once per tooth. Includes, where applicable, the costs of using rotary nickel-titanium instruments.

Opening the pulp chamber, determining the working length, shaping, irrigating, and placing a root canal filling in combination with a root canal sealer. If the working length is determined electronically, E85 may additionally be charged once per tooth. Includes, where applicable, the costs of using rotary nickel-titanium instruments.

May be charged per tooth.

May be charged per tooth per session. E19 may be charged if treatment is not completed in one session. This also includes removing the disinfectant again where necessary and checking the preparation lengths and reference points at the next session. May not be charged in combination with E61, E62, E63, E77 and E78.

Per primary tooth, using calcium hydroxide for example.

A surcharge that may be charged where root canal access is difficult because of one or more of the following complicating factors: a cast, porcelain-fused-to-gold or ceramic filling; a cast post-and-core; a composite build-up in the pulp chamber; extreme inclination, at an angle of more than 30°; severely restricted mouth opening of less than 3 cm. May only be charged where there is a DETI score B and CEB class II or III.

Removing a metal, carbon-fibre, glass-fibre or ceramic root post that has been cemented in the canal with a definitive luting cement. Per canal. May only be charged where there is a DETI score B and CEB class II or III.

A surcharge for removing root canal filling material from an earlier root canal treatment. Per canal. May only be charged where there is a DETI score B and CEB class II or III. Surcharge to E13, E14, E16 and E17.

May be charged for canals that are not visible on an X-ray and cannot initially be entered with a # 10 file. Per canal. May only be charged where there is a DETI score B and CEB class II or III. Surcharge to E13, E14, E16 or E17.

A surcharge where treatment continues a procedure discontinued by a previous or referring care provider because of problems such as: calcified canals; loss of working length due to ledge formation or obstructions; fractured instruments; apical transportation; perforation. May be charged per canal. The material costs of calcium silicate cement or a comparable bioceramic material may be charged separately as material and laboratory costs. May only be charged where there is a DETI score B and CEB class II or III.

A surcharge where root canal treatment is performed in a tooth with exceptional anatomy. May be charged per tooth. Applies in cases of: a C- or S-shape; dens in dente, a tooth within a tooth; dilaceration, a bend in the root relative to the crown; a resorption defect; taurodontism, an abnormal tooth shape with deep pulp chambers and short roots. If there is a resorption defect, the material costs of calcium silicate cement or a comparable bioceramic material may be charged separately as material and laboratory costs. May only be charged where there is a DETI score B and CEB class II or III.

Opening the pulp chamber, determining the working length, shaping, irrigating, and placing a disinfectant. If the working length is determined electronically, E85 may additionally be charged once per tooth. Includes, where applicable, the costs of using rotary nickel-titanium instruments.

Reopening the pulp chamber, checking for an apical barrier, irrigating and replacing the disinfectant.

Per tooth. Creating an apical barrier using calcium silicate cement or a comparable bioceramic material, including an extraradicular matrix of calcium sulphate, for example. E63 may be charged as a surcharge to E13 to E17. The material costs of calcium silicate cement or a comparable bioceramic material may be charged separately as material and laboratory costs.

May only be charged in emergencies when providing cover for another practitioner. This includes: opening the pulp chamber, extirpation, making the canals accessible for irrigation, irrigating, and placing a disinfectant if necessary (including a temporary seal). Includes, where applicable, the costs of using rotary nickel-titanium instruments.

May only be charged in emergencies when providing cover for another practitioner. Covers: opening the pulp chamber, extirpation, making the canals accessible for irrigation, irrigating and, where necessary, placing a disinfectant within the tooth, including temporary closure.

Removing filling material from the pulp chamber and the coronal part of the root canal, placing a leak-proof lining and sealing whitening material inside. May be charged per tooth.

At a subsequent session, removing filling material from the pulp chamber and the coronal part of the root canal, placing a leak-proof lining and sealing whitening material inside. May be charged per tooth.

Impressions, fitting the whitening tray and instructions for use. Regardless of the number of teeth per jaw.

Only indicated for traumatised teeth with pulp exposure in uninfected dentine where a hermetically sealing restoration can be placed on the day of the trauma. The material costs of calcium silicate cement or a comparable bioceramic material may be charged separately as material and laboratory costs.

Repositioning a luxated tooth: manually or with extraction forceps replacing a tooth that has been displaced or changed position as a result of a dental accident.

Applying a wire and/or composite fixation splint, including etching, to splint a tooth that has become loose as a result of a dental accident; per tooth. This procedure may not be charged for repairing and/or replacing retention appliances. F812 from the Decision on Procedures and Fees for Orthodontic Care applies instead.

Covers removing the splint, grinding away composite and polishing the teeth. May be charged per tooth to which the splint is attached. This procedure may not be charged for removing orthodontic retention appliances; the F codes from the Decision on Procedures and Fees for Orthodontic Care apply instead.

Raising a flap, exposing the root tip by removing bone, removing inflammatory tissue and placing sutures. These procedures exclude inspection and assessment of the tooth under microscopic magnification (E86) and preparation of the practice room (E87).

Raising a flap, exposing the root tip by removing bone, removing inflammatory tissue and placing sutures. These procedures exclude inspection and assessment of the tooth under microscopic magnification (E86) and preparation of the practice room (E87).

Raising a flap, exposing the root tip by removing bone, removing inflammatory tissue and placing sutures. These procedures exclude inspection and assessment of the tooth under microscopic magnification (E86) and preparation of the practice room (E87).

Placement of a retrograde restoration, a root-end filling inserted from below, using a leak-proof material; per canal.

Excludes closure of any perforation or placement of a retrograde filling, and excludes placement of a splint.

Diagnostic flap: exploratory surgery to inspect the root and assess whether there are root fractures, perforations, bone defects or other findings that are reasons for extraction.

Placing a deep filling, with or without a root post, to seal the canal entrances and fill the pulp chamber. This provides sufficient retention for the filling to be placed above it and strengthens the tooth.

Inspection and assessment under microscopic magnification of, for example, the pulp chamber and root canals for calcifications, anatomical variations, additional canals, an isthmus, remnants of old filling material, cracks and tissue damage. This procedure may only be charged when an operating microscope is used; magnifying loupes do not qualify. May be charged per root canal treatment, unless the patient is referred to another dental care provider or practice to continue the root canal treatment. That other dental care provider or practice may also charge the procedure per root canal treatment.

Preparing the practice room for surgical root canal treatment because of the required sterility. May only be charged if special, specific measures are taken, such as fully draping the patient or special clothing for the operator and assistant. Only in combination with E31 to E37.

Fabrication, extraoral post-polymerisation and placement in the same session, including etching.

Fabrication, extraoral post-polymerisation and placement in the same session, including etching.

Fabrication, extraoral post-polymerisation and placement in the same session, including etching.

Made of cast metal, resin or glass-ceramic/ceramic, including a temporary restoration.

