Below is a list of services, codes and rates established by the Dutch Healthcare Authority. The tariff list applies as of January 1, 2018. Below you will find a list of performances, codes and rates established by the Dutch Health Care Authority. The fee schedule is effective January 1, 2025.

CodePerformanceRate
C001Consultation for the purpose of an intake€57,66
C002Consultation for a periodic check-up€28,83
C003Consultation, other than periodic check-up€28,83
C010Comprehensive examination for the purpose of a second opinion€28,83
C011, 12Comprehensive examination for the purpose of the integrated treatment plan€136,56
C013 *Study models€37,93
C014Pocket registration€45,52
C015Periodontium registration€91,04
C020Home oral care€22,76
C021Surcharge evening, night and weekend hours (anw hours)€31,86
CodePerformanceRate
X10Making and reviewing small x-ray€21,24
X11Review small x-ray€15,93
X21Taking and reviewing jaw overview photograph€91,04
X22Taking and assessing maxillary overview photograph for implantology in the toothless jaw€91,04
CodePerformanceRate
M01Preventive information and/or instruction, per five minutes€17,01
M02Consultation for evaluation of prevention, per five minutes€17,01
M03Dental cleaning, per five minutes€17,01
M05Non-restorative treatment of caries in deciduous teeth€34,14
M32 */**Simple bacteriological or enzymatic examination€22,76
M30Treatment of tooth sensitivity and (preventive) administration of medication€7,59
M40Fluoride Treatment€18,97
M61*Mouth guard€34,14
M80*Treatment of white spots, first element€66,00
M81*Treatment of white spots, next element€36,41
CodePerformanceRate
A10Conduction, infiltration and/or intraligamentary anesthesia€18,97
A15Surface anesthesia€9,86
A20Treatment under general anesthesia or sedation€cost price
A30Preparation for treatment under general anesthesia€60,69
CodePerformanceRate
B10Introduction intoxication (laughing gas sedation)€37,93
B11Administration of intoxication (laughing gas sedation)€37,93
CodePerformanceRate
V71Single-surface amalgam filling€31,86
V72Two-plane amalgam filling€50,83
V73Triplane filling amalgam€66,00
V74Multi-plane amalgam filling€96,35
V81Single-surface filling glass ionomer/glass carbomer/compomer€47,04
V82Two-surface filling glass ionomer/glass carbomer/compomer€66,00
V83Triplane filling glass ionomer/glass carbomer/compomer€81,17
V84Multilayer filling glass ionomer/glass carbomer/compomer€107,73
V91Single-surface composite filling€60,69
V92Two-surface composite filling€79,66
V93Three-plane composite filling€94,83
V94Multi-faceted composite€121,38
V15Application of shield of tooth-colored plastic material (facing)€91,04
V30Fissure lacquer first element (sealing)€34,14
V35Fissure varnish every subsequent element in the same seat (sealing)€18,97
V40Polishing, grinding and touching up old fillings€7,59
CodePerformanceRate
E02Comprehensive root canal treatment consultation€53,11
E03Consultation after dental accident€41,73
E60*Total or partial removal of pulpal tissue€60,69
E04Surcharge for costs when using rotary nickel-titanium instruments€59,92
E13Root canal treatment per element with 1 canal€136,56
E14Root canal treatment per element with 2 canals€197,25
E16Root canal treatment per element with 3 canals€257,94
E17Root canal treatment per element with 4 or more canals€318,63
E85Electronic length determination€18,97
E19Inclusion of calcium hydroxide or similar disinfectant per element, per session€22,76
E66Root canal treatment of milk element€60,69
E51Removal of crown or bridge€42,24
E52Difficult root canal opening€37,93
E53Removal of root pin€53,11
E54Removal of root canal filling material€37,93
E55Treatment of clogged or calcified root canal€37,93
E56*Continuing treatment for tissue damage of the tooth root€53,11
E57Treatment of element with exceptional anatomy€37,93
E61Treatment of open root tip with calcium hydroxide, first session€106,21
E62Treatment of open root tip with calcium hydroxide every subsequent session€68,28
E63*Surcharge for sealing with Mineral Trioxide Aggregate (MTA) or similar bioceramic material€56,90
E64Closure of open root tip€56,32
E77Initial root canal treatment, first canal€75,86
E78Initial root canal treatment, each subsequent canal€37,93
E90Internal bleaching, first session€60,69
E95Internal bleaching, every subsequent session€22,76
E97*External bleaching per jaw€94,83
E40Direct pulp capping€37,93
E42Resetting a relocated element after dental accident€15,17
E43*Fixing element by splint after dental accident€30,35
E44Removal of splint, per element€7,59
E45Applying rubber dam€13,30
E31Cutting / canine€151,73
E32Premolar€212,42
E33Miller€273,11
E34*Applying retrograde filling€30,35
E36*Pulling an element with re-implantation€106,21
E37Keyhole surgery€91,04
E88Filling the pulp chamber and sealing the canal entrances€75,86
E86Use of surgical microscope in root canal treatment€102,42
E87Making practice space ready for use for root canal treatment€75,86

