Information
Treatment prices are normal prices effective from May 2026
| wdt_ID | Dental Care | Price |
|---|---|---|
| 286 | ||
| 287 | ADMINISTRATIVE COSTS | |
| 288 | New Patient | 30.000 |
| 333 | Old Patients | 10.000 |
| 334 | ||
| 335 | GENERAL MAINTENANCE, ADDITIONAL CARE & OTHER | |
| 336 | Consultation (No Inspection) | 0 / Free |
| 337 | Dental Checkup | 105.000 |
| 338 | Intra Oral Camera | 55.000 |
| 339 | Dental Examination With Intra Oral Camera | 150.000 |
| 340 | Early Dental Checkup For Kids + Scaling | 260.000 |
| 341 | Minosep Mouthwash 0,1% 60 ml (Green) | 55.000 |
| 342 | Drug Costs | 36.000 |
| 343 | Install Dental Diamonds (Per 1) | 455.000 |
| 344 | Fluoride | 75.000 |
| 345 | ||
| 349 | DENTAL CLEANING / TOOTH SCALING | |
| 350 | Teeth Scaling 2 Jaw – A little | 400.000 |
| 351 | Teeth Scaling 2 Jaw – Currently | 550.000 |
| 352 | Teeth Scaling 2 Jaw – Lots | 650.000 |
| 353 | Teeth Scaling 1 Jaw – A little | 200.000 |
| 354 | Teeth Scaling 1 Jaw – Currently | 275.000 |
| 355 | Teeth Scaling 1 Jaw – Lots | 300.000 |
| 356 | Scaling Children's Teeth 2 Jaw – A little | 400.000 |
| 357 | Scaling Children's Teeth 2 Jaw – Currently | 550.000 |
| 358 | Scaling Children's Teeth 2 Jaw – Lots | 650.000 |
| 359 | Scaling Gigi with Protection (+ Fluoride) | 750.000 |
| 360 | Scaling Gigi with Protection Plus (+ Poles Pumice & + Fluoride) | 800.000 |
| 361 | Dental SPA Full Package (+ Poles Pumice + Jet Polisher + Fluoride) | 850.000 |
| 362 | Tooth-by-tooth curettage | 300.000 |
| 363 | Root Planing Per Gigi | 300.000 |
| 364 | Occlusal Adjustment / Cut Teeth / Pangur – 1 Gigi | 200.000 |
| 365 | Ties App (Metronidazole) | 175.000 |
| 366 | Vitamin Tooth Mousse | 200.000 |
| 367 | Naocl Irrigation, H2o2 , Saline Solution for Pericoronitis | 150.000 |
| 368 | ||
| 369 | DENTAL FILLINGS & ROOT CANAL TREATMENT (PSA) | |
| 370 | Temporary Patching | 260.000 |
| 371 | Devitalization of root canal | 100.000 |
| 372 | Anesthesia (During Endodontics) | 200.000 |
| 373 | Remove Patch/Open Bur | 235.000 |
| 374 | Single Root Canal Preparation/Sterilization | 500.000 |
| 377 | Multiple Root Canal Preparation/Sterilization (2 root channel) | 600.000 |
| 380 | Multiple Root Canal Preparation/Sterilization (3-4 root channel) | 800.000 |
| 381 | Filling a single root channel | 500.000 |
| 382 | Filling the double root channel (2 Root channel) | 600.000 |
| 383 | Filling the double root channel (3-4 Root channel) | 800.000 |
| 384 | Single visit endodontic package ( 1x Visits ) + Charging + Permanent patch | 3.750.000 |
| 385 | Double Endodontic One Visit Package ( 1x Visits 2 Root channel ) + Charging + Permanent patch | 3.850.000 |
| 386 | Double Endodontic One Visit Package ( 1x Visits 3-4 Root channel ) + Charging + Permanent patch | 3.950.000 |