Made of cast metal, resin or glass-ceramic/ceramic, including a temporary restoration.

Made of cast metal, resin or glass-ceramic/ceramic, including a temporary restoration.

A surcharge for additional retention, such as an additional bonding technique or a cast-on pin, when placing indirect restorations. Cementing an indirectly fabricated restoration after using at least three of the following aids: sandblasting with specific blasting powders, silane solution, porcelain etchant, composite cement, applying a dentine bonding agent after preparation. A cast-on pin, for example in a pinledge or pinlay preparation, is charged per pin. This surcharge may only be charged with one of the following procedures: R08 to R13, R24, R34, R32, R33, R60, R61, R71, R74, R75 or R79.

May only be charged after placement of a definitive crown. Preparing for a crown that covers all or part of the tooth, respectively a full preparation or preparation of at least three complete surfaces, and placing the crown. Includes tooth preparation, taking impressions and a standard bite registration, shade selection, trying in and placing both the temporary restoration and the crown, and any necessary gum corrections. This procedure must also be charged if the crown is used as a bridge abutment. If the crown covers the buccal surface and only a small part of the adjacent surfaces, R79 applies.

May only be charged after placement of a definitive crown. This procedure includes preparation where necessary, taking impressions and a standard bite registration, shade selection, placing the crown and filling the screw-access hole where applicable. This procedure must also be charged if the crown is used as a bridge abutment. R80/R85 applies to placement of the temporary restoration. J060 applies to placement of a temporary crown on an immediately placed implant.

Intended as a definitively placed prefabricated crown.

Core build-up with direct restorative material, including etching and/or a lining and finishing. Placing filling material for a crown, from the preparation session up to placement of the crown. A root canal post is additional; see V80 and V85.

Includes a temporary restoration.

Includes a temporary restoration.

Per pontic. Surcharge to R40 where there is more than one pontic or dummy in the same bridge span. Also applies to implant-supported bridges.

Regardless of the number of copings per bridge.

Not in combination with R50.

One dummy attached to one or two teeth. A pontic with or without a metal retention mesh, attached to abutment teeth using a composite/etching technique, including etching.

One dummy attached to two teeth. A pontic with or without a metal retention mesh, attached to abutment teeth using a composite/etching technique, including etching.

Per pontic. Surcharge to R60 or R61 where there is more than one pontic or dummy in the same bridge span.

Surcharge to R60 or R61.

Intended as an abutment for crown and bridge work. May be charged for a separate abutment or an abutment already pre-bonded into the crown. Includes filling the screw-access hole where applicable. Healing abutment costs may not be charged under this procedure.

Surcharge to be charged in addition to the crown fee.

May be charged per crown or abutment tooth.

Placing a coping on natural tooth roots over which a framework denture or overdenture is placed.

Placing a restorative diagnostic set-up or mock-up in the mouth and removing it again to test and demonstrate the intended end result. This procedure may only be charged if it is performed at the patient's request. May be charged per jaw.

An indirect veneer is a facing made outside the mouth. It covers at least the lip- or cheek-facing surface, the buccal surface, and may include parts of the adjacent surfaces. May only be charged after placement of the definitive veneer. Includes tooth preparation, taking impressions and a standard bite registration, shade selection, trying in and placing both the temporary restoration and the veneer, and any necessary gum corrections.

This procedure may only be charged: before a crown on a natural tooth (R24), provided the interval between R80 and R24 is at least 2 months; before a crown on implants (R34).

In response to a complaint suggesting non-dentoalveolar orofacial pain and/or dysfunction (OPD). A functional examination of the chewing system means: recording the complaint; taking a medical, dental and psychosocial history; conducting a movement examination, including measuring maximum ranges of motion, recording joint or muscle pain, recording joint sounds such as clicking and/or crepitus, orthopaedic tests and palpation of the chewing muscles and jaw joint; recording the findings in writing; formulating a working diagnosis. This procedure includes explaining the possible abnormality to the patient and establishing and discussing the treatment plan with the patient. It also includes referral to another care provider where necessary. A functional examination of the chewing system is justified where symptoms of orofacial pain and/or dysfunction cannot be explained by a dentoalveolar origin and there is no suspicion of another underlying medical explanation.

The extended OPD examination is a multidimensional examination for diagnosing potentially complex orofacial pain and/or dysfunction. Includes: investigating a possible dentoalveolar cause; the complete DC-TMD Axis 1 examination; administering and assessing the complete DC-TMD Axis 2 questionnaires or equivalent questionnaires; consulting the general practitioner, medical specialist or another care provider relevant to the OPD where necessary; formulating and discussing the diagnosis and determining management with the patient. Depending on the nature of the OPD, the examination is extended with one or more modules: examination of cervicogenic pain; examination of neurogenic pain; examination of headache. The extended OPD examination is justified where there is orofacial pain and/or dysfunction and an adequate working diagnosis and/or treatment plan cannot be formulated on the basis of the functional examination of the chewing system, or on the basis of evaluation/reassessment after OPD A therapy. After the extended OPD examination, the complexity of care and the management to be followed are determined: OPD A therapy, non-complex; OPD B therapy, complex. If the cause or treatment falls outside the field of gnathology, referral to secondary (2nd-line) care follows in consultation with the general practitioner.

Additional examination after the extended OPD examination, using specific equipment.

Therapy for non-complex OPD, per session. OPD therapy is classified as non-complex (OPD A) when the functional examination of the chewing system is sufficient to formulate a working diagnosis and treatment plan. This procedure includes counselling and support for OPD A. Where applicable, it also includes: teaching exercises and self-massage; checking and adjusting a stabilisation splint; advice on the use of pain medication or other medication; repositioning in the event of an acute jaw-joint lock. May only be charged if a functional examination of the chewing system (G21) and/or an extended OPD examination (G22) has taken place beforehand.

May only be charged if an examination of the masticatory system (G21) and/or an extended OPD examination (G22) has taken place beforehand. Includes: taking (digital) impressions; the bite registration (regardless of the method); fitting the splint; minor adjustments; giving initial instructions on use. Any repeated instructions, adjustments and support fall under the therapy consultation (G41 or G43). G69 applies to a so-called nightguard or thermoplastic Drum splint.

Evaluation examination after OPD A therapy. May only be charged if a functional examination of the chewing system (G21) and/or an extended OPD examination (G22) has taken place beforehand. Includes: remeasuring the abnormal values from the functional examination of the chewing system; discussing the findings with the patient and recording them in writing; planning aftercare.

Therapy for complex OPD, per session. Complex OPD involves problems that interact across several areas or axes. This requires multidimensional, coordinated treatment. May only be charged after an extended OPD examination (G22) has taken place and the OPD has been classified as complex. This is an extensive consultation for therapy for complex OPD B. The procedure includes counselling and support for OPD B. Where applicable, it also includes: pain education; behavioural advice; checking, instructions for use and evaluation of a stabilisation splint and minor adjustments; prescribing prescription-only medication; teaching exercises and self-massage; biofeedback techniques and sensorimotor exercise therapy, using individual aids where necessary.