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CodePerformanceRate
R08*Single-plane composite inlay€91,04
R09*Two-layer composite inlay€174,49
R10*Three-plane composite inlay€227,59
R11*Single-plane inlay€136,56
R12*Two-flat inlay€212,42
R13*Tri-level inlay€303,46
R14Surcharge for additional retention when placing indirect restorations€37,93
R24*Crown on natural element€333,80
R34*Crown on implant€303,46
R29*Confection crown€68,28
R31Structure of plastic material€75,86
R32*Cast construction, indirect method€75,86
R33*Cast construction, direct method€151,73
R40*First bridge section€227,59
R45*Surcharge for a conventional bridge for each subsequent bridge intermediate section in the same intermediate section€113,80
R49Surcharge for bridge on five or more pillar elements€189,66
R50*Metal fixation cap with imprint€37,93
R55*Plaster lock with additional imprint€37,93
R60*Adhesive bridge without preparation€151,73
R61*Adhesive bridge with preparation€227,59
R65Surcharge for a slab bridge for each subsequent bridge intermediate section in the same intermediate section€53,11
R66Surcharge for an adhesive bridge for each subsequent attachment above the number of two€30,35
R70Surcharge for crown under existing frame anchor€83,45
R71*Renew porcelain shield, repair metal/porcelain crown in mouth€83,45
R74*Resetting nonplastic restorations€30,35
R75*Re-attaching adhesive bridge€75,86
R76Surcharge for cast construction under existing crown€37,93
R77Laborious removal of old crown and bridge work per (pillar) element€37,93
R91*Root cap with marker€189,66
   
R79*Shield made of ceramic or plastic, with preparation€333,80
R80*Temporary crown and bridge work, first tooth or molar€37,93
R85*Temporary crown and bridge work, next tooth or molar€15,17
CodePerformanceRate
G21Functional examination of chewing system€136,56
G22Extended research OPD€273,11
G23Muscle activity measurement and recording€121,38
G41Consult OPD therapy A (non-complex).€79,66
G62*Stabilization top bite plate€204,83
   
G47Evaluation/reassessment after OPD therapy A€91,04
G43Consult OPD therapy B (complex).€153,25
G44*Therapeutic injection€83,45
G46*Consultation for instructional equipment (one-time)€60,69
G48Evaluation/reassessment after OPD therapy B€151,73
G10Non-standard bite registration€113,80
G11Hinge axis determination€113,80
G12Central relationship determination€106,21
G13Protral/lateral determinations€75,86
G14Setting fully adjustable articulator, pantograph and registration€682,78
G16Therapeutic positioning€37,93
G20Bite recording intra-oral€75,86
G09Occlusion analysis after measurement using digital equipment€40,97
G15Surcharge for retaining bite height€37,93
G65*Indirect plan ingraining€417,25
G75Planned grinding of all front teeth, per upper or lower jaw€75,86
G69*Bite protection plate€83,45
G33*Applying front/fang guide€75,86
G71*Device for snoring and sleep disorders (MRA)€379,32
G72Monitoring visit MRA€37,93
G73*Repair MRA with impression€60,69
G74 *Therapy using myofunctional equipment€102,42

