Orange Dental Pricelist (Oct 2018)

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NAMA HARGA BARU

Konsultasi GP IDR 30,000


Konsultasi Sp. Ort IDR 200,000
Konsultasi Sp. Perio IDR 200,000
Konsultasi Sp. Pros IDR 200,000

Ortho Metal GP Cash IDR 4,999,000


Ortho Metal GP Cicilan TKK IDR 6,100,000
Ortho Metal GP Cicilan BCA IDR 6,100,000
Ortho Metal S2 Ortho Cash IDR 6,900,000
Ortho Metal S2 Ortho Cicilan TKK IDR 8,000,000
Ortho Metal S2 Ortho Cicilan BCA IDR 8,000,000
Ortho Metal Sp. Ort Cash 1 IDR 7,600,000
Ortho Metal Sp. Ort Cicilan TKK 1 IDR 8,600,000
Ortho Metal Sp. Ort Cicilan BCA 1 IDR 8,600,000
Ortho Metal Sp. Ort Cash 2 IDR 10,600,000
Ortho Metal Sp. Ort Cicilan TKK 2 IDR 11,600,000
Ortho Metal Sp. Ort Cicilan BCA 2 IDR 11,600,000
Ortho Metal Sp. Ort Cash 3 IDR 12,400,000
Ortho Metal Sp. Ort Cicilan TKK 3 IDR 13,400,000
Ortho Metal Sp. Ort Cicilan BCA 3 IDR 13,400,000
Ortho Ceramic GP Cash IDR 8,100,000
Ortho Ceramic GP Cicilan TKK IDR 8,800,000
Ortho Ceramic GP Cicilan BCA IDR 8,800,000
Ortho Ceramic S2 Ortho Cash IDR 9,800,000
Ortho Ceramic S2 Ortho Cicilan TKK IDR 10,800,000
Ortho Ceramic S2 Ortho Cicilan BCA IDR 10,800,000
Ortho Ceramic Sp. Ort Cash 1 IDR 11,300,000
Ortho Ceramic Sp. Ort Cicilan TKK 1 IDR 12,300,000
Ortho Ceramic Sp. Ort Cicilan BCA 1 IDR 12,300,000
Ortho Ceramic Sp. Ort Cash 2 IDR 14,300,000
Ortho Ceramic Sp. Ort Cicilan TKK 2 IDR 15,500,000
Ortho Ceramic Sp. Ort Cicilan BCA 2 IDR 15,500,000
Ortho Ceramic Sp. Ort Cash 3 IDR 16,100,000
Ortho Ceramic Sp. Ort Cicilan TKK 3 IDR 17,100,000
Ortho Ceramic Sp. Ort Cicilan BCA 3 IDR 17,100,000
Ortho Saphire GP Cash IDR 8,750,000
Ortho Saphire GP Cicilan TKK IDR 9,900,000
Ortho Saphire GP Cicilan BCA IDR 9,900,000
Ortho Saphire S2 Ortho Cash IDR 11,050,000
Ortho Saphire S2 Ortho Cicilan TKK IDR 12,200,000
Ortho Saphire S2 Ortho Cicilan BCA IDR 12,200,000
Ortho Saphire Sp. Ort Cash 1 IDR 12,350,000
Ortho Saphire Sp. Ort Cicilan TKK 1 IDR 13,650,000
Ortho Saphire Sp. Ort Cicilan BCA 1 IDR 13,650,000
Ortho Saphire Sp. Ort Cash 2 IDR 15,350,000
Ortho Saphire Sp. Ort Cicilan TKK 2 IDR 16,650,000
Ortho Saphire Sp. Ort Cicilan BCA 2 IDR 16,650,000
Ortho Saphire Sp. Ort Cash 3 IDR 17,150,000
Ortho Saphire Sp. Ort Cicilan TKK 3 IDR 18,700,000
Ortho Saphire Sp. Ort Cicilan BCA 3 IDR 18,700,000
Ortho Empower Metal S2 Ortho Cash IDR 13,900,000
Ortho Empower Metal S2 Ortho Cicilan TKK IDR 14,900,000
Ortho Empower Metal S2 Ortho Cicilan BCA IDR 14,900,000
Ortho Empower Clear S2 Ortho Cash IDR 16,050,000
Ortho Empower Clear S2 Ortho Cicilan TKK IDR 17,150,000
Ortho Empower Clear S2 Ortho Cicilan BCA IDR 17,150,000
Ortho Damon Metal S2 Ortho Cash IDR 15,000,000
Ortho Damon Metal S2 Ortho Cicilan TKK IDR 16,400,000
Ortho Damon Metal S2 Ortho Cicilan BCA IDR 16,400,000
Ortho Damon Metal Sp. Ort Cash 1 IDR 17,100,000