Per half of the face. Injection of medication into a muscle or the jaw joint. This procedure may only be charged if: an extended OPD examination has taken place beforehand (G22); the OPD has been classified as complex; and it is a standalone procedure performed in a separate session. The cost price of the injected medication is added to the fee. Therapeutic injection does not include trigger-point treatment; trigger-point treatment falls under G41 or G43.

A one-off consultation providing instruction on the use of an aid for mobility-enhancing exercise therapy. Any follow-up consultations and treatment using that aid fall under G43 and may not be charged separately. May only be charged after an extended OPD examination (G22) has taken place and the OPD has been classified as complex.

Evaluation examination after OPD B therapy. Includes: remeasuring findings from the extended OPD examination (G22); discussing the findings with the patient and recording them in writing; planning aftercare; and written reporting to referring and co-treating care providers. May only be charged after an extended OPD examination (G22) has taken place and the OPD has been classified as complex. Also applies to re-examination of patients who return to the same institution with the same OPD complaint within a year of previously completed OPD B therapy.

Extraoral, quick mount. This means transferring the position of the upper jaw within the skull relative to the arbitrary intercondylar axis to an average-value articulator using a facebow or earbow; models are excluded. G10 may only be charged in combination with R24 or R34 if the treatment involves placement of at least 2 crowns.

Using a hinge-axis locator and determining the third reference point.

Mounting the lower model against the upper model in plaster using three wax bite records. A split-cast upper model is assumed.

Lateral left and right and protrusive determinations, after which the condylar inclination and Bennett angle are set.

For example, Stuart recording or Denar.

Redetermining the therapeutic position of the lower jaw relative to the upper jaw using a wax bite record and remounting in plaster.

For example, arrow-point tracing.

Using specific equipment to digitally measure and analyse how the teeth fit together and what forces are exerted on them. This code may only be charged in combination with R24 or R34 if the treatment involves placement of at least two crowns. G09 may not be charged for a filling.

For example, using resin or a stent mould, or leaving the occlusal portion on a tooth and its opposing tooth. May not be combined with a single crown or with multiple crowns that do not form part of the posterior support zone, the lateral regions.

G65 may be charged once, regardless of the number of sessions in which the following procedures take place. Includes: taking digital or other impressions; recording the desired occlusal relationships, regardless of method; mounting the models in an articulator; preparing a written adjustment plan and carrying out the grinding/adjustment procedure.

Grinding all anterior teeth of one jaw. May be charged per jaw.

Repairing a stabilisation splint or bite-protection appliance. Includes taking an impression where necessary.

Fabrication and fitting of an occlusal appliance made of hard resin, without a prior OPD examination. Includes: taking digital or other impressions; registration, regardless of method; fitting the bite-protection appliance, including minor adjustments; and the associated instructions for use. Any check-up visits, with or without minor adjustments to the bite-protection appliance, may be charged under C003. This procedure may not be charged for making individually fitted mouthguards for sports activities; M61 applies instead.

For example, using palatal veneers; per tooth.

Includes: taking digital or other impressions; registration, regardless of method; fitting the appliance, including minor adjustments and the associated instructions for use; aftercare for two months following placement of the MRA.

A check-up visit, with or without minor adjustments to the MRA or other minor procedures. May only be charged two months after the MRA has been placed (G71).

If registration has to be repeated in order to repair the MRA (G73), a new MRA may be made and charged for (G71 plus laboratory costs).

Fitting a myofunctional appliance at the start of myofunctional therapy and introducing its use. This procedure also includes an explanation of the abnormal oral and tongue behaviour and extensive instructions on wearing the myofunctional appliance.

Therapy using myofunctional appliances to eliminate abnormal oral and tongue habits. This therapy includes explaining the abnormal oral and tongue behaviour, instructions on wearing the myofunctional appliance and associated checks on wearing the appliance. It concerns monthly treatment of patients using myofunctional appliances, regardless of the number of visits per calendar month. This procedure may first be charged in the calendar month following the calendar month in which the myofunctional appliance was fitted. Calendar months in which the patient does not attend the care provider may not be charged. This procedure includes fitting the appliance where applicable and referral to a speech and language therapist. If a new myofunctional appliance becomes necessary during treatment, it may be charged as material and laboratory costs. May not be charged in combination with M01. Definition of a calendar month: the calendar months are January, February, March, April, May, June, July, August, September, October, November and December. A calendar month starts on its first day and ends on its last day.

Includes suturing if necessary, the cost of suture material and wound cleansing.

Includes suturing if necessary, the cost of suture material and wound cleansing.

For example, suturing the lip, including wound cleansing.

Excludes root canal treatment. Includes temporary fixation regardless of the method used; includes suturing and wound cleansing.

Excludes root canal treatment. Includes temporary fixation regardless of the method used; includes suturing and wound cleansing. This service may only be billed if it follows H50 in the same session.

Preparing the treatment room for surgery in connection with the required sterility. May only be charged if special measures comparable to the setup of an operating theatre are taken. Cannot be billed in combination with H36, H37, H38 and H39.

Includes suturing and wound cleansing.

Removal of gum tissue and jawbone to expose an unerupted tooth or molar to promote eruption. Includes suturing and application of a wound dressing if necessary. Not in combination with H11, H16 and H35.

Surgical removal of a tooth involving at least two of the following: sectioning the root or roots; drilling away jawbone; raising a gum flap (mucoperiosteal flap). Includes suturing and wound cleansing if necessary.

Regardless of the number of sessions. Examination, information and an overall assessment of whether autotransplantation is indicated. Examination to establish the indication for autotransplantation treatment means: documenting the complaint or complaints; taking a dental, prosthetic and psychosocial history; examining the functioning of an existing prosthetic appliance if necessary; recording the findings in writing. The procedure includes: providing general information to the patient; discussing the findings; referring to another care provider if necessary.

Regardless of the number of sessions. May be charged once per treatment. Examination in preparation for carrying out treatment with autotransplants comprises: taking a detailed medical history; measuring bone height and thickness; taking impressions for study models if necessary; arranging for a drill guide/trial tooth to be made if necessary; preparing and discussing a treatment plan. The service includes: discussing the findings with and providing detailed information to the patient; consulting with the referring healthcare provider if necessary. This service may not be charged if the patient is referred to another healthcare provider for the autotransplantation procedure.

Transplantation of a tooth. Includes: removing the tooth to be replaced (recipient) if necessary; preparing a recipient site for the root or roots of the tooth to be transplanted; transplanting and suturing over the transplanted tooth; anaesthesia; exposing the mental foramen if necessary; giving oral hygiene instructions/information; postoperative aftercare for two weeks, including suture removal. This procedure excludes: X-ray examination; any root canal treatment; extraction of the tooth to be transplanted (donor); check-ups; necessary orthodontic treatment; and reshaping the transplanted tooth. After the postoperative aftercare period, consultations to check integration of the tooth or teeth, further development of the tooth or teeth, and bone healing around the transplanted tooth or teeth are billed using C003. Only the following may be charged separately as material and laboratory costs: any regeneration materials applied (such as hyaluronic acid) and/or any single-use drills and brushes used, stating the lot number.