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CodePerformanceRate
H11Pulling tooth or molar€56,90
H16Pull next tooth or molar, in the same seat and quadrant€42,48
H21Cost of suture material€7,58
H26Suture soft tissue€83,45
H50Restoration/replacement of tooth, first element excluding root canal treatment€75,86
H55Restoration/replacement of tooth, neighboring tooth, excluding root canal treatment€22,76
H90Preparation of practice space for surgical operations falling under Part B.€75,86
H33Hemisection of a molar€91,04
H35Difficulty extracting tooth, with mucoperiosteal folding€91,04
H40Correcting the shape of the jaw, per jaw€68,28
H41Removal of the lip band or tongue tie€45,52
H42Root tip surgery, per tooth root, without occlusion€91,04
H43Root tip surgery, per tooth root, with ante or retrograde occlusion€121,38
H44Primary antrum closure€83,45
H59Treatment jaw fracture, per jaw€106,21
H60Marsupialization€106,21
H65Primary closure€204,83
H70Lapping fibromas, Schlotterkamm, tubercorrection, etc., single-sided per jaw€106,21
H75Lapping fibromas, Schlotterkamm, tubercorrection, etc., double-sided per jaw€204,83
H80Alveolotomy torus, similar praeprosthetic bone corrections, single-sided per jaw€144,14
H85Alveolotomy torus, similar praeprosthetic bone corrections, bilateral per jaw€242,77
CodePerformanceRate
P001*Partial resin dentures, 1-4 elements, per jaw€113,80
P002*Partial resin dentures, 5-13 elements, per jaw€227,59
P003*Frame dentures, 1-4 elements, per jaw€311,04
P004*Frame dentures, 5-13 elements, per jaw€424,84
P020*Full dentures upper jaw€227,59
P021*Full dentures lower jaw€303,46
P022*Full dentures upper and lower jaw€493,12
P023*Temporary full dentures, per jaw€151,73
P040Surcharge for individual impression for full dentures€81,93
P041Surcharge for individual impression for partial dentures made of synthetic resin€37,93
P042Surcharge for bite registration with specific equipment€75,86
P043Surcharge for front arrangement or bite provision in separate seat€45,52
P044Surcharge very severely shrunken jaw, per jaw€102,42
P045Surcharge immediate dentures€18,97
P046Surcharge for each element in overdenture dentures€60,69
P047Surcharge for cast anchor for partial dentures made of synthetic resin€22,76
P048Surcharge for making precision coupling, per coupling or bar sleeve€113,80
P049Surcharge for fitting telescopic crown with precision coupling€75,86
P060Tissue conditioning full dentures, per jaw€53,11
P061Tissue conditioning partial dentures of synthetic resin or framed dentures, per jaw€53,11
P062*Refilling full dentures, indirect, per jaw€106,97
P063*Refilling full dentures, direct, per jaw€107,73
P064*Filling partial dentures of synthetic resin or framed dentures, indirect, per jaw€93,31
P065*Filling partial dentures of resin or framed dentures, direct, per jaw€97,11
P066*Filling overdenture dentures on natural pillars without bar disassembly, per jaw€212,42
P067Planned grinding in of existing dentures€37,93
P068*Repair full dentures, without impression, per jaw€22,76
P069*Repair full dentures, with impression, per jaw€60,69
P070*Repair partial dentures of resin or framed dentures, without impression, per jaw€22,76
P071*Repair and/or extension partial dentures of synthetic resin or framed dentures, with impression, per jaw€60,69
P072*Extension partial dentures of resin or frame dentures with element(s) to full dentures, with impression, per jaw€60,69
CodePerformanceRate
T012Examination of the gums with periodontal status€220,01
T021Thoroughly clean root, complex€40,97
T022Thoroughly clean root, standard€30,35
T032Evaluation initial treatment/surgery or reassessment with periodontal status€136,56
T033Discuss follow-up course after evaluation or reassessment€83,45
T042Periodontal aftercare consultation€115,31
T043Comprehensive consultation periodontal aftercare€153,25
T044Complex consultation periodontal aftercare€204,08
T070Flap surgery between two elements€246,56
T071Flap surgery by sextant (one-sixth part)€379,32
T072Flap surgery extended by sextant ( one sixth part)€455,19
T073Direct postoperative care, first session€75,86
T074Immediate postoperative care, next session€204,08
T076Tuber or retromolarplasty€94,83
T101Tuber or retromolarplasty€132,76
T102Gum correction, per element€72,07
T103Gum correction, per sextant (one-sixth part)€189,66
T111*Application of periodontal regeneration material for bone restoration as an independent operation, per sextant (one-sixth part)€455,19
T112*Application of periodontal regeneration material for bone restoration as a non-independent operation, concurrent with flap surgery in the same sextant (one-sixth part), per element€151,73
T113Surgical removal of regeneration material€246,56
T121Crown extension per element€246,56
T122Crown extension by sextant€455,19
T141Gum graft€144,14
T142*Recession covering with displaced patch€455,19
T151Direct postoperative care, first session€75,86
T152Immediate postoperative care, next session€204,08
T161 **Bacteriological examination for the purpose of gum treatment€53,11
T162Gum abscess treatment€102,42
T163*Local drug application€81,93
T164*(Wire) Splint€30,35
T165Comprehensive nutritional analysis€75,86

