Dental Quote Codes
The Dental Board of Australia publishes a standard list of dental item codes. This helps health funds in providing accurate quotes for dental benefits, but also allows you to get a second opinion on the estimation and outcomes for your dental treatments.
These standardised codes are recognised by various health insurance providers, including Medicare and TAC.
Braces and Clear Aligners
If you want to get orthodontic treatment, here is a list of the common item codes that are used for Invisalign Aligners and Braces – which we can use to help give you a second opinion on your treatment options and cost.
The amounts that are paid by Health funds may vary – as do the number of items that can be claimed and when – but can include one or more of these items – over a period of 1 – 3 years of treatment:
825 – clear aligners – per arch
881 or 882 — Full course of orthodontic treatment
811 — Removable Retainer Orthodontic treatment – per arch
812 — Fixed Retainer Orthodontic treatment
829 – Partial banding / braces – per arch
831 – Full Arch banding / braces – per arch
833 – removal of braces (usually if we are taking over a patient)
843 – Partial Banding
844 – Movement appliance
845 – Fixed passive appliance
846 – Minor Tooth Guidance
862 – Bonding of attachment (usually if we are repairing in emergency)
871 – Orthodontic adjustment
872 / 873 / 874 / 875 / 876 / 877 – maintenance of passive appliances
878 – Relining an appliance
Orthodontic benefit limits will often be an annual limit – and have a lifetime limit. Lifetime limits do reset with some funds (like Navy Health).
Implants
Common dental item numbers used for Dental Implants vary and can include:
661, 663, 664, 665, 666, 668, 669, 671, 672, 673, 678, 679, 684, 688, 689, 691
If bone grafting is needed, additional dental items numbers include:
234, 235, 236, 237, 238
Crowns & Bridges
613 — Full Porcelain or Ceramic Crown
615 — Porcelain Crown Full Coverage with metal base
618 — Full Metal Crown (additional for Gold)
643 — Ceramic Bridge Pontic (replace missing tooth by using a bridge)
672 — Ceramic Crown for a Dental Implant
611 — Resin Crown
Code 572 is for a temporary crown – we do NOT charge extra for it like some other dentists do.
Veneers
Porcelain or Ceramic veneers — 583 or 582
Composite veneers — 526 or 536
Ceramic onlays or inlays — 551, 552, 554, 554, 555, 556
Fillings
White rear teeth — 531, 532, 533, 534, 535
White front teeth — 521, 522, 523, 524, 525
Metal fillings — 511, 512, 613, 514, 515
Sealants: (mainly used for kids.) – 161, 162
Extractions
Simple teeth extraction — 311
Complex tooth extraction — 314, 316, 322, 323, 324
Gum Treatment / Periodontics
213 — Emergency treatment periodontal issue
221 — Measurement the health of your gums
222 — Root planing usually for a single tooth, or a couple of teeth
250 — Gum treatment for a quarter or quadrant of your mouth
(may be used up to 4 times)
251 — Follow up visit to monitor a course of gum treatment
Splints & Guards
151 — Sports Mouthguards
965 — Night Guard or Occlusal Splint (teeth grinding)
811 — Retainer after Orthodontic treatment
Root Canal Treatment
Root canal treatment is usually undertaken over three visits. Note that the number of items 416 and 418 reflect the number of roots in the tooth being treated.
1st Visit
419 — Remove the nerve
2nd Visit
415 — Cleaning out the canal
416 — Additional canal
3rd Visit
417 — Filling the canal
418 — Additional canal
Retreatment of a tooth
453 / 455 — additional canal clean visit
Check Up & Clean
We have a capped price offer of $199 for a check up and clean including xrays and other items listed below as needed – which often means Health Fund members have little or nothing to pay out of pocket.
011 or 012 -—Consult
022 — Xrays
071 — Models
072 — Photos
114 — Cleaning
121 — Flouride
221 — Gum measuring
We may use additional codes in some circumstances:
111 — Cleaning – kids
115 — Additional cleaning
165 — Desensitizing
Dentures
711 — Upper full Denture
712 — Lower full Denture
719 —Upper & Lower Acrylic Full Denture (made at same time)
722 / 722 — Acrylic denture base – partial
727 / 728 — Metal denture base – partial
The number of teeth (733) and clasps (731) or rests (732) may be charged based on how many needed.
X-Rays, OPG and CT Scans
022 — Intraoral xray (per exposure)
026 — CT Scan
035 — TMJ Xray of temporomandibular joint
037 — OPG Panoramic radiograph
039 — CT of the skull
087 – 088 – 099 – 090 or 091 — interpretation/reporting
Teeth Whitening – Home or In chair
Home whitening usually uses item 119 x 2.
In chair whitening 118 once or multiple times – depending on the health fund rules.
Desensitising and remineralisation (121 – 123 – 165) depending on the insurance.
If you’ve already visited a dentist but seek a second opinion, we can offer you a complimentary consultation. Feel free to bring along X-rays and dental item numbers from your quote. Our aim is to often align or surpass prices charged by less seasoned dentists, reaffirming the extensive training we’ve received and our history of successful patient outcomes.
Considering dental treatment abroad? Thailand, Turkey, or Bali may appeal. However, rest assured, we can facilitate payment plans and continued support, ensuring you’re well taken care of.
Who’ll be there if things go awry in Turkey? What if a dental implant from Bali fails? Or those ceramic crowns from Thailand actually contain metal, making your teeth look grey?
With us, you’re protected under Australian health and consumer laws, with access to adaptable payment plans and health insurance benefits.
We’re here to provide expert advice and guidance for optimal, budget-friendly results.