Ortho Damon Metal Sp. Ort Cicilan TKK 1 IDR 18,850,000
Ortho Damon Metal Sp. Ort Cicilan BCA 1 IDR 18,850,000
Ortho Damon Metal Sp. Ort Cash 2 IDR 20,100,000
Ortho Damon Metal Sp. Ort Cicilan TKK 2 IDR 21,950,000
Ortho Damon Metal Sp. Ort Cicilan BCA 2 IDR 21,950,000
Ortho Damon Metal Sp. Ort Cash 3 IDR 21,900,000
Ortho Damon Metal Sp. Ort Cicilan TKK 3 IDR 23,700,000
Ortho Damon Metal Sp. Ort Cicilan BCA 3 IDR 23,700,000
Ortho Damon Clear S2 Ortho Cash IDR 20,500,000
Ortho Damon Clear S2 Ortho Cicilan TKK IDR 22,000,000
Ortho Damon Clear S2 Ortho Cicilan BCA IDR 22,000,000
Ortho Damon Clear Sp. Ort Cash 1 IDR 23,300,000
Ortho Damon Clear Sp. Ort Cicilan TKK 1 IDR 25,400,000
Ortho Damon Clear Sp. Ort Cicilan BCA 1 IDR 25,400,000
Ortho Damon Clear Sp. Ort Cash 2 IDR 26,300,000
Ortho Damon Clear Sp. Ort Cicilan TKK 2 IDR 29,100,000
Ortho Damon Clear Sp. Ort Cicilan BCA 2 IDR 29,100,000
Ortho Damon Clear Sp. Ort Cash 3 IDR 28,100,000
Ortho Damon Clear Sp. Ort Cicilan TKK 3 IDR 30,200,000
Ortho Damon Clear Sp. Ort Cicilan BCA 3 IDR 30,200,000
Ortho Lingual Sp. Ort Cash IDR 35,000,000
Ortho Lingual Sp. Ort Cicilan TKK IDR 38,500,000
Ortho Lingual Sp. Ort Cicilan BCA IDR 38,500,000
Invisalign Sp. Ort Cash IDR 50,000,000
Invisalign Sp. Ort Cicilan BCA IDR 55,000,000
Slicing IDR 75,000
Ortho Lepasan GP per Rahang IDR 1,600,000
Ortho Lepasan S2 Ortho per Rahang IDR 1,900,000
Ortho Lepasan Sp. Ort per Rahang IDR 2,600,000
Quadhelix IDR 2,000,000
Ganti Kawat Putih per Rahang IDR 205,000
Ganti Kawat Metal per Rahang IDR 125,000
Lingual Button IDR 115,000
Kontrol Ortho GP IDR 175,000
Kontrol Ortho GP Clear IDR 200,000
Kontrol Ortho S2 Ortho IDR 200,000
Kontrol Ortho Sp. Ort IDR 300,000
Kontrol Ortho Sp. Ort & Ganti Kawat IDR 350,000
Kontrol Ortho Sp. Ort Saphire IDR 350,000
Kontrol Ortho Sp. Ort Damon IDR 350,000
Kontrol Ortho Sp. Ort Damon & Ganti Kawat IDR 400,000
Kontrol Ortho Sp. Ort Damon Clear IDR 400,000
Kontrol Ortho Sp. Ort Damon Clear & Ganti Kawat IDR 450,000
Ganti Bracket Metal IDR 125,000
Ganti Bracket Ceramic IDR 450,000
Ganti Bracket Saphire IDR 690,000
Ganti Bracket Damon S2 Ortho IDR 700,000
Ganti Bracket Damon Sp. Ort IDR 750,000
Lem Bracket IDR 50,000
Sementasi Molar Band IDR 100,000
Lepas Bracket + Bersihkan Lem IDR 300,000
Retainer Fixed IDR 1,500,000
Retainer Clear per Rahang IDR 900,000
Retainer Kawat per Rahang IDR 1,000,000
Lepas Bracket + Bersihkan Lem IDR 300,000
Mini Screw IDR 1,500,000
Tinggi Gigit IDR 100,000
Biaya Pindah Ortho Metal GP IDR 3,430,000
Biaya Pindah Ortho Metal S2 Ortho IDR 4,690,000
Biaya Pindah Ortho Metal Sp. Ort 1 IDR 5,320,000
Biaya Pindah Ortho Metal Sp. Ort 2 IDR 7,420,000
Biaya Pindah Ortho Metal Sp. Ort 3 IDR 8,680,000
Elastic Band IDR 50,000
Bucal Tube Jasa IDR 160,000
Molar Band IDR 125,000