| 387 | Build up composite | 250.000 |
| 388 | ||
| 389 | NON LASER DENTAL FILLINGS | |
| 390 | Small GIC Dental Fillings | 305.000 |
| 391 | Large GIC Dental Fillings | 355.000 |
| 392 | ||
| 393 | LASER LIGHT DENTAL FILLINGS (COMPOSITE) | |
| 394 | Small Composite | 500.000 |
| 395 | Medium Composite | 600.000 |
| 396 | Big Composite | 700.000 |
| 397 | Tambal Metode Sandwich | 600.000 |
| 398 | Front Teeth Filling | 770.000 |
| 399 | Aesthetic Teeth Fillings/Veneers | 950.000 |
| 400 | Sheath / Formed Crown Composite | 970.000 |
| 401 | Teeth Reshaping / Make the shape of the teeth more perfect teeth | 870.000 |
| 402 | Composite Polishing Per External Patient Tooth | 190.000 |
| 403 | Root Canal Filling + Gic Patch or Ray Patch | 1.000.000 |
| 404 | Fissure Sealant – Per Tooth | 280.000 |
| 405 | Topical Fluoride (For Children's Dental Care) | 250.000 |
| 406 | Fiber pegs | 600.000 |
| 407 | Core | 370.000 |
| 408 | Inlay/Onlay Made of Metal | 2.000.000 |
| 409 | Inlay/Onlay Made from Metal Porcelain | 3.000.000 |
| 410 | ||
| 411 | VENEER GIGI / RABBIT TEETH | |
| 412 | Direct Composite Dental Veneers – 1 Gigi | 950.000 |
| 413 | Composite Veneer Package 8 Gigi | 4.800.000 |
| 414 | Composite Veneer Package 12 Gigi | 7.200.000 |
| 415 | Composite Veneer Package 16 Gigi | 9.600.000 |
| 416 | Composite Veneer Package 20 Gigi | 12.000.000 |
| 417 | Opaquer | 250.000 |
| 418 | Direct Composite Dental Veneers (Kompomer) – 1 Gigi | 1.925.000 |
| 419 | Veneer Gigi All Porcelen Emax – 1 Gigi | 3.225.000 |
| 420 | Emax All Porcelain Dental Veneer Package 8 Gigi | 24.200.000 |
| 421 | Emax All Porcelain Dental Veneer Package 10 Gigi | 30.250.000 |
| 422 | Emax All Porcelain Dental Veneer Package 16 Gigi | 48.400.000 |
| 423 | Emax All Porcelain Dental Veneer Package 20 Gigi | 60.500.000 |
| 424 | Veneer Gigi All Porcelen Zirconia – 1 Gigi | 3.525.000 |
| 425 | All Porcelain Zirconia Dental Veneer Package 8 Gigi | 24.200.000 |
| 426 | All Porcelain Zirconia Dental Veneer Package 10 Gigi | 30.250.000 |
| 427 | All Porcelain Zirconia Dental Veneer Package 16 Gigi | 48.400.000 |
| 428 | All Porcelain Zirconia Dental Veneer Package 20 Gigi | 60.500.000 |
| 429 | Composite Veneer Removal – 1 Gigi | 165.000 |
| 430 | Composite Veneer Loose Package 8 Gigi | 1.200.000 |
| 431 | Composite Veneer Loose Package 12 Gigi | 1.800.000 |
| 432 | Composite Veneer Loose Package 16 Gigi | 2.400.000 |
| 433 | Composite Veneer Loose Package 20 Gigi | 3.000.000 |
| 434 | Remove Porcelain Veneer – 1 Gigi | 275.000 |
| 435 | Porcelain Veneer Loose Package 8 Gigi | 2.000.000 |
| 436 | Porcelain Veneer Loose Package 10 Gigi | 2.500.000 |
| 437 | Porcelain Veneer Loose Package 16 Gigi | 4.000.000 |