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CodePerformanceRate
J001Overhead costs implants, autotransplants and peri-implantitis surgery€220,32
J002Overhead costs pre-implant surgery€124,69
J010Initial research implantology€83,23
J011Extended Implantology Examination€128,04
J013*Sample€192,07
J014Implant positioning based on CT scan€57,62
J020*Raising bottom of paranasal cavity, first jaw half€307,30
J021*Raising bottom of sinus, second jaw half in same seat€192,07
J052Donor site preparation€172,86
J022*Jaw widening and/or elevation, per jaw€185,66
J06Releasing foramen mental€31,61
   
   
J030*Raising bottom of side cavity orthograde€108,84
J053Surcharge aesthetic zone€86,43
J040Placement of first implant, per jaw€293,22
J041Placement of next implant, per jaw€121,00
J042*Placement of first gum former (healing abutment)€96,03
J043*Placement of next gum formers (healing abutment)€45,46
J045Difficulty removing implant€211,27
   
J046Replacing first implant€292,58
J047Replacing next implant€121,00
J39Perform autotransplantation€190,84
J048Surgical treatment peri-implantitis, per sextant (one-sixth part)€223,44
J051*Application of bone replacements in extraction wound€25,61
J054Connective tissue graft per donor site€134,45
J055Obtaining and processing blood into a regenerative biomaterial by venipuncture€144,05
J056*Removal of fractured abutment/occlusal screw€147,25
J057Cost of implant€404,40
J058Determination of implant stability by ISQ measurement€12,80
J059Thorough submucosal implant cleaning€30,09
J060*Temporary crown in the same seat on immediately placed implant€332,91
J070*Placing first push button€153,65
J071*Insert each subsequent push button€44,82
J072*Rod between two implants in the same jaw€262,49
J073*Each subsequent bar between implants in the same jaw€83,23
   
J080*Simultaneous placement of full dentures and click dentures€659,42
J081*Under click teeth€428,95
J082*Above click teeth€428,95
J083*Conversion click teeth€128,04
J084*Conversion of click dentures in the case of bars between two implants€166,46
J085*Conversion of click dentures with bars between three or four implants€192,07
J086*Conversion click dentures with bars between more than four implants€224,08
J087Surcharge replacement click dentures on existing bar construction between two implants€108,84
J088Surcharge replacement click dentures on existing bar construction between three or four implants€140,85
J089Surcharge replacement click dentures on existing bar construction between more than four implants€172,86
J090Specific consultation aftercare implantology€70,42
J091Extended post-implantology consultation€115,24
J100*Padding without rod disassembly€179,26
J101*Filling with rod disassembly on two implants€224,08
J102*Filling with rod disassembly on three or four implants€256,09
J103*Filling with rod disassembly on more than four implants€288,10
J105*Repair without rod disassembly€70,42
J106*Repair with rod disassembly on two implants€134,45
J107*Repair with rod disassembly on three or four implants€166,46
J108*Repair with rod disassembly on more than four implants€198,47
J109*Removing and replacing push button€32,01
   
CodePerformanceRate
U25*Time charge for dental care of patients treated in Wlz institution in units of five minutes€17,28
U35*Time rate for dental care provided to patients staying in the Wlz institution and treated in the healthcare provider's own practice in units of five minutes€19,93
U05*Time rate counseling difficult-to-treat patients in units of five minutes€19,93

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