Transplantation of a subsequent tooth or molar in the same session. This service may only be billed if it follows H38 in the same session. Includes: removing the tooth or molar to be replaced (recipient), if applicable; preparing a recipient site for the root(s) of the tooth or molar to be transplanted; transplanting and suturing the transplanted tooth or molar in place; anaesthesia; exposing the mental foramen if necessary; providing oral hygiene instructions/information; postoperative aftercare for two weeks, including removal of sutures. This service excludes: X-ray examination; any root canal treatment; removal of the tooth or molar to be transplanted (donor); check-ups; any orthodontics required; and reshaping the transplanted tooth or molar.

Correction of the alveolar process. As a separate procedure, including suturing and wound cleansing.

Frenulum excision. This procedure includes, where applicable: information about the treatment; functional examination; consultation or consultations; adaptations to the practice room to enable treatment; evaluation of the treatment; aftercare. Includes suturing, suture material and wound cleansing. Regardless of the number of sessions. No other procedures may be charged alongside this procedure for removal of the labial and/or lingual frenulum.

Performing an apicoectomy after endodontic treatment; a maximum of two root tips per tooth may be charged; includes suturing and wound cleansing.

Performing an apicoectomy after endodontic treatment; a maximum of two root tips per tooth may be charged; includes suturing and wound cleansing.

Suturing so that the edges of the mucous membrane meet without tension; includes suturing and wound cleansing.

Fracture of the alveolar process. As a separate procedure; includes suturing and wound cleansing.

Includes suturing and wound cleansing.

Includes suturing and wound cleansing.

Includes suturing and wound cleansing.

Includes suturing and wound cleansing.

Includes suturing and wound cleansing.

Includes suturing and wound cleansing.

From the first consultation up to and including placement, including aftercare for four months after placement. May be charged per jaw.

From the first consultation up to and including placement, including aftercare for four months after placement. May be charged per jaw.

From the first consultation up to and including placement, including aftercare for four months after placement. Includes design and preparation of rest seats before fabrication of the metal framework denture. May be charged per jaw.

From the first consultation up to and including placement, including aftercare for four months after placement. Includes design and preparation of rest seats before fabrication of the metal framework denture. May be charged per jaw.

From the first consultation up to and including placement, including aftercare for four months after placement.

From the first consultation up to and including placement, including aftercare for four months after placement.

From the first consultation up to and including placement, including aftercare for four months after placement.

Temporary complete denture in the upper or lower jaw to bridge the period until a non-temporary prosthetic appliance is placed. From the first consultation up to and including placement, including aftercare for four months after placement. May be charged per jaw.

May be charged per jaw. Surcharge for P020, P021, P022 and P023.

May be charged per jaw. Surcharge for P001 and P002.

Surcharge for using specific equipment to determine the relationship between the jaws. For example, Gothic arch tracing. Surcharge for P020 and P022.

Surcharge for the following in a separate session: setting up the front teeth of a denture; and/or trying in the anterior teeth, repeating the bite registration and adjusting lip and cheek support. Surcharge for P002, P004, P020 and P022. This service may only be charged once with P002, P004, P020 or P022.

Surcharge if an implant-retained overdenture is indicated for the patient, but a complete denture is placed. May be charged per jaw. Surcharge for P020, P021, P022.

May be charged per tooth to be replaced immediately, up to a maximum of 8 teeth per jaw. Excludes extractions and relining. Surcharge for P001, P002, P003, P004, P020, P021, P022, P023, P071 and P072.

A surcharge for each (natural) root over which a denture is placed. Includes preparation, filling and polishing if necessary. Surcharge for P001, P002, P003, P004, P020, P021, P022, P023, P071 and P072.

Surcharge for additional retention of a partial denture around teeth and molars using a cast clasp. Includes preparation of a rest seat if necessary. Surcharge for P001 and P002.

Surcharge for making a precision attachment to support the denture on the remaining teeth and molars. The matrix and patrix are counted as one unit. May be charged per attachment or bar sleeve (bar). Surcharge for P003, P004, P020, P021 and P022.

Surcharge for fitting a coping crown in a metal framework denture or overdenture for attachment to a crown to provide additional support and retention. Surcharge for P003, P004, P020, P021 and P022.

Application of a temporary soft lining to the inside of an existing complete denture. May be charged per jaw.

Application of a temporary soft lining to the inside of an existing partial acrylic denture or metal framework denture. May be charged per jaw.

Relining a complete denture with new acrylic using an impression, so that the denture fits properly again. May be charged per jaw.

Relining a complete denture with acrylic directly in the mouth so that the denture fits properly again. May be charged per jaw.

Relining a partial acrylic denture or metal framework denture with new acrylic using an impression, so that the denture fits properly again. May be charged per jaw.

Relining a partial acrylic denture or metal framework denture with acrylic directly in the mouth so that the denture fits properly again. May be charged per jaw.

Relining an overdenture retained by a bar-and-sleeve attachment (bar) on natural roots with new acrylic so that the denture fits properly again. May be charged per jaw regardless of the number of abutments.

Grinding the teeth and molars of an existing denture to achieve bilaterally balanced (stability of the denture in all directions) occlusion (improved biting together) and articulation (sliding over each other). May not be charged within four months after placement of the denture.

May be charged per jaw.

May be charged per jaw.

May be charged per jaw.

May be charged per jaw. Where an extension is involved, this service applies from the first consultation up to and including placement, including aftercare for four months after placement.

Adding teeth and molars to a partial acrylic denture or metal framework denture to make it a complete denture. May be charged per jaw. From the first consultation up to and including placement, including aftercare for four months after placement.

Regardless of the number of sessions. The maximum fee for periodontal examination includes: providing general information to the patient; discussing the importance of oral hygiene self-care; and consulting with or referring to a healthcare provider, namely a dentist, dental hygienist, clinical dental technician, general practitioner, specialist or special dental care institution, if necessary.

Cleaning of a tooth, excluding anaesthesia. Applies to treatment of a single-rooted tooth with pockets of ≥8 mm or a multi-rooted tooth with pockets of ≥ 6 mm. May only be charged following T012 or following T032 when repeat initial treatment is indicated because of recurrence.

Cleaning of a tooth, excluding anaesthesia. Applies to treatment of a single-rooted tooth with pockets of 4-7 mm or a multi-rooted tooth with pockets of 4-5 mm. May only be charged following T012 or following T032 when repeat initial treatment is indicated because of recurrence.

To be used for evaluation after initial treatment/surgery or as a periodic reassessment examination. Regardless of the number of sessions.