| 438 | Porcelain Veneer Loose Package 20 Gigi | 5.000.000 |
| 439 | ||
| 440 | TOOTH EXtraction | |
| 441 | Milk Tooth Extraction Without Injections – 1 Gigi | 300.000 |
| 442 | Extraction of Milk Teeth with Injection – 1 Gigi | 350.000 |
| 443 | Single Root Adult Tooth Extraction – 1 Gigi | 350.000 |
| 444 | Extraction of Adult Teeth with More than One Root – 1 Gigi | 450.000 |
| 445 | Adult Tooth Extraction With Complicating Factors – 1 Gigi | 650.000 |
| 446 | Cancel tooth extraction after anesthesia | 175.000 |
| 447 | Cancel tooth extraction without anesthesia | 150.000 |
| 448 | ||
| 449 | MOUTH SURGERY | |
| 450 | Wisdom Teeth Surgery / Odontectomy Kelas 1 (Easy) | 2.500.000 |
| 451 | Wisdom Teeth Surgery / Odontectomy Kelas 2 (Currently) | 3.000.000 |
| 452 | Wisdom Teeth Surgery / Odontectomy Kelas 3 (Difficult) | 3.500.000 |
| 453 | Tooth Extraction by a Dentist Specializing in Oral Surgery – Easy | 625.000 |
| 454 | Tooth Extraction by a Dentist Specializing in Oral Surgery – Difficult | 1.130.000 |
| 455 | Apex Resection Surgery – 1 Will | 1.550.000 |
| 456 | Frenectomy | 1.550.000 |
| 457 | Operculectomy | 800.000 |
| 458 | Mucocel | 800.000 |
| 459 | Operation Gummy Smile – 1 Gigi | 625.000 |
| 460 | Extra Oral Abscess Incision With Drain | 780.000 |
| 461 | Control & Stitches Opened by a General Dentist – 1 Gigi | 150.000 |
| 462 | Control & Open Stitches by a Specialist Dentist – 1 Gigi | 265.000 |
| 463 | Gingivectomy | 300.000 |
| 464 | Stitching After Tooth Extraction With a General Dentist – 1 Gigi | 175.000 |
| 468 | Stitching After Tooth Extraction With a Specialist Dentist – 1 Gigi | 325.000 |
| 469 | Buccal Intra Oral Abscess Incision / Palatal / Lingual | 250.000 |
| 470 | Spongestan – 1 Fruit | 50.000 |
| 471 | Administration of Alvogil into the Tooth Socket | 50.000 |
| 472 | Mouthwash | 50.000 |
| 473 | ||
| 474 | DENTURES / DISLOCATION OF ARTIFICIAL TEETH ( REGULAR 3 – 6 DAY ) | |
| 475 | ACRYLIC MATERIALS / FLEXY VALPLAST / THERMOSENS | |
| 476 | Acrylic Removable Dentures Packet – Per 1 Jaw Plate / Artificial Gum + 1 First Gear | 1.600.000 |
| 477 | Flexy Removable Denture Package / Whale plastic – Per 1 Jaw Plate / Artificial Gum + 1 First Gear | 2.100.000 |
| 478 | Themosens Loose Denture Package – Per 1 Jaw Plate / Artificial Gum + 1 First Gear | 2.700.000 |
| 479 | ||
| 480 | DENTURES / DISLOCATION OF ARTIFICIAL TEETH ( EXPRESS FAST SERVICE 1 – 3 DAY ) | |
| 481 | ACRYLIC MATERIALS / FLEXY VALPLAST / THERMOSENS | |
| 482 | Acrylic Removable Dentures Packet – Per 1 Jaw Plate / Artificial Gum + 1 First Gear | 2.600.000 |
| 483 | Flexy Removable Denture Package / Whale plastic – Per 1 Jaw Plate / Artificial Gum + 1 First Gear | 3.100.000 |
| 484 | Themosens Loose Denture Package – Per 1 Jaw Plate / Artificial Gum + 1 First Gear | 3.600.000 |
