"Sheet1"
"营利性医疗机构医疗收费网上公示标准"
"单位名称:上海沈静珍口腔诊所 2006年7月10日 "
"编号","项目名称","计价单位","收费标准","备注"
1,"1--5 牙松动拔除","颗",40,"进口麻药"
2,"1--5 残根(冠)拔除","颗",60,"进口麻药"
3,"6,7 牙松动拔除","颗",60,"进口麻药"
4,"6,7 残根(冠)拔除","颗",80,"进口麻药"
5,"上智齿阻生牙拔除","颗",120,"进口麻药"
6,"下智齿高位阻生牙拔除","颗",200,"进口麻药"
7,"埋伏阻生牙拔除","颗",350,"进口麻药"
8,"折裂牙拔除","颗",100,"进口麻药"
9,"低位阻生牙拔除","颗",300,"进口麻药"
10,"乳牙(表麻)拔除","颗",10,"表面麻醉"
11,"1--3根管治疗","颗",200
12,"4,5根管治疗","颗",300
13,"6根管治疗","颗",400
14,"7,8根管治疗","颗",600
15,"银汞I洞类","颗",40
16,"银汞II洞类","颗",50
17,"树脂填充","颗",60
18,"深龋(作基)","颗",60
19,"牙片","张",15
20,"铸造金属冠(Ni-Cr合金)","颗",300
21,"烤瓷冠(Ni-Cr合金)","颗",500
22,"烤瓷冠(Ni-Cr合金边缘金粉)","颗",700
23,"贵金属烤瓷冠(高温黄金Bio-98)","颗",2000
24,"贵金属烤瓷冠(高温白金SP2.0)","颗",1500
25,"铸造桩(笋钉)(Ni-Cr合金)","颗",150
26,"金合金铸造桩(高温黄金Bio98)","颗",400
27,"栓道式附着体","对",2500
28,"磁性固位体","对",3000
29,"塑料基托活动义齿小件","1-2颗牙",100
30,"塑料基托活动义齿中件","1-3颗牙",150
31,"塑料基托活动义齿大件","1-4颗牙",250
32,"铸造钢托活动义齿","半口",1000,"拜尔3色牙"
33,"铸造钢托活动义齿","半口",1600,"松风4色牙"
34,"纯钛基托板拜尔塑料牙","半口",4000
35,"夜磨牙保护套","半口",450
36,"全口超声洁治","全口",120
37,"全口超声洁治+喷砂法","全口",250
38,"少儿正畸治疗","半口",2500,"全程"
39,"成人正畸治疗","半口",3000,"全程"
"Sheet2"
"Sheet3"