Scaling IDR 250,000


Scaling Banyak IDR 300,000
Scaling + Stain Removal IDR 300,000
Scaling Banyak + Stain Removal IDR 350,000
Dental SPA (Scaling + Polishing + Stain Removal) IDR 495,000
Scaling Spesialis IDR 275,000
Scaling Banyak Spesialis IDR 330,000
Scaling + Stain Removal Spesialis IDR 330,000
Scaling Banyak + Stain Removal Spesialis IDR 385,000
Dental SPA (Scaling + Polishing + Stain Removal) Spesialis IDR 550,000
Night Guard per Rahang IDR 900,000
Pin Metal IDR 130,000
Pin Fiber IDR 180,000
Inlay / Onlay Metal IDR 1,200,000
Inlay / Onlay Metal Porcelain IDR 1,450,000
Pin Fiber Spesialis IDR 280,000
Inlay / Onlay Metal Spesialis IDR 1,500,000
Inlay / Onlay Metal Porcelain Spesialis IDR 1,750,000

Tambal Sementara (Eugenol) IDR 165,000


Tambal Sementara (Cavit) IDR 220,000
Tambal Sementara (Cavit + Kapas Eugenol) IDR 235,000
Tambal GIC Dewasa (Fuji) IDR 275,000
Tambal GIC Anak (Fuji) IDR 220,000
Tambal Composite Dewasa IDR 330,000
Tambal Composite Dewasa Besar IDR 400,000
Tambal Composite Anak IDR 275,000
Fissure Sealant IDR 200,000
Perawatan Saluran Akar Ganda Paket IDR 1,750,000
Perawatan Saluran Akar Tunggal Paket IDR 1,500,000
Perawatan Saluran Akar Ganda Per Visit IDR 600,000
Perawatan Saluran Akar Tunggal Per Visit IDR 550,000
Tambal Sementara (Eugenol) Spesialis IDR 315,000
Tambal Sementara (Cavit) Spesialis IDR 370,000
Tambal Sementara (Cavit + Kapas Eugenol) Spesialis IDR 385,000
Tambal GIC Dewasa (Fuji) Spesialis IDR 425,000
Tambal Composite Dewasa Spesialis IDR 495,000
Tambal Composite Dewasa Besar Spesialis IDR 600,000
Tambal Composite Anak Spesialis IDR 425,000
Perawatan Saluran Akar Ganda Paket Spesialis IDR 2,650,000
Perawatan Saluran Akar Tunggal Paket Spesialis IDR 2,300,000
Perawatan Saluran Akar Ganda Per Visit Spesialis IDR 900,000
Perawatan Saluran Akar Tunggal Per Visit Spesialis IDR 850,000

Pencabutan Gigi Tetap Anterior IDR 270,000


Pencabutan Gigi Tetap Prosterior IDR 325,000
Pencabutan dengan Komplikasi IDR 500,000
Pencabutan Gigi Anak + Injection IDR 215,000
Pencabutan Gigi Anak + Topical / Chlor Etil IDR 185,000
Odontektomi Kelas 1 IDR 2,500,000
Odontektomi Kelas 2 IDR 3,000,000
Lepas Jahitan Pasca OD IDR 100,000
Splinting IDR 500,000

Cetak Alginate Ortho IDR 180,000


Cetak Alginate Ortho Sp. Ort IDR 230,000
Cetak Alginate Prosto IDR 230,000
Cetak Double Impression IDR 459,000
GTS Acrilic + 1 Gigi IDR 825,000
GTS Metal IDR 1,400,000
GTS Valplast + 1 Gigi IDR 1,550,000
GTS Thermosen + 2 Gigi IDR 1,800,000
Gigi acrilic ke-2 dst IDR 250,000
Kasa Penguat Gigi Palsu IDR 400,000
Reparasi GTS Acrilic Patah IDR 525,000
Rebasing Satu Rahang IDR 750,000
Tambah cengkram per element IDR 160,000
GTL Acrilic Satu Rahang IDR 2,700,000
GTL Acrilic Rahang Atas & Bawah IDR 5,200,000
Sendok Cetak Perorangan per Rahang IDR 475,000
Crown Provisoris / sementara IDR 275,000
Crown Acrilic Backing Metal IDR 1,100,000
Crown Metal Porcelain (PFM) IDR 1,625,000
Crown All Porcelain IDR 1,900,000
Crown EMAX IDR 2,850,000
Crown ZIRCON IDR 3,750,000
Crown Provisoris / sementara Spesialis IDR 375,000
Crown Acrilic Backing Metal Spesialis IDR 1,400,000
Crown Metal Porcelain (PFM) Spesialis IDR 2,150,000
Crown All Porcelain Spesialis IDR 2,500,000
Crown EMAX Spesialis IDR 3,650,000
Crown ZIRCON Spesialis IDR 4,875,000
Bridge PFM per Element IDR 1,625,000
Bridge EMAX per Element IDR 2,850,000
Bridge ZIRCON per Element IDR 3,750,000
Bridge PFM per Element Spesialis IDR 2,150,000
Bridge EMAX per Element Spesialis IDR 3,650,000
Bridge ZIRCON per Element Spesialis IDR 4,875,000
Gusi Tiruan Porcelain EMAX IDR 400,000
Lepas Veneer IDR 100,000
Lepas Veneer Sulit IDR 250,000
Lepas Crown IDR 100,000
Lepas Crown Sulit IDR 250,000
Lepas Retainer Fixed IDR 100,000
Cementasi Crown yg lepas IDR 275,000
Veneer Indirect EMAX IDR 3,025,000
Veneer Direct IDR 860,000
Veneer Indirect EMAX Spesialis IDR 4,225,000
Veneer Direct Spesialis IDR 1,260,000

Office Bleaching IDR 2,100,000


Internal Bleaching Spesialis IDR 1,500,000

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