The maximum fee for T033 includes determining the periodontal follow-up care and discussing it with the patient. In the case of a periodic reassessment examination, may only be billed when discussing a new or amended treatment plan. Only in combination with T032.

Applies as aftercare following evaluation of initial treatment/surgery or reassessment with a periodontal chart (T032). May also be charged as an interim check-up after initial treatment (T021, T022) and before evaluation of initial treatment/surgery (T032). If a periodontal aftercare consultation consists of several sessions, T042 may only be billed once.

Applies as aftercare following evaluation of initial treatment/surgery or reassessment with a periodontal chart (T032). May also be charged as an interim check-up after initial treatment (T021, T022) and before evaluation of initial treatment/surgery (T032). In an extended consultation, a number of subgingival pockets of 5mm or deeper requiring treatment (without complicating factors) are susceptible to periodontal inflammation, for example due to inadequate oral hygiene, making greater emphasis on several aspects of information and/or clinical care necessary. Complicating factors are defined as: a multirooted tooth, a furcation defect, an angular defect (radiographic) and/or an infrabony defect (radiographic). If an extended periodontal aftercare consultation consists of several sessions, T043 may only be billed once.

Applies as aftercare following evaluation of initial treatment/surgery or reassessment with a periodontal chart (T032). May also be charged as an interim check-up after initial treatment (T021, T022) and before evaluation of initial treatment/surgery (T032). A complex aftercare consultation is equivalent to an extended periodontal aftercare consultation (T043), except that the presence of complicating factors increases the difficulty, requiring still greater emphasis on several aspects of information and/or clinical care. Complicating factors are defined as: a multirooted tooth, a furcation defect, an angular defect (radiographic) and/or an infrabony defect (radiographic). If a complex periodontal aftercare consultation consists of several sessions, T044 may only be billed once.

Includes: preparing the treatment room and preparing the patient; administering anaesthesia; performing the flap surgery; instructing the patient and prescribing medication if necessary; preparing a surgical report.

Includes: preparing the treatment room and preparing the patient; administering anaesthesia; performing the flap surgery; instructing the patient and prescribing medication if necessary; preparing a surgical report.

Includes: preparing the treatment room and preparing the patient; administering anaesthesia; performing the flap surgery; instructing the patient and prescribing medication if necessary; preparing a surgical report. Includes any vestibular deepening performed at the same time. For inflamed pockets deeper than 6 mm after initial periodontal treatment, in combination with one or more of the following complicating factors: attachment loss of more than 4 mm; furcation involvement; an irregular bone margin (angular defects); unusual anatomical structure of the gingiva; abnormal tooth position.

This service is intended for the first check-up session after the surgical procedure. Includes: checking wound healing; removing sutures and any wound dressing; removing plaque and any staining; local disinfection if necessary; providing oral hygiene instructions/information.

May be charged per session. Includes: checking wound healing and oral hygiene; removing plaque and calculus and, if necessary, cleaning and smoothing the root surfaces (root planing); removing chlorhexidine staining; local disinfection if necessary; providing oral hygiene instructions/information; measuring the plaque score.

May only be charged in combination with T070, T071 and T072 in the same sextant. When tuberosity or retromolar plastic surgery is performed as a separate procedure, T101 is the appropriate service.

As a separate procedure, not in combination with flap surgery. Includes preparation of the treatment room, anaesthesia and oral hygiene instructions/information.

Includes preparation of the treatment room, anaesthesia and oral hygiene instructions/information. For gum correction involving two to six teeth, service T103 is appropriate.

Includes preparation of the treatment room, anaesthesia and oral hygiene instructions/information.

Regardless of the number of teeth per sextant. Includes preparation of the treatment room, anaesthesia and oral hygiene instructions/information. The materials applied may be charged separately as material and laboratory costs.

May be charged in addition to the fee for flap surgery. Only in combination with T070, T071, T072, J048. Includes anaesthesia and oral hygiene instructions/information. The materials applied may be charged separately as material and laboratory costs.

Includes preparation of the treatment room, anaesthesia and oral hygiene instructions/information.

Flap surgery including correction of the cervical bone level as preparation for a subsequent restoration. Includes preparation of the treatment room, anaesthesia and oral hygiene instructions/information. For crown lengthening involving two to six teeth, service T122 is appropriate.

Flap surgery including correction of the cervical bone level as preparation for a subsequent restoration. Includes preparation of the treatment room, anaesthesia and oral hygiene instructions/information.

Gingival graft. Tissue graft from the palatal gingiva. Includes anaesthesia and oral hygiene instructions/information.

Gum/mucosal surgery involving repositioning of a mucogingival flap. Regardless of the number of teeth per sextant. Includes preparation of the treatment room, anaesthesia and oral hygiene instructions/information. In combination with T141 when the patient's own gum tissue is used. The recession coverage materials applied may be charged separately as material and laboratory costs.

This service is intended for the first check-up session after the surgical procedure. Includes: checking wound healing; removing sutures and any wound dressing; removing plaque and any staining; local disinfection if necessary; providing oral hygiene instructions/information.

May be charged per session. Includes: checking wound healing and oral hygiene; removing plaque and calculus and performing root planing if necessary; removing chlorhexidine staining; local disinfection if necessary; providing oral hygiene instructions/information; measuring the plaque score.

Recording a localised periodontal chart and taking at least three plaque samples, including discussion of the bacteriological findings with the patient. May not be charged in combination with M32.

Examination, anaesthesia and root planing, including oral hygiene instructions/information and measures to replace normal oral hygiene.

This procedure is intended for applying a medicament subgingivally (below the gum). May be billed once per session, regardless of the number of teeth. The medicaments may be charged separately as material and laboratory costs.

Splinting mobile teeth affected by periodontal disease. May be billed per connection, including etching. This service may not be charged for the repair and placement of orthodontic retention appliances; the F codes from the Orthodontic Care Service and Fee Decision apply to these.

Based on a written record of eating habits kept by the patient, including discussion of that record. May only be billed as part of periodontal treatment.

Regardless of the number of sessions. Examination, information and an initial assessment of whether implant treatment is indicated. Examination to establish the indication for implant treatment comprises: documenting the complaint(s); taking a dental, prosthetic and psychosocial history; examining the functioning of an existing prosthetic appliance; recording the findings in writing. The service includes: providing general information to the patient; discussing the findings; referring to another healthcare provider if necessary. This service cannot be billed for replacement of an implant (J046 or J047) by the same healthcare provider who placed the original implant.

Regardless of the number of sessions. May be charged once per implant treatment. Examination in preparation for carrying out implant treatment comprises: taking a detailed medical history; determining whether a trial setup and drilling template may be indicated; measuring bone height and thickness; implant diagnostics; taking impressions for study models if necessary; taking impressions for fabrication of an acrylic radiographic diagnostic plate if necessary; arranging for a drill guide to be made, unless a trial setup is necessary (J012 or J013); preparing and discussing a treatment plan. The service includes: discussing the findings with and providing detailed information to the patient; consulting with the referring healthcare provider if necessary. This service may not be charged if the patient is referred to another healthcare provider for the implant surgery. J011 cannot be billed for replacement of an implant (J046 or J047) by the same healthcare provider who placed the original implant. Cannot be billed in combination with J049.

