Dental Fees - Northen Territory

How Members Save - NT

Simply click on any of the examples below to view how members save with NobleDentist.

Example 1 - Check-Up and Clean (Including X-Rays & Fluoride)

Example 2 - Molar Root Canal Treatment

Example 3 - Cosmetic Dental Treatment

Member Fee Schedule - NT

* The fee schedule is current as at 25.01.10.

** The 'Regular Patients' fee is the fee non-member patients 'could be charged' when visiting any dentist in NT.

(This data is based on the ADA's annual fee survey plus inflation as the survey was done over 12 months ago.)

*** The 'Members' fee is the fee members of NobleDentist pay when visiting a participating dentist in NT.

**** Dental services not included in this fee schedule are reduced by 15% off the usual practice fee that you attend.

Dental Item Dental Service Regular Patients** Members***
Diagnostic
011 Oral Exam - Comprehensive $73 $50
012 Oral Exam - Periodic $73 $44
013 Oral Exam - Limited $70 $40
014 Consultation $73 $47
022 X-Ray - Per Film $50 $35
037 X-Ray - Panoramic (OPG) $113 $95
071 Diagnostic Model - Per Model $83 $47
072 Photographic Records - Intraoral $45 $29
Preventive
111 Plaque/Stain Removal $92 $52
114 Calculus Removal $122 $86
118 Bleaching, External - Per Tooth $117 $69
121/111 Topical Remineralising & Plaque $111 $43
141 Oral Hygiene Instruction $56 $33
161 Fissure Sealing - Per Tooth $66 $47
Periodontics
222 Root Planing & Curettage - Per Tooth $199 15% Off Practice Fee
232 Perio Flap Surgery - Per Tooth $406 15% Off Practice Fee
Oral Surgery
311 Removal of a Tooth or Part(s) Thereof $193 $139
322 Surgical Removal of Tooth or Tooth Fragment Not Requiring Bone Removal or Tooth Division NA 15% Off Practice Fee
323 Surgical Removal of Tooth or Tooth Fragment Requiring Bone Removal $406 $275
324 Surgical Removal of Tooth or Tooth Fragment Requiring Bone Removal and Tooth Division NA 15% Off Practice Fee
Endodontics
411 Direct Pulp Capping $42 $32
415 Chemo-Mechanical Preparation - 1 Canal $248 $195
416 Chemo-Mechanical Preparation - Additional Canal $130 $93
417 Pulp Obturation - One Canal $247 $194
418 Pulp Obturation - Each Additional Canal $130 $93
419 Extirpation Pulp/Debridement of Root Canal(s) $250 $159
455 Additional Visit Irrigate/Ressing Root Canal System - Per Tooth $188 $89
415,417 Front Tooth Root Canal (1 Canal) (Excl. X-Rays) $495 $389
415,416,417,
418
Premolar Root Canal (2 Canals) (Excl. X-Rays) $1755 $575
415,416,416,
417,418,418
Molar Root Canal (3 Canals) (Excl. X-Rays) $1,015 $761
Restorations
511 Metallic - 1 Surface $172 $110
512 Metallic - 2 Surfaces $212 $127
513 Metallic - 3 Surfaces $247 $166
514 Metallic - 4 Surfaces $310 $184
515 Metallic - 5 Surfaces $359 $199
521 White Filling - 1 Surface - Front Tooth $180 $118
522 White Filling - 2 Surfaces - Front Tooth $222 $137
523 White Filling - 3 Surfaces - Front Tooth $247 $172
524 White Filling - 4 Surfaces - Front Tooth $310 $195
525 White Filling - 5 Surfaces - Front Tooth $378 $211
531 White Filling - 1 Surface - Back Tooth $180 $125
532 White Filling - 2 Surfaces - Back Tooth $233 $160
533 White Filling - 3 Surfaces - Back Tooth $288 $187
534 White Filling - 4 Surfaces - Back Tooth $321 $219
535 White Filling - 5 Surfaces - Back Tooth $378 $242
575 Pin Retention - Per Pin $41 $26
577 Cusp Capping - Per Cusp $59 $39
578 Restoration Incisal Corner - Per Corner $59 $33
582 Composite Veneer - Direct - Per Tooth $386 $249
583 Porcelain Veneer - Indirect - Per Tooth $1,320 $852
Crowns & Bridges (Lab Fees Included)
615 Full Crown - Veneered - Indirect $1,765 $1,187
618 Full Crown - Metallic - Indirect $1,765 $1,178
627 Preliminary Restoration for Crown - Direct $290 $173
643 Bridge Pontic - Indirect - Per Pontic $1,480 $915
651 Re-cementing Crown or Veneer $203 $97
661 Implant Abutment - Per Abutment NA 15% Off Practice Fee
672 Full Crown to Implant - Veneered NA 15% Off Practice Fee
688 Insert One-Stage Implant - Per Implant NA 15% Off Practice Fee
Prosthodontics
711 Upper Denture $1,624 $1,035
719 Upper & Lower Denture $3,045 $2,139
721/733/731 Partial Denture Acrylic Plate - 6t2fe s $1,279 $723
727/728 Partial Denture Plate - Cast Metal Framework - 2 Teeth $1,441 $1,187
733 Tooth/Teeth (Partial Denture) $54 $29
741 Adjustment of a Denture $86 $47
743 Relining - Complete Denture - Processed $457 $345
763 Repair Base - Complete Denture $259 $124
768 Partial Denture – Exracted Tooth Replacement - Per Tooth $259 $148
776 Impression for Denture Repair $73 $45
Orthodontics
821 Active Removable Appliance - 1 Arch NA 15% Off Practice Fee
831 Full Arch Banding - Per Arch NA 15% Off Practice Fee
General
911 Palliative Care $122 $70
925 Individually Made Tray - Medicament(s) $259 $110
965 Occlusal Splint $673 $425