Comprehensive oral evaluation20 JOD
Adult prophylaxis cleaning25 JOD
Periodontal scaling per quadrant25 JOD
Panoramic radiograph0 JOD
Periapical radiograph0 JOD
Composite filling — 1 surface25 JOD
Composite filling — 2 surfaces35 JOD
Composite filling — 3 surfaces45 JOD
Root canal — anterior tooth75 JOD
Root canal — premolar90 JOD
Root canal — molar120 JOD
In-office teeth whitening150 JOD
Simple tooth extraction50 JOD
Surgical extraction (impacted tooth)75 JOD
Endosteal dental implant350 JOD
Metal braces (full)800 JOD
Clear aligners (Invisalign)2,000 JOD
Pit and fissure sealant15 JOD
Topical fluoride application10 JOD
Dental bridge (3-unit)375 JOD
Periodic oral evaluation20 JOD
Limited oral evaluation (problem-focused)20 JOD
Emergency oral evaluation20 JOD
Bitewings — four films15 JOD
Bitewing — single film5 JOD
Cone Beam CT (CBCT) — both jaws35 JOD
Prophylaxis — child20 JOD
Space maintainer — fixed unilateral60 JOD
Stainless steel crown — primary tooth50 JOD
Pulpotomy — primary tooth50 JOD
Amalgam filling — 1 surface20 JOD
Amalgam filling — 2 surfaces30 JOD
Post and core (in addition to crown)130 JOD
Core build-up (including pins)50 JOD
Inlay restoration — 2 surfaces75 JOD
Endodontic retreatment — molar150 JOD
Apicoectomy — anterior tooth150 JOD
Periodontal maintenance25 JOD
Gingivectomy or gingivoplasty150 JOD
Crown lengthening — hard tissue75 JOD
Subepithelial connective tissue graft250 JOD
Splinting — extracoronal50 JOD
Surgical removal of residual roots50 JOD
Frenulectomy / frenectomy100 JOD
Bone graft for ridge preservation250 JOD
Sinus augmentation (sinus lift)500 JOD
Crown — porcelain fused on implant90 JOD
Crown — full zirconia on implant125 JOD
Orthodontic adjustment / monthly visit50 JOD
Take-home whitening kit90 JOD
Occlusal guard — hard appliance50 JOD