May be charged per jaw. Trial setup of 1-4 teeth to help assess whether fixed prosthetics are possible. Includes: taking one or more (digital) impressions for the trial setup; recording the bite relationship for the trial setup if necessary; trying in the trial setup if necessary; arranging for a drill guide or dynamic navigation if necessary. J012 cannot be billed for replacement of an implant (J046 or J047) by the same healthcare provider who placed the original implant.

May be charged per jaw. Trial setup of 5 or more teeth to help assess whether fixed prosthetics are possible. Includes: taking (digital) impressions for the trial setup; recording the bite relationship for the trial setup; trying in the trial setup if necessary; arranging for a drill guide or dynamic navigation if necessary. J013 cannot be billed for replacement of an implant (J046 or J047) by the same healthcare provider who placed the original implant.

May be charged once per implant treatment. The service covers recording the type of implant as well as its length, diameter, direction and depth. Includes discussion with the patient. J014 cannot be billed for replacement of an implant (J046 or J047) by the same healthcare provider who placed the original implant. Where applicable, this service may also be charged for autotransplantation treatment (H38).

May be charged once per half of the jaw, per implant treatment. Placement of autologous (the patient's own) bone and/or bone substitute material in the maxillary sinus to create additional bone volume so that there is sufficient bone for implant placement (sinus floor elevation). Procedure in a separate session that cannot be performed in combination with J040 (in the same jaw). If sinus floor elevation in the second half of the jaw is performed within three months, J021 applies.

May be charged once per half of the jaw, per implant treatment. Placement of autologous (the patient's own) bone and/or bone substitute material in the maxillary sinus to create additional bone volume so that there is sufficient bone for implant placement (sinus floor elevation). May be charged if sinus floor elevation in the second half of the jaw is performed within three months after J020.

Applying autologous (the patient's own) bone and/or bone substitute material to increase the height and/or width of the jaw so that there is sufficient bone volume for implant placement. A procedure in a separate session that may not be billed in combination with placement of an implant (J040, J046 or J049) in the same jaw. No other codes from sections c and d of chapter J may be billed alongside this procedure.

May be charged per sextant. Placement of autologous (the patient's own) bone and/or bone substitute material to increase the height and/or width of the jaw in the same session as implant placement. May only be charged in combination with J040, J041, J046, J047 or J049.

May be charged per half of the jaw. Placement of autologous (the patient's own) bone and/or bone substitute material in the maxillary sinus in the same session as implant placement. May only be charged in combination with J040, J041, J046 or J047.

Placement of autologous (the patient's own) bone and/or bone substitute material through the implant drill hole, in the same session as implant placement. May only be charged in combination with J040, J041, J046 or J047. The service excludes the costs of (non-autologous) implant material. Where applicable, this service may also be charged for performing an autotransplantation (H38 and H39).

Placing the first implant in the lower or upper jaw. Includes exposure of the mental foramen where applicable. J049 applies to implants in the lower jaw for an implant-retained denture. The cost of the implant, including the cover screw or gingival former, may be charged using J057 or, for zygomatic implants, J062. Only single-use drills and brushes may, where applicable, be charged separately as material and laboratory costs, stating the lot number.

Placement of the second or subsequent implant in the lower or upper jaw. This service applies when a subsequent implant is placed in the same jaw as the first implant (J040). If a subsequent implant is placed in the other jaw, J040 applies. May only be charged in combination with: J040 or J046; J049 if it is the third or fourth implant of the treatment. The cost of the implant, including the cover screw or healing abutment, may be charged using service J057 or J062 in the case of zygomatic implants.

Placement of a first gum-shaping component, such as a healing abutment or a multi-unit abutment. May only be charged when a two-stage technique is used (stage 1: placing the implant below the gum and covering it; stage 2: placing the healing abutment and crown).

Placement of a subsequent gum-shaping component, such as a healing abutment or a multi-unit abutment. May only be charged in combination with J041 or J042. May only be charged when a two-stage technique is used (stage 1: placing the implant below the gum and covering it; stage 2: placing the healing abutment and crown).

Includes suturing and wound cleansing. May not be charged within six months after placement of an implant at the same site. Only single-use inserts for an implant removal set may, where applicable, be charged separately as material and laboratory costs.

Raising a gum flap (mucoperiosteal flap) and removing bone if necessary, including suturing and wound cleansing. May not be charged within six months after placement of an implant at the same site. J044 may be charged for simple removal of an implant. Only single-use inserts for an implant removal set may, where applicable, be charged separately as material and laboratory costs.

Replacement of a previously lost implant. Includes surgery, aftercare and, where applicable, exposure of the mental foramen. This procedure may not be charged within six months after placement of the implant (J040, J041, J046, J047 or J049). The procedures under 'A. Examination, diagnostics and treatment planning' (J010 to J014 inclusive) may not be charged in combination with this procedure when an implant is replaced by the same care provider who placed the original implant. J047 applies to replacement of the next implant in the same session. The cost of the implant, including the cover screw or gingival former, may be charged using J057. Only single-use drills and brushes may, where applicable, be charged separately as material and laboratory costs, stating the lot number.

Replacement of a previously lost implant. May only be charged in combination with J046. Includes surgery and aftercare. The service may not be charged within six months after placement of the implant (J040, J041, J046, J047 or J049). The services under 'A. Examination, diagnostics and treatment planning' (J010 to J014) may not be charged in combination with this service when an implant is replaced by the same healthcare provider who placed the original implant. The cost of the implant, including the cover screw or healing abutment, may be charged using service J057.

Surgical treatment of peri-implantitis. Includes oral hygiene instruction and/or information. Only single-use drills and brushes may, where applicable, be charged separately as material and laboratory costs, stating the lot number.

Surgical treatment of peri-implantitis. Includes oral hygiene instruction and/or information. This procedure may only be billed following J048 in the same session.

This procedure covers the entire course of treatment, consisting of diagnostics, establishing the indication, placing two implants in the edentulous lower jaw, and aftercare for six months. This course of treatment includes: examination for performing implant treatment (J011); implant surgery (J040, J041). This procedure may not be charged in combination with other consultation procedures and/or surgical procedures during the course of treatment. This means, among other things, that no additional procedures may be billed for the second stage of a two-stage treatment. There are three exceptions to the above: J010 may be charged for examination to establish the indication for implant treatment; J030 may be charged for widening or raising the jaw; if treatment involves placement of three or four implants, J041 may be charged. The cost of the implants, including the cover screw or gingival former, may be charged using J057. Only single-use drills and brushes may, where applicable, be charged separately as material and laboratory costs, stating the lot number.

