Price list valid from 1.01.2024
* Full price list is available at reception/doctor's offices
Administrative fees
Administrative work / records statements |
550 Kč |
Missing appointment or being late without warning (every 30 min) |
950 Kč |
Initial examination including panoramic X-ray |
hrazeno ZP |
Preventive check-up 2x a year |
hrazeno ZP |
Initial examination of an uninsured patient / without ZP claim |
1950 Kč |
Emergency fee of an uninsured patient / without ZP claim |
950 Kč |
Anesthesia
Intraligamentary/application anaesthesia |
390 / 190 Kč |
Entonox (Paradise gas) 15 min. use |
1500 Kč |
Teeth fillings
Internal whitening 1 tooth |
2990 Kč |
Retaining plate-retention 1 tooth |
1990 Kč |
Self-polymerizing/photopolymerizing temporary filling |
490 / 690 Kč |
Correction and polishing of filling |
1690 Kč |
Dental treatment with kofferdam |
390 Kč |
Gum retraction |
290 Kč |
Using fiberglass composite pin |
1290 Kč |
Dental sealants - prevention of tooth decay |
1490 Kč |
Equia Forte capsule filling (2 capsules per tooth = 1,5 price) |
1490 / 2190 Kč |
Filler composite white aesthetic 1 area |
2990 Kč |
Composite white aesthetic filler 2 areas |
3590 Kč |
Composite white aesthetic filler 3 areas |
3890 Kč |
Tooth reconstruction with photocomposite or dual composite |
4990 Kč |
Highly aesthetic direct tooth reconstruction |
5990 Kč |
Endodontics - root canal treatment
Endo 1 (additional payment for machine endometrial of 1 duct) |
1390 Kč |
Endo 2 (root canal treatment, additional payment for machine treatment) |
1490 Kč |
Repeated endo 1 (for 1 channel) |
690 Kč |
Treatment using a microscope - small scale/large scale |
1490 / 2990 Kč |
Removing the metal pin |
1990 / 2690 Kč |
Removal of a bent instrument from the root canal |
2390 Kč |
X-ray examination
OPG and X-ray evaluation |
hrazeno ZP |
Intraoral X-ray (for self-payers) - Production + evaluation |
250 Kč |
OPG image (for self-payers) - Production + evaluation |
890 Kč |
CBCT image quadrant |
1190 Kč |
CBCT scan 1 jaw |
1490 Kč |
CBCT scan |
1790 Kč |
Orthodontics
Metal fixed device |
from 27900 Kč |
Invisible braces Spark |
from 28990 Kč |
Prosthetic
Long-term temporary PMMA CAD CAM protective crown |
1190 / 1490 / 1890 Kč |
Metal-ceramic crown |
11900 Kč |
All-ceramic Inlay/ Onlay/ Overlay |
9900 Kč |
Anatomical crown Zircon |
11900 Kč |
Ceramic crown E-max |
13900 Kč |
Ceramic veneer crown E-max, Zircon / ceramic veneer |
15900 Kč |
Highly aesthetic Essentia veneer crown / ceramic veneer |
19000 Kč |
Porcelain fused metal crown fixed on implant |
12900 Kč |
Crown fixed on implant (E-max Press / Fully anatomical Zircon) |
12900 Kč |
Porcelain fused Zirconia crown fixed on implant |
16900 Kč |
Removal of fixed replacement - for each pillar structure |
790 / 1590 Kč |
Anti-bruxism splint, atraumatic, double layered |
1990 Kč |
Dental prosthesis
Temporary dentures DEFLEX |
8900 Kč |
Full denture HČ/DČ uninsured patient / without ZP |
14900 Kč |
Partial / Full elastic dentures DEFLEX |
12900 Kč |
Hybrid removable denture HČ/DČ |
33000 Kč |
Hybrid removable denture HČ/DČ on implants |
from od 62000 Kč |
Repair: a tooth that has fallen out of a prosthesis / a cracked, broken prosthesis / a retention element of a prosthesis |
1790 Kč |
Extension of the base of the dentures to 4 teeth |
2690 Kč |
Surgery and Implantation
Gelaspon, Alveogil / Parasorb |
690 / 1490 Kč |
Unusual case |
2790 Kč |
Autologous PRF augmentation - first tube / each subsequent tube |
1890 / 1190 Kč |
Implantology consultation |
1150 Kč |
Placement of implant Neobiotech / Ankylos / Straumann |
18900 / 22900 / 25900 Kč |
Implantology template small / large |
1900 / 4900 Kč |
Deposit before analgosedation |
5000 Kč |
Analgosedation 1 hour / 2 hours / 3 hours Tablet sedation |
9900 / 18900 Kč |
Tablet sedation Midazolam/Diazepam |
1990 Kč |
Dental hygiene and Whitening
Complete dental hygiene |
1990 Kč |
Deep/detailed cleaning 1 jaw |
3000 Kč |
Ordinary teeth whitening BlancOne (CLICK) |
1500 Kč |
Ordinary teeth whitening BlancOne (TOUCH) |
3800 Kč |
Home teeth whitening (4 whitening gels, carriers for HC and DC, box) |
4900 Kč |
Home teeth whitening (4 whitening gels, carriers for HC and DC, box) |
7900 Kč |
Combined bleaching |
11900 Kč |
(*) price including VAT 21%
The patient with acute pain pays only for the treatment without paying extra fees.