| 485 | FULL FALSE TEETH / FULL DENTURE FALSE TEETH ( REGULAR 4 – 10 DAY) | |
| 486 | Paket Full Denture / Acrylic Full Dentures – 1 Jaw | 4.150.000 |
| 487 | Paket Full Denture / Acrylic Full Dentures – 2 Jaw | 8.200.000 |
| 488 | Paket Full Denture / Themosens Full Dentures – 1 Jaw | 5.100.000 |
| 489 | Paket Full Denture / Themosens Full Dentures – 2 Jaw | 10.100.000 |
| 490 | ||
| 491 | ADDITION OF NEXT FALSE TEETH | |
| 492 | 1 Standard Acrylic Material Teeth | 250.000 |
| 493 | 1 Premium Ortholux Material Teeth | 300.000 |
| 494 | ||
| 495 | DENTURES / DENTURE – WAIT / PERMANENT | |
| 496 | Jacket Crown All Acrylic – 1 gigi | 1.200.000 |
| 497 | Jacket Crown Metal Porselen (PFM) – 1 gigi | 3.700.000 |
| 498 | Porcelain Metal Crown Jacket (PFM) Maryland Bridge – 1 gigi | 4.300.000 |
| 499 | Jacket Crown All Porselen Emax – 1 gigi | 4.399.000 |
| 500 | Jacket Crown All Porselen Zirconia – 1 gigi | 5.000.000 |
| 501 | Temporary Crown – 1 gigi | 400,000 |
| 502 | Dismantle the Crown – 1 gigi | 160.000 |
| 503 | Glue Crown PFM Outer Patients with GIC Ingredients – 1 gigi | 310.000 |
| 504 | Lem Crown Emax / Zirconia Outer Patients with Relycs Materials – 1 gigi | 360.000 |
| 505 | ||
| 506 | TOOTH PRINT & Denture repair | |
| 507 | Alginate Teeth Printing – 1 Jaw | 150.000 |
| 508 | Alginate Teeth Printing – 2 Jaw | 250.000 |
| 509 | Double Impression Print – 1 Jaw | 400.000 |
| 510 | Double Impression Print – 2 Jaw | 800.000 |
| 511 | Reparations / Rebasing / Repair of Artificial Plates or Gums | 975.000 |
| 512 | Reparations / Rebasing / Repair of Artificial Plates or Gums + Broken Wire | 1.075.000 |
| 513 | ||
| 514 | DENTAL WIRE / ORTHODONTICS / STIRRUP | |
| 515 | METAL BRACES | |
| 516 | Behel Metal Ortho Classic USA – 2 Jaw | 6.000.000 |
| 517 | USA Standard Metal Braces – 2 Jaw | 8.400.000 |
| 518 | Behel Metal American Ortho Usa – 2 Jaw | 8.600.000 |
| 519 | Behel Metal Ortho Classic USA – 1 Jaw | 3.500.000 |
| 520 | USA Standard Metal Braces – 1 Jaw | 4.900.000 |
| 521 | Behel Metal American Ortho USA – 1 Jaw | 4.800.000 |
| 522 | Metal Braces Control + Basic Scalling – 2 Jaw | 400.000 |
| 523 | Metal Basic Scalling Braces Control – 1 Jaw | 350,000 |
| 524 | Lem Bracket – 1 Bracket | 85.000 |
| 525 | Ganti Bracket Metal + Lem – 1 Bracket | 160.000 |
| 526 | Post Bite Composite | 305.000 |
| 527 | Post Bite GIC | 280.000 |
| 528 | Lem GIC Ortho | 110.000 |
| 529 | Elastic Rubber | 50.000 |
| 530 | Ortho Toothbrush | 35.000 |
| 531 | Ortho Fir Toothbrush | 50.000 |
| 532 | Wax Ortho | 49.999 |
| 533 | Dental Braces / Ortho Kit (Toothbrush, Dental Floss, Wax and Travel Braces Cleaning Tools) | 100.000 |
| 534 | ||
| 535 | FASHION DENTAL BRACES | |