Granules or other material not originating from the patient's own body (allogeneic), to be placed in the cavity left after extraction (extraction socket) to counteract shrinking of the alveolar ridge (resorption). This service may not be charged in combination with J022 and J030 in the same jaw.

Exposing the bone at the donor site to obtain an autologous (the patient's own) bone graft. This procedure may only be charged in combination with J020, J021 and/or J022, J030, J031 or J032. Only single-use drills and brushes may, where applicable, be charged separately as material and laboratory costs, stating the lot number.

May be charged per half of the jaw. Surcharge for additional surgical procedures required in the aesthetic zone, such as the use of specific suture material, suturing and/or reconstruction of gingival papillae, tunnel techniques and moving incisions outside the aesthetic zone. May only be charged for implant placement in the area from tooth 14 to 24 inclusive for crowns and bridges. Where applicable, this service may also be charged for performing an autotransplantation in the aesthetic zone (H38 and H39).

Transplanting connective tissue from another (donor) site in the mouth to a site with an implant to make the gum tissue thicker and firmer.

Per session. Obtaining Platelet Rich Fibrin (PRF) by means of venepuncture (performed under a physician's responsibility), centrifugation and further processing of the blood concentrate for tissue regeneration.

Removal and replacement of a broken abutment or screw. This service includes the procedures for replacing the broken abutment (R67, J109) and/or screw and applies per implant. Includes adjustments to the implant if necessary. May not be charged within six months after placement of the abutment.

Cost of the implant, including the cover screw or healing abutment. May only be charged with services J040, J041, J046, J047, J049, U05, U25 and U35.

May be charged once per implant per implant treatment.

Per implant. Thorough cleaning of the implant below the gum (submucosally). Applies to treatment of peri-implantitis. M03 remains the appropriate service for treatment of peri-implant mucositis. Service J048 applies to the surgical treatment of peri-implantitis.

Only applies in the aesthetic zone (tooth 14 to 24 inclusive). Fabrication and placement of a temporary restoration supported by an immediately placed implant in the same session according to IIPP (immediate implant placement procedure). This service comprises taking impressions (impression and opposing impression) and a standard bite registration, determining the shade, trying in and placing the temporary crown, associated aftercare and any necessary gum corrections. This aftercare comprises: checking occlusion and articulation; guiding soft tissue integration; optimising the (emergence) profile. For this purpose, the temporary restoration is removed, adjusted and replaced. This service may not be charged in the same jaw in combination with the services under b. 'Techniques for increasing bone volume in a separate session before implant placement'.

Per zygomatic implant. This service may only be charged in combination with J040 and, where applicable, J041.

This service cannot be charged in combination with J057 for the same tooth.

Includes placement of abutments.

May be charged for each subsequent stud attachment in the same jaw in the same construction. May only be charged in combination with J070.

Per jaw. Fee for the entire construction, including placement of abutments.

Per jaw. In the same jaw, following J072.

Fabrication of an implant-retained overdenture at the same time as fabrication of a denture for the other jaw. This service may also be billed for a replacement prosthesis.

Fabrication of an implant-retained overdenture in the lower jaw only, on a mesostructure. This service may also be billed for a replacement prosthesis.

Fabrication of an implant-retained overdenture in the upper jaw only, on a mesostructure. This service may also be billed for a replacement prosthesis.

Per jaw. Conversion of an existing prosthetic appliance to a prosthetic appliance retained by stud attachments. Intended as a definitive prosthetic appliance. Excludes the mesostructure.

Per jaw. Conversion of an existing prosthetic appliance to a prosthetic appliance retained by bars. Intended as a definitive prosthetic appliance. Excludes the mesostructure.

Per jaw. Conversion of an existing prosthetic appliance to a prosthetic appliance retained by bars. Intended as a definitive prosthetic appliance. Excludes the mesostructure.

Per jaw. Conversion of an existing prosthetic appliance to a prosthetic appliance retained by bars. Intended as a definitive prosthetic appliance. Excludes the mesostructure.

Per jaw. Fabrication of an implant-retained overdenture on existing bars. May only be charged in combination with J080, J081 or J082.

Per jaw. Fabrication of an implant-retained overdenture on existing bars. May only be charged in combination with J080, J081 or J082.

Per jaw. Fabrication of an implant-retained overdenture on existing bars. May only be charged in combination with J080, J081 or J082.

May be charged per jaw. Fabrication of a partial acrylic implant-retained overdenture on a mesostructure. This service may also be billed for a replacement prosthesis.

May be charged per jaw. Fabrication of a partial implant-retained overdenture with a metal base (framework) on a mesostructure. This service may also be billed for a replacement prosthesis.

Per jaw. Conversion of an existing partial prosthetic appliance to a partial implant-retained overdenture on a mesostructure. Intended as a definitive prosthetic appliance. Excludes the mesostructure.

Adding teeth to a partial implant-retained overdenture to make it a full implant-retained overdenture. May be charged per jaw.

May be charged per tooth to be replaced, up to a maximum of 8 teeth per jaw. Excludes extractions and relining. Surcharge for J080, J081, J082, J180, J181, J184 and J112 and J183.

Periodic check-up with specific implant-related procedures. A specific implant aftercare consultation comprises the periodic preventive examination as referred to under C002, supplemented with additional specific procedures relating to the implants and/or the mesostructure, other than cleaning procedures (M03 and/or J059). May only be charged if there is a specific suspicion of pathology. May not be billed within six months after placement of the mesostructure. The service cannot be billed in combination with C002, C003 or J091.

Periodic check-up with removal of the mesostructure. An extended implant aftercare consultation comprises the periodic preventive examination as referred to under C002, supplemented with removal of the bar and, if necessary, the abutments, (ultrasonic) cleaning of the removed parts and reassembly. May only be charged if there is a specific suspicion of pathology. May not be billed within six months after placement of the mesostructure. The service cannot be billed in combination with C002, C003 or J090.

Per jaw. Includes any repair or replacement of clips or matrices of stud attachments. Regardless of the number of implants per jaw. This service may not be combined for the same jaw with other codes from section i. prosthetic aftercare, except J109.

Per jaw. Includes any repair or replacement of clips. This service may not be combined for the same jaw with other codes from section i. prosthetic aftercare, except J109.

Per jaw. Includes any repair or replacement of clips. This service may not be combined for the same jaw with other codes from section i. prosthetic aftercare, except J109.

Per jaw. Includes any repair or replacement of clips. This service may not be combined for the same jaw with other codes from section i. prosthetic aftercare, except J109.

Per jaw. Repair of the implant-retained overdenture without an impression, intended for simple repairs to the overdenture itself, such as renewing or securing teeth, repairing a break or crack, or replacing a retention insert. Regardless of the number of implants per jaw. This service may not be combined for the same jaw with other codes from section i. prosthetic aftercare, except J109. Includes two months of aftercare relating to the repair of the existing implant-retained overdenture.

Per jaw. Repair requiring at least one of the following: an impression; replacement or repair of clips; replacement or repair of the complete matrices of stud attachments. Regardless of the number of implants per jaw. This service may not be combined for the same jaw with other codes from section i. prosthetic aftercare, except J109. Includes two months of aftercare relating to the repair of the existing implant-retained overdenture.

Per jaw. Includes any repair or replacement of clips. This service may not be combined for the same jaw with other codes from section i. prosthetic aftercare, except J109. Includes two months of aftercare relating to the repair of the existing implant-retained overdenture.

Per jaw. Includes any repair or replacement of clips. This service may not be combined for the same jaw with other codes from section i. prosthetic aftercare, except J109. Includes two months of aftercare relating to the repair of the existing implant-retained overdenture.

Per jaw. Includes any repair or replacement of clips. This service may not be combined for the same jaw with other codes from section i. prosthetic aftercare, except J109. Includes two months of aftercare relating to the repair of the existing implant-retained overdenture.

May be charged per stud attachment. Removal and replacement of a stud attachment (abutment).

Per jaw. Includes any repair or replacement of clips or matrices of stud attachments. Regardless of the number of implants per jaw. This service may not be combined for the same jaw with other codes from section i. prosthetic aftercare, except J109.

Per jaw. Repair of the partial implant-retained overdenture without an impression, intended for simple repairs to the partial overdenture itself, such as renewing or securing teeth, repairing a break or crack, or replacing a retention insert. Regardless of the number of implants per jaw. This service may not be combined for the same jaw with other codes from section i. prosthetic aftercare, except J109. Includes two months of aftercare relating to the repair of the existing partial implant-retained overdenture.

Per jaw. Repair requiring at least one of the following: an impression; replacement or repair of clips; replacement or repair of the complete matrices of stud attachments. Regardless of the number of implants per jaw. This service may not be combined for the same jaw with other codes from section i. prosthetic aftercare, except J109. Includes two months of aftercare relating to the repair of the existing partial implant-retained overdenture.

Regardless of the number of implants per jaw. This service may not be combined for the same jaw with other codes from section i (Prosthetic aftercare). Includes the necessary in-house dental laboratory work. Only the temporary abutments placed may be charged separately as material and laboratory costs. J072 and, where applicable, J073 may be charged for the bar used.

This time-based fee concerns treatment as part of dental care described in or pursuant to the Wlz, insofar as it is provided to patients who reside and are treated in a Wlz institution. It concerns dental treatment within the Wlz institution. This time-based fee is charged per five minutes of working time. Working time means the total patient-related time. Transporting the patient to and from the treatment room and the patient's daily oral care may not be charged under U25; these do not constitute dental care but are activities of daily living (ADL) and personal care. No other procedures may be billed alongside U25 for the same treatment as part of dental care described in or pursuant to the Wlz, except J057, J062, the costs of intravenous sedation and general anaesthesia (A20), X-ray examinations (X10 to X34 inclusive), and the cost-based fees (U100, U101, U102, U103, U104 and U105).

This time-based fee concerns treatment as part of dental care described in or pursuant to the Wlz, insofar as it is provided to patients who reside and are treated in a Wlz institution. It concerns dental treatment outside the Wlz institution, in the care provider's own practice. The patient's daily oral care may not be charged under U35; this does not constitute dental care but concerns activities of daily living (ADL) and personal care. This time-based fee is charged per 1/12 of a chairside hour, in other words per five minutes. Chairside hours mean direct patient-related time. No other procedures may be billed alongside U35 for the same treatment as part of dental care described in or pursuant to the Wlz, except J057, J062, the costs of intravenous sedation and general anaesthesia (A20), X-ray examinations (X10 to X34 inclusive), and the cost-based fees (U100, U101, U102, U103, U104 and U105).

This time-based fee concerns support and treatment as part of oral care for special-care groups, for example patients with an intellectual and/or physical disability or extreme dental anxiety, whose treatment takes longer than is usual for regular patients. This time-based fee also applies to insured persons who, under the Health Insurance Decree (Bzv), are eligible for care under article 2.7, paragraph one, points b and c, of the Bzv. This time-based fee is charged per 1/12 of a chairside hour, in other words per five minutes. Chairside hours mean direct patient-related time. U05 is charged for the entire treatment. No other procedures may be billed, except C020, C021, J057, J062, U40, the costs of intravenous sedation and general anaesthesia (A20), X-ray examinations (X10 to X34 inclusive), and the cost-based fees (U100, U101, U102, U103, U104 and U105).

This time-based fee concerns the additional time required for support during treatment as part of oral care for special care groups, for example patients with intellectual and/or physical disabilities or extremely anxious patients whose treatment takes longer than is generally the case for regular patients. This time-based fee also applies to insured persons who qualify for care under Article 2.7, first paragraph, sections b and c, of the Health Insurance Decree (Besluit zorgverzekering, Bzv). This time-based fee is charged per 1/12 of a chair hour, in other words per five minutes. Chair hours refer to time directly related to the patient. U06 must be billed in combination with other services, because treatment is not charged through U06. May not be billed in combination with U05.

Per jaw. Includes polishing. This concerns the preventive application of fluoride varnish or chlorhexidine varnish as part of care for special-care groups, for example patients with an intellectual and/or physical disability. This fee also applies to insured persons who, under the Health Insurance Decree (Bzv), are eligible for care under article 2.7, paragraph one, points b and c, of the Bzv. Time spent on fluoride treatment may not be billed using U05.

May only be charged additionally to U05, U25 and U35. May be charged per session.

May only be charged additionally to U05, U25 and U35. May be charged once per procedure.

For single-use instruments, may be charged per treatment. May only be charged in combination with codes U05, U25 and U35.

May be charged once per implant, autotransplantation or peri-implantitis treatment per jaw with U05, U25 and U35.

May be charged once per implant treatment per jaw with U05, U25 and U35.

A single service applies to the provision of information to third parties, with a fee per five minutes of time spent by the healthcare provider. The time spent by or on behalf of the healthcare provider on providing information, including time spent on the associated report, determines billing for each five-minute unit. The time charged must be rounded to the nearest multiple of five minutes. This concerns work that is not included in the insured services under or pursuant to the Zvw or Wlz and must therefore be paid for by the requester, or at least cannot be charged to the relevant patient's health insurer under the Zvw or Wlz. The following conditions, requirements and restrictions apply to billing this service: There must be a written request for information from a third party (whether or not through the patient) that does not arise from care or services under the Zvw, Wlz, Social Support Act or Youth Act; The information must be provided to the requester in writing; The patient must give written consent for the information to be provided to the third parties; No other service description relating to the provision of information may be charged alongside the service 'provision of information to third parties'. This service may not be charged: If the request concerns information which healthcare providers are required by any statutory provision to make available free of charge. In the context of care for which the healthcare provider: has referred the patient, such as for an application/authorisation for medicines or medical aids; requests advice from another healthcare provider. For a (subsequently) requested explanation or clarification of the information provided.