| 537 | Sapphire Dental Braces – 2 Jaw | 15.000.000 |
| 538 | Ceramic Dental Braces – 2 Jaw | 9.000.000 |
| 539 | Sapphire Dental Braces – 1 Jaw | 8.500.000 |
| 540 | Ceramic Dental Braces – 1 Jaw | 5.000.000 |
| 541 | Control Sapphire Dental Braces / Ceramic – 2 Jaw | 450.000 |
| 542 | Control Sapphire Dental Braces / Ceramic – 1 Jaw | 400.000 |
| 543 | Sapphire Dental Braces Bracket Glue / Ceramic – 1 Bracket | 90.000 |
| 544 | Replace Sapphire Dental Braces Brackets / Ceramic + Lem – 1 Bracket | 400.000 |
| 545 | ||
| 546 | METAL SELF LIGATING DENTAL BRACES | |
| 547 | Empower Metal Dental Braces – 2 Jaw | 13.000.000 |
| 548 | Damon Metal 3M Dental Braces – 2 Jaw | 23.000.000 |
| 549 | American Ortho USA Empower Dental Braces – 2 Jaw | 15.000.000 |
| 550 | Damon Braces Control / Empower Metal – 2 Jaw | 500.000 |
| 551 | Damon Braces Control / Empower Metal – 1 Jaw | 450.000 |
| 552 | Damon Dental Braces Bracket Glue / Empower Metal – 1 Bracket | 315.000 |
| 553 | Replace Damon Braces Brackets / Empower Metal – 1 Bracket | 550.000 |
| 554 | ||
| 555 | RETAINER GIGI EXPRESS 1-3 Working day (POST-REMOVAL CARE OF DENTAL BRACES) | |
| 556 | Clear Retainer – 1 Jaw | 2.400.000 |
| 557 | ||
| 558 | RETAINER GIGI (POST-REMOVAL CARE OF DENTAL BRACES) | |
| 559 | Hawley Retainer – 2 Jaw | 2.400.000 |
| 560 | Hawley Retainer – 1 Jaw | 1.200.000 |
| 561 | Clear Retainer – 2 Jaw | 3.200.000 |
| 562 | Clear Retainer – 1 Jaw | 1.600.000 |
| 563 | Fixed Retainer Kawat – 2 Jaw | 3.000.000 |
| 564 | Fixed Retainer Kawat – 1 Jaw | 2.500.000 |
| 565 | Fiber Material Fixed Retainer – 2 Jaw | 4.300.000 |
| 566 | Fiber Material Fixed Retainer – 1 Jaw | 2.400.000 |
| 567 | ||
| 568 | DENTAL WIRE / ORTHODONTICS / TEETH BRACELET | |
| 569 | Dental Braces / Removable Ortho – 1 Jaw | 1.050.000 |
| 570 | Dental Braces / Removable Ortho – 2 Jaw | 2.100.000 |
| 571 | Dental Braces Control / Removable Ortho – 1 Jaw | 200.000 |
| 572 | Dental Braces Control / Removable Ortho – 2 Jaw | 250.000 |
| 573 | ||
| 574 | DENTAL BRACE REMOVAL PACKAGE | |
| 575 | Classic Dental Braces Removal Package (Leave + Clean the Glue) – 2 Jaw | 700.000 |
| 576 | Classic Dental Braces Removal Package (Leave + Clean the Glue) – 1 Jaw | 400.000 |
| 577 | Authentic Dental Braces Removal Package (Leave + Clean the Glue + Scaling) – 2 Jaw | 1.050.000 |
| 578 | Authentic Dental Braces Removal Package (Leave + Clean the Glue + Scaling) – 1 Jaw | 550.000 |
| 579 | Authentic Dental Braces Removal Package (Leave + Clean the Glue + Scaling + Clear Retainer ) – 2 Jaw | 3.550.000 |
| 580 | Authentic Dental Braces Removal Package (Leave + Clean the Glue + Scaling + Clear Retainer ) – 1 Jaw | 1.550.000 |
| 581 | ||
| 582 | PATIENTS WITH MOVED DENTAL HEELS | |
| 583 | Metal Braces Control – 2 Jaw | 500.000 |
| 584 | Metal Braces Control – 1 Jaw | 450.000 |
| 585 | Lem Bracket – 1 Bracket | 150.000 |
| 586 | Ganti Bracket / Bucal Tube / Lingual Button – 1 Fruit | 160.000 |
| 587 | Control Sapphire Dental Braces / Ceramic – 2 Jaw | 600.000 |
| 588 | Control Sapphire Dental Braces / Ceramic – 1 Jaw | 550.000 |
| 589 | Sapphire Dental Braces Bracket Glue / Ceramic – 1 Bracket | 225.000 |
| 590 | Ganti Bracket Sapphire / Ceramic – 1 Bracket | 360.000 |
| 591 | Damon Braces Control / Empower Metal – 2 Jaw | 600.000 |
| 592 | Damon Braces Control / Empower Metal – 1 Jaw | 550.000 |
| 593 | Lem Bracket Damon / Empower Metal – 1 Bracket | 225.000 |
| 594 | Ganti Bracket Damon / Empower Metal – 1 Bracket | 460.000 |
| 595 | Replace Ortho Wire – 1 Fruit | 110.000 |
| 596 | Abrasive Double Slicing Material – 1 Fruit | 50.000 |
| 597 | Bahan Open Coil Spring – 1 Fruit | 35.000 |
| 599 | Lip Bumper Material – 1 Fruit | 35.000 |
| 600 | Lem Ring / Mollar Band – 1 Fruit | 400.000 |
| 601 | ||
| 602 | MOUTH GUARD / NIGHT GUARD FOR BRUXISM (SLEEPING GREATER TEETH) | |
| 603 | Mouth Guard / Night Guard | 900.000 |
| 604 | ||
| 605 | TMJ PLATE FOR REPAIR OF NOISE AND PAINFUL JAW HINGES (CLICKING) | |
| 606 | Plate TMJ | 800.000 |
| 607 | Package Checkup + Overcoming TMJ Pain + Physiotherapy Equipment | 1.100.000 |
| 608 | ||
| 609 | BLEACHING GIGI (WHITENING TEETH) | |
| 610 | Bleaching Medium (2X Oles) | 2.250.000 |
| 611 | Bleaching Extra (Bleaching + Scaling + Protection) | 450.000 |
| 612 | ||
| 613 | DENTAL CARE FOR PREGNANT WOMEN / PREGNANT WOMEN | |
| 614 | Rutin Dental Checkup | 350.000 |
| 615 | Package Checkup + Teeth Scaling + strengthening 1 Gigi | 750.000 |
| 616 | ||
| 617 | AESTHETIC GUM SURGERY / GUM RECONTURING (IMPROVES THE APPEARANCE OF THE GUMMY SMILE) | |
| 618 | Fixed Gummy Smile – Per Tooth | 500.000 |
| 623 | ||
| 624 | CHILDREN'S DENTAL CARE | |
| 625 | Small GIC Dental Fillings | 350.000 |
| 626 | Medium GIC Dental Fillings | 400.000 |
| 627 | Fissure Sealant (Coating the surface of the tooth crown so that it doesn't get cavities easily) | 650.000 |
| 628 | Fissure Sealant for Children's Milk Teeth | 300.000 |
| 629 | Fissure Sealant for Adolescent Permanent Teeth | 325.000 |
| 630 | Remineralising Agents (Strengthens the Enamel Layer & Prevent Cavities) | 300.000 |
| 631 | Children's Mouth Guard (Overcoming Tooth Damage Due to Teeth Grinding While Sleeping) | 775.000 |
| 632 | Space Maintainer | 600.000 |
| 633 | ||
| 634 | SPLINTING (OVERCOMING MOBILE TEETH) | |
| 635 | Splinting with Composite Resin – Per Tooth | 300.000 |
| 636 | Splinting with a Combination of Composite Resin & Dental Wire | 350.000 |
| 637 | Splinting with a Combination of Composite Resin & Fiber Per Tooth | 450.